Pneumonia aspirativa associada a alterações da deglutição: relato de caso

Toufen, Carlos; Camargo, Fernanda Pereira de; Carvalho, Carlos Roberto Ribeiro de

doi:10.1590/s0103-507x2007000100016

Cited by 12 publications

(6 citation statements)

References 7 publications

(9 reference statements)

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“…In the present study, the ICU assumed the position of predominance among the other sectors, regarding the greater urgency in the use of signs indicating the risk of bronchoaspiration, corroborating with the scientific findings, which indicate a high risk of bronchoaspiration and aspiration pneumonia in patients under intensive care 19,28 . This result may also justify the prevalence of severe dysphagia in the patients of the present study, since these presented aggravating multi-factors for the risk of bronchoaspiration 29 , such as the underlying disease itself and the presence of orotracheal tube.…”

Section: Discussionsupporting

confidence: 88%

Management of the risk of bronchoaspiration in patients with oropharyngeal dysphagia

et al. 2018

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Objective: to manage the risk of bronchoaspiration in patients with oropharyngeal dysphagia through signalizing plates in the hospital bed. Methods: a descriptive, quantitative study, developed in the medical clinic I (diagnostic investigation), medical clinic II (infectology / pneumology), surgical clinics and intensive care unit of the University Hospital of the Federal University of Sergipe, from February to August 2017. It was composed of patients in the age group ≥ 18 years of age, of both sexes, diagnosed with oropharyngeal dysphagia, based on the application of the adapted protocol of clinical evaluation in the hospital bed and instrumental examination of swallowing, when pertinent. Following the clinical evaluation and identification of the risk of bronchoaspiration due to oropharyngeal dysphagia, the signs were inserted at the hospital bed by the speech therapist. Results: the study included 43 patients at risk of bronchoaspiration due to oropharyngeal dysphagia, average age of 53.7 ± 3.53 years old, with 51.1% (n = 22) females and 48.9% (n = 21) males. A predominance of neuropathies (53.4%) and severe neurogenic oropharyngeal dysphagia (37.2%) was observed. The intensive care unit stood out with 44.18% (n = 19) of the application of signs of risk of bronchoaspiration. Conclusion: the management of bronchoaspiration risk has been shown to be a promising measure to reduce adverse events, which affect the patient's safety and consequently the quality of care in the hospital environment, as well as a possible strategy for measuring respiratory complications triggered by aspiration of oropharyngeal contents.

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Section: Discussionsupporting

confidence: 88%

Management of the risk of bronchoaspiration in patients with oropharyngeal dysphagia

et al. 2018

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“…Patients with dysphagia may present complications such as impaired nutritional status, dehydration, and pulmonary infections 6 . The rate of aspiration pneumonia in these patients is high and the chance of death is 3 times higher than that in patients without dysphagia 10 .…”

Section: Introductionmentioning

confidence: 80%

Clinical findings of speech therapy swallowing assessments in patients with oropharyngeal dysphagia following orotracheal intubation

Vizioli

Balzan

Dornelles

et al. 2021

CBR

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Introduction: Endotracheal intubation has been associated with oropharyngeal dysphagia. The aim of this study was to identify the prevalence of oropharyngeal dysphagia among patients in an intensive care unit (ICU) by comparing patients requiring orotracheal intubation with those who did not undergo this procedure.Methods: This is a cross-sectional study that analyzed the medical records of 681 patients admitted to the ICU of Hospital de Clínicas de Porto Alegre between 2014 and 2017; inclusion criteria were patients aged 18 years and older who had been assessed by the hospital's Speech Therapy Service. Patients who had undergone tracheostomy, who had incomplete medical records or multiple speech-language assessments were excluded.Results: A total of 380 patients were included in the statistical analysis: 97 (25.5%) had not undergone orotracheal intubation (Group 1), 229 (60.3%) had undergone orotracheal intubation once (Group 2), and 54 (14.2%) had undergone orotracheal intubation on 2 or more occasions (Group 3). Regarding the Functional Oral Intake Scale (FOIS), 61.1% of patients in Group 3 received a FOIS I classification (p = 0.020), whereas 16.5% of patients from Group 1 received a FOIS V. Concerning their outcomes, 40.7% of patients in Group 3 died (p = 0.006), and 82.5% of patients in Group 1 were discharged from the ICU. Considering the severity of oropharyngeal dysphagia according to the Dysphagia Risk Evaluation Protocol (PARD), no statistically significant association was observed between groups (p = 0.261). Conclusions:In this study, the prevalence of oropharyngeal dysphagia was higher in patients who had undergone orotracheal intubation in the ICU.

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“…The diagnosis of BCP was present in 27% of studied cases, and there was an association between this finding and dysphagia. The association between dysphagia and BCP was already reported; however, the literature presents controversial data regarding the relation between tracheal aspiration and altered pulmonary health [40][41][42][43] . In 2016, it was identified that most cases of pneumonia among the elderly were by aspiration.…”

Section: Discussionmentioning

confidence: 98%

Profile of patients using nasoenteric probe at the adult emergency service in a public hospital

2018

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Introduction: Part of the prognosis of hospitalized patient depends on nutritional status and the safety and efficacy of the feeding administration route. Therefore, the aim of this study was to identify data on the indication of nasoenteric tube (NET) prescription to analyze the profile of these patients. Methods: A retrospective cross-sectional study was carried out with data collection in medical records of patients over 18 years of age, of both sexes, treated at the Emergency Adult Service (EAS), using NET. Results: there was a predominance of females (51.9%); neurological disease was the most prevalent underlying disease, and 57.8% had more than one diagnosed disease. Malnutrition, bronchopneumonia, and dysphagia were present in 23.6%, 27% and 40% of the cases, respectively. There was a request for speech-language evaluation in only 8.7% of the patients. And 80.7% did not use NET prior to emergency care. Regarding the indications for the use of NET by group of underlying disease, low food intake was the most prevalent clinical reason described in the medical records, followed by dysphagia, with a higher prevalence of patients taking NET for nutritional reasons. There was no justification for prescription in 15.2% of the sample. There was an association between the variables bronchopneumonia and dysphagia (p = 0.01). Conclusion: It was verified that in the studied population there are risk factors for dysphagia. The analysis of the population profile in the present study contributed to increased knowledge and information about this population regarding the criteria for indication of the use of the alternative route.

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Pneumonia aspirativa associada a alterações da deglutição: relato de caso

Cited by 12 publications

References 7 publications

Management of the risk of bronchoaspiration in patients with oropharyngeal dysphagia

Management of the risk of bronchoaspiration in patients with oropharyngeal dysphagia

Clinical findings of speech therapy swallowing assessments in patients with oropharyngeal dysphagia following orotracheal intubation

Profile of patients using nasoenteric probe at the adult emergency service in a public hospital

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