Bedside assessment of swallowing in elderly subjects using psychotropic drugs

Fioravanti, Marisa; Miyahara, Fernanda Balero; Cavallari, Heloisa Helena; Bretan, Onivaldo

doi:10.1590/s1808-86942011000400019

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…In the paper by Roque et al 16 , it was observed that the most used drugs were neuropsychiatric and antihypertensive, interfering in the swallowing dynamics of the elderly. Fioravanti et al 17 observed the interference of psychotropic drugs in the process of deglutition of 47 elderly residents of a nursing home. The signs suggestive of dysphagia were evaluated in two groups of elderly people: those who used neuroleptic drugs and the group that did not use this type of medication.…”

Section: Literature Reviewmentioning

confidence: 99%

Dysphagia in the elderly in long-stay institutions - a systematic literature review

et al. 2018

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The objective of this study was to verify in the literature, through a systematic review, the dietary conditions of the elderly in long-stay institutions, seeking to observe the general care and agents that potentiate dysphagia, in order to review aspects of dysphagia and deglutition risk indicators in the elderly. A survey, regarding the articles published from 2009 on, with the descriptors "elderly, long-stay institution and dysphagia", in Portuguese and English, on Scielo, PubMed and Lilacs, was performed, totaling 423 articles in the initial search, from which, 13 that were in agreement with the inclusion criteria adopted were chosen, 2 being repeated in more than one research source. At the end, 11 articles were included for analysis and discussion. It was observed that most the long-stay institutions do not have adequate structure to treat the elderly in a multidisciplinary approach. In all those studies, the negligence with the elderly's oral hygiene, which potentiates the development of pulmonary infections in cases of aspiration, was evidenced. The association between dementia, food dependency and increase in feeding time was also observed in the literature, as well as the association of medication use with the interference in food dynamics. In addition, many studies have shown that, although the Stomatognathic System structures are altered due to the aging process, the elderly have the functions of speech, chewing and swallowing adapted, without greater damage to their general health. It can be concluded that long-stay institutions do not offer adequate staff to care for the elderly to reduce the risks for dysphagia.

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Section: Literature Reviewmentioning

confidence: 99%

Dysphagia in the elderly in long-stay institutions - a systematic literature review

et al. 2018

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Pathophysiology of Oropharyngeal Dysphagia Assessed by Videofluoroscopy in Patients with Dementia Taking Antipsychotics

Miarons

Clavé

Wijngaard

et al. 2018

Journal of the American Medical Directors Association

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Antipsychotic medication and oropharyngeal dysphagia: systematic review

Miarons

Salsench

2017

European Journal of Gastroenterology &Amp; Hepatology

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The association between antipsychotics (also known as neuroleptics) and oropharyngeal dysphagia (OD) has been suggested in several case reports. The purpose of this systematic review was to examine the effect of antipsychotic medication on OD. A systematic literature search was carried out according to PRISMA guidelines using the electronic databases Pubmed and Embase. In Pubmed, we used the MeSH terms 'antipsychotic agents' OR 'tranquilizing agents' combined with 'deglutition disorders' OR 'deglutition'. In Embase, we used the Emtree terms 'neuroleptic agents' combined with 'swallowing' OR 'dysphagia'. Two reviewers assessed the eligibility of each report independently. The level of evidence of the included studies was also assessed according to pre-established criteria. Case reports were excluded. We found 18 clinical studies of dysphagia related to antipsychotics: 12 were related both to typical and atypical antipsychotics, four to atypical antipsychotics and two to typical antipsychotics. According to the clinical studies included, prevalence of patients with swallowing problems taking antipsychotics ranged from 21.9 to 69.5% whereas prevalence of patients without swallowing problems taking antipsychotics ranged from 5 to 30.5%. The available evidence suggests considering an etiology of dysphagia in patients with swallowing problems who are taking antipsychotics, even if no other symptoms are present. Although few general conclusions can be drawn from current evidence, both typical and atypical antipsychotics can be associated with OD.

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Bedside assessment of swallowing in elderly subjects using psychotropic drugs

Cited by 3 publications

References 22 publications

Dysphagia in the elderly in long-stay institutions - a systematic literature review

Dysphagia in the elderly in long-stay institutions - a systematic literature review

Pathophysiology of Oropharyngeal Dysphagia Assessed by Videofluoroscopy in Patients with Dementia Taking Antipsychotics

Antipsychotic medication and oropharyngeal dysphagia: systematic review

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