Caracterización de pacientes hospitalizados con sospecha de disfagia en el Hospital San Camilo de San Felipe, Chile

R., Amalia Nanjarí; O., Cristián Guzmán; I., Alex León

doi:10.4067/s0718-48162021000400502

Rev. Otorrinolaringol. Cir. Cabeza Cuello

2021

DOI: 10.4067/s0718-48162021000400502

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Caracterización de pacientes hospitalizados con sospecha de disfagia en el Hospital San Camilo de San Felipe, Chile

Amalia Nanjarí R.

Cristián Guzmán O.

Alex León I.

Abstract: Los autores declaran no tener conflictos de interés.

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2024

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Cited by 2 publications

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Improved outcomes of pediatric patients with swallowing disorders through a multidisciplinary dysphagia clinic in a tertiary care children's hospital in Colombia

Galvis‐Blanco,

Martínez‐Moreno,

Morales‐Múnera

et al. 2024

Pediatric Discovery

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Multidisciplinary clinics bring together multiple specialists to care for patients with complex diseases, such as swallowing disorders. Little information exists regarding dysphagia in pediatric patients and its multidisciplinary management in Colombia. This study aimed to characterize patients under the age of 18 with swallowing disorders treated in a multidisciplinary dysphagia clinic at San Vicente Fundacion Hospital in Medellin, Colombia, between 2014 and 2021. A longitudinal, descriptive, observational study with retrospective data collection was conducted. Sociodemographic and clinical data were obtained at three points. A total of 293 patients were included. The most frequent underlying diseases were neurological (mainly cerebral palsy), followed by genetic disorders, with Down syndrome being the most representative. More than 50% of the patients had been hospitalized at least twice for dysphagia. The diagnosis was primarily clinical, supported by a videofluoroscopic swallowing study. The primary prescribed intervention was speech therapy, followed by an alternate feeding route. This study described pediatric patients with swallowing disorders seen in a multidisciplinary clinic. This overview provides healthcare personnel with an understanding of the complexity of swallowing disorders and their relationships to various medical conditions in children.

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Improved outcomes of pediatric patients with swallowing disorders through a multidisciplinary dysphagia clinic in a tertiary care children's hospital in Colombia

Galvis‐Blanco,

Martínez‐Moreno,

Morales‐Múnera

et al. 2024

Pediatric Discovery

View full text Add to dashboard Cite

show abstract

Evaluación del valor clínico del reflejo nauseoso en la disfagia orofaríngea neurogénica

Suárez,

Illatopa,

Echeverri

et al. 2024

Biomed.

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Introducción. El reflejo nauseoso es un mecanismo de protección que impide que alimentos y agentes no deseados penetren en la vía aérea inferior. Usualmente, hace parte del examen físico de la deglución para detectar la disfagia orofaríngea, pero es un signo potencialmente ambiguo.Objetivo. Evaluar el valor diagnóstico del reflejo nauseoso en pacientes con disfagia orofaríngea neurogénica y en pacientes sin ella.Materiales y métodos. Se trata de un estudio observacional, analítico, en pacientes con disfagia orofaríngea neurogénica (casos) y en personas sin disfagia (controles), en el cual se evaluó por visualización directa la ausencia o la presencia del reflejo nauseoso de forma bilateral. Este resultado se ajustó por sexo, edad y otras variables de interacción.Resultados. Se evaluaron 86 pacientes con disfagia orofaríngea neurogénica y 80 personas sin ella. En el examen físico de la deglución, la presencia del reflejo mostró una relación positiva con los pacientes (lado derecho: OR = 3,97; IC95%: 2,01-7,84; lado izquierdo: OR = 4,84; IC95%: 2,41-9,72), pero una asociación negativa con los controles. En ambos grupos, ni el sexo ni la edad, ni otras variables de interacción modificaron el reflejo nauseoso. Conclusiones. La ausencia o la presencia del reflejo nauseoso no confirma ni excluye la existencia de una disfagia orofaríngea por causas neurológicas o neuromusculares; por lo tanto, no es recomendable que los profesionales de la salud se fíen del resultado de este reflejo. Los médicos tratantes deben ir más allá de una simple revisión del reflejo nauseoso, incluso en pacientes neurológicos en quienes se supone que debería estar ausente.

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Caracterización de pacientes hospitalizados con sospecha de disfagia en el Hospital San Camilo de San Felipe, Chile

Abstract: Los autores declaran no tener conflictos de interés.

Cited by 2 publications

References 27 publications

Improved outcomes of pediatric patients with swallowing disorders through a multidisciplinary dysphagia clinic in a tertiary care children's hospital in Colombia

Improved outcomes of pediatric patients with swallowing disorders through a multidisciplinary dysphagia clinic in a tertiary care children's hospital in Colombia

Evaluación del valor clínico del reflejo nauseoso en la disfagia orofaríngea neurogénica

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