Risk factors for oropharyngeal dysphagia in cardiovascular diseases (original) (raw)
Related papers
CoDAS, 2014
Purpose: To identify risk groups for oropharyngeal dysphagia in hospitalized patients in a university hospital. Methods: The study was design as an exploratory cross-sectional with quantitative data analysis. The researched population consisted of 32 patients admitted to the medical clinic at the university hospital. Patient history data were collected, followed by a universal swallowing screening which included functional feeding assessment, to observe clinical signs and symptoms of dysphagia, and assessment of nutritional status through anthropometric data and laboratory tests. Results: Of the total sample, the majority of patients was male over 60 years. The most common comorbidities related to patients with signs and symptoms of dysphagia were chronic obstructive pulmonary disease, systemic arterial hypertension, congestive heart failure, diabetes mellitus and acute myocardial infarction. The food consistency that showed higher presence of clinical signs of aspiration was puddin...
Marmara Medical Journal
Objective: Oropharyngeal dysphagia (OD) is a common but underdiagnosed syndrome among older adults. The aim of this study was to assess the prevalence of OD in hospitalized older adults by using ten-item Eating Assessment Tool (EAT-10) and the relationship between mortality and OD. Patients and Methods: Patients aged over 65 years admitted to an internal medicine inpatient clinic of a university hospital in Turkey were enrolled in the study. The number of drugs, the number of chronic diseases, routes of feeding (oral, parenteral, or both), length of hospital stay, albumin levels on admission day, and mortality status of the patients were recorded by a physician. The EAT-10 questionnaire was administered to all patients for OD. Results: One hundred and thirty-six patients (54.4% female) were enrolled in the study. Their mean age was 74.6±6.6 years. The prevalence of OD in hospitalized older adults was 23%. The mortality rates were significantly higher in the dysphagic subjects as compared to the non-dysphagic ones (25.8% vs.10.5%; p=0.041). The number of patients with malignancy was significantly higher in the dysphagic group as compared to the non-OD subjects (41.9% vs.20%; p=0.018). Conclusion: OD is a geriatric syndrome and should be screened and treated in all geriatric patients in hospitals. It will improve patient outcomes and quality of life.
Stepping Stones to Living Well with Dysphagia, 2012
Oropharyngeal dysphagia describes difficulty with eating and drinking. This benign statement does not reflect the personal, social, and economic costs of the condition. Dysphagia has an insidious nature in that it cannot be 'seen' like a hemiplegia or a broken limb. It is often a comorbid condition, most notably of stroke, and many other neurodegenerative disorders. Conservative estimates of annual hospital costs associated with dysphagia run to USD 547 million. Length of stay rises by 1.64 days. The true prevalence of dysphagia is difficult to determine as it has been reported as a function of care setting, disease state and country of investigation. However, extrapolating from the literature, prevalence rises with admission to hospital and affects 55% of those in aged care settings. Consequences of dysphagia include malnutrition, dehydration, aspiration pneumonia and potentially death. The mean cost for an aspiration pneumonia episode of care is USD 17,000, rising with the number of comorbid conditions. Whilst financial costs can be objectively counted, the despair, depression, and social isolation are more difficult to quantify. Both sufferers and their families bear the social and psychological burden of dysphagia. There may be a cost-effective role for screening and early identification of dysphagia, particularly in high-risk populations.
Neurogastroenterology & Motility, 2018
Background: Oropharyngeal dysphagia (OD) is a prevalent poststroke condition with severe complications and increased mortality. Poststroke OD prevalence varies among studies and there is little evidence of its related risk factors and associated complications. Objective: to evaluate the prevalence of OD after stroke and the risk factors and associated complications. Methods: We performed a prospective longitudinal study of stroke patients consecutively admitted to a general hospital. OD was diagnosed with the volumeviscosity swallow test (V-VST). Demographic, functional status and topographical and clinical variables of stroke were collected to assess risk factors for OD. We evaluated functional status, mortality, respiratory infections, and readmissions 3 and 12 months after stroke. A multivariate regression analysis determined associated risk factors for OD and for each outcome variable.
Oropharyngeal dysphagia in elderly persons: Etiology, pathophysiology and symptomatology
Sanamed
Swallowing disorders can occur at any age, although they occur more often in old age when the physiology of swallowing changes due to aging. Oropharyngeal dysphagia is a very common clinical condition affecting 13% of the total population over 65 years of age and 51% of institutionalized older people. Given that oropharyngeal dysphagia can lead to increased morbidity and mortality in the elderly, it is necessary to prevent the occurrence of dysphagia in this population group as much as possible. In relation to this, the paper aims to provide insight into contemporary research into the etiology, pathophysiology, and symptomatology of oropharyngeal dysphagia in the elderly. In this review study, the electronic databases of Google Scholar Advanced Search and the Consortium of Serbian Libraries for Unified Procurement - KoBSON were searched. The following keywords and phrases were used in the search: swallowing, dysphagia, oropharyngeal dysphagia, aging, age and dysphagia, etiology of o...
Screening for Oropharyngeal Dysphagia in Stroke: Insufficient Evidence for Guidelines
Dysphagia, 2000
To systematically review and evaluate current peer-reviewed published literature to determine whether there is sufficient evidence to recommend bedside clinical screening guidelines for oropharyngeal dysphagia in adults with stroke. Searching MEDLINE, HealthSTAR and CINAHL were searched to July 1997 for peer-reviewed articles in the English language, using the keywords 'cerebrovascular disorders' and 'deglutition disorders'. In addition, relevant Internet addresses, including the Cochrane Collaboration and the U.S. National Library of Medicine sites, were searched and extensive handsearches of the bibliographies of identified articles were conducted. Relevant journal were also handsearched. Study selection Study designs of evaluations included in the review Accuracy of screening: editorials, review articles and single-patient case studies were ineligible for inclusion in the review. This section of the review included prospective diagnostic case-control studies, and retrospective and prospective diagnostic cohort studies. Patient benefits: only comparative studies were deemed eligible for this section of the review. Non-randomised trials using data from historical controls were included. Specific interventions included in the review Bedside screening tools to assess oropharyngeal dysphagia, which were noninvasive and easily administered, were eligible for inclusion. A range of clinical signs were assessed in the review. These included oral signs, oropharyngeal signs, laryngeal signs and other clinical neuropharyngeal signs. Diagnostic interventions requiring specialised equipment or specialist expertise were not eligible for inclusion in the review. Patient-reported symptoms were excluded. Reference standard test against which the new test was compared Studies that used videofluoroscopy as the reference standard for the diagnosis of dysphagia were eligible for inclusion in the review. Participants included in the review Studies were eligible for the review if they investigated adult patients (greater than 18 years of age) in acute, chronic or rehabilitation settings. Studies of dysphagia owing to other causes were excluded. Outcomes assessed in the review The outcomes of interest in the review were categorised into two groups: outcomes relating to the accuracy of screening and outcomes relating to the benefit to patients who were screened. Accuracy of screening: the outcomes evaluated were sensitivity, specificity and positive likelihood ratios. Where sufficient data to calculate these parameters were not presented, the parameter was excluded from the review. Patient benefits: the outcomes included those relating to health and illness, to functioning and to cost. How were decisions on the relevance of primary studies made?
Screening and clinical assessment of oropharyngeal dysphagia
Nestlé Nutrition Institute workshop series, 2012
Dysphagia is common after stroke, and has been associated with serious consequences such as pneumonia, malnutrition, dehydration and even death. There is emerging evidence that early detection with screening may reduce these consequences. As clinicians, it is our responsibility to strive to service our patients with the best evidence and implement screening protocols that are reliable, valid and feasible.
Oropharyngeal Dysphagia in Older Patients
Perspectives in Nursing Management and Care for Older Adults, 2021
Dysphagia in older adults can have a profound adverse influence nutrition and hydration status, quality of life, morbidity, mortality and healthcare costs in adults. Identification and management of dysphagia in older adults are most effective when implemented by a team, including a nurse, physician, speech-language pathologist, dietitian and occupational therapist. However, each professional’s role may vary according to the standards, responsibilities and resources available in local settings.
Revista Científica de la Sociedad de Enfermería Neurológica (English ed.), 2017
Introduction: The oropharyngeal dysphagia is a frequently present side effect amongst cerebrovascular pathology, being quite relevant due to the possible respiratory and/or nutritional side effects. Objective: To know the prevalence of oropharyngeal dysphagia in hospitalized-stroke patients within a neurorehabilitation unit. Method: A cross-sectional study was designed whose target population was patients diagnosed of cerebrovascular pathology hospitalized in the neurorehabilitation unit within a mid/long term stay hospital in Madrid, Spain, from April 1st 2012 until January 31st 2015. Social-demographical and clinical variables have been chosen by checking the clinical records from the patients included. Results: During the period time of the study 124 patients were admitted in the unit, amongst those 88 were male. A big part of the patients with oropharyngeal dysphagia were admitted with a diagnosis of focal-ischaemic stroke, 43.1% (n = 58), and 39.7% (n = 49) with intracerebral ଝ Please cite this article as: Lendinez-Mesa A, Díaz-García MC, Casero-Alcázar M, Grantham SJ, de la Torre-Montero JC, Fernandes-Ribeiro AS. Prevalencia de disfagia orofaríngea en pacientes con patología cerebrovascular en una unidad de neurorrehabilitación. Rev Cient Soc Enferm Neurol. 2017;45:3-8.
Pathophysiology, Relevance and Natural History of Oropharyngeal Dysphagia among Older People
Nestlé Nutrition Institute Workshop Series, 2012
Oropharyngeal dysphagia (OD) is a very frequent condition among older people with a prevalence ranging from mild symptoms in 25% of the independently living to severe symptoms in more than 50% living in nursing homes. There are several validated methods of screening, and clinical assessment and videofluoroscopy are the gold standard for the study of the mechanisms of OD in the elderly. Oropharyngeal residue is mainly caused by weak bolus propulsion forces due to tongue sarcopenia. The neural elements of swallow response are also impaired in older persons, with prolonged and delayed laryngeal vestibule closure and slow hyoid movement causing oropharyngeal aspirations. OD causes malnutrition, dehydration, impaired quality of life, lower respiratory tract infections, aspiration pneumonia, and poor prognosis including prolonged hospital stay and enhanced morbidity and mortality in several phenotypes of older patients ranging from independently living older people, hospitalized older patients and nursing home residents. Enhancing bolus viscosity of fluids greatly improves safety of swallow in all these patients. We believe OD should be recognized as a major geriatric syndrome, and we recommend a policy of systematic and universal screening and assessment of OD among older people to prevent its severe complications.