Key result
Sarcopenic dysphagia linked to ~2.5-fold higher 1-year mortality or readmission in older heart failure patients.
Why the study?
Dysphagia is common in older patients with heart failure, but evidence regarding sarcopenic dysphagia remains limited.
Does sarcopenic dysphagia increase the risk of all-cause death or HF-related readmission in older patients with heart failure?
Cohort (n=363)
No
Does sarcopenic dysphagia increase the risk of all-cause death or HF-related readmission in older patients with heart failure?
Hazard Ratio: 2.53 (95% CI 1.3–4.9)
Absolute Event Rate: 39.1% vs 23%
p-value: p=0.006
In older patients hospitalized with heart failure, sarcopenic dysphagia is highly prevalent (24%) and independently prognosticates a greater than 2-fold higher risk for 1-year mortality or HF readmission compared to robust patients.
May inform risk assessment in older HF patients; leaves open whether interventions targeting sarcopenic dysphagia improve outcomes.
Background: Dysphagia is common in older patients with heart failure (HF), but evidence regarding sarcopenic dysphagia remains limited. The purpose of this retrospective study was to clarify the prevalence of sarcopenic dysphagia and its relationship with swallowing-related measures and prognosis in older patients with HF.
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Matsuo et al. (2026) conducted a cohort in Heart Failure (n=363). Sarcopenic dysphagia vs. Robust (no sarcopenia or dysphagia) was evaluated on 1-year composite of all-cause death or heart failure-related readmission (HR 2.53, 95% CI 1.30-4.90, p=0.006). Sarcopenic dysphagia in older patients with heart failure was associated with a significantly higher 1-year risk of all-cause death or heart failure readmission (HR 2.53) compared to robust patients.
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