Development of a simplified dysphagia assessment by dentists in older persons

Rech, Rafaela Soares; Hugo, Fernando Neves; Baumgarten, Alexandre; Santos, Karoline Weber dos; Goulart, Bárbara Niegia Garcia de; Hilgert, Juliana Balbinot

doi:10.1111/cdoe.12358

Cited by 11 publications

(19 citation statements)

References 24 publications

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“…Den SAT is a simplified accurate assessment tool used by dentists to identify elders with dysphagia. Therefore, dentists are key members in identifying signs and symptoms of deglutition problems and referring patients to speech therapists or swallowing therapist for further assessment and treatment [36]. Table 1 Characteristics of original articles that are related to oral health and oropharyngeal dysphagia (OD).…”

Section: Roles Of Dentists Dental Hygienists and Dental Nurses In Dymentioning

confidence: 99%

Dysphagia and Oral Health in Older People

Farpour¹,

Smithard²,

Farpour³

2020

OBM Geriatrics

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Dysphagia is a term that is used for the difficulty in moving liquid/food from mouth to the stomach. Dysphagia is very common in elders, which makes them susceptible to malnutrition, infection, institutionalization, and death. Consequently, it is categorized as a geriatric syndrome. Therefore, multidisciplinary teams need to work together to determine the correct etiology and implement an appropriate care plan. Oral care is crucial in managing dysphagia and dental hygienists and dentists serve as the key members. In some regions, the roles of dental professionals are not fully understood. Hence, the aim of this article is to review oral problems that are prevalent in older people and their relationship to dysphagia as well as the roles of dental professionals in dysphagia diagnosis and management.

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Section: Roles Of Dentists Dental Hygienists and Dental Nurses In Dymentioning

confidence: 99%

Dysphagia and Oral Health in Older People

Farpour¹,

Smithard²,

Farpour³

2020

OBM Geriatrics

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“…Four studies were cross-sectional [ 59 , 60 , 61 , 62 , 63 ] and three studies were cohort [ 64 , 65 , 66 ]. The oldest study was published in 1996 [ 64 ] and the most recent study in 2018 [ 59 , 62 , 63 ].…”

Section: Resultsmentioning

confidence: 99%

The Prevalence of Dysphagia in Individuals Living in Residential Aged Care Facilities: A Systematic Review and Meta-Analysis

Roberts,

Lambert,

Walton

2024

Healthcare

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Dysphagia commonly affects older adults, making them nutritionally vulnerable. There is significant variation in the reported prevalence of dysphagia in aged care. The aim of this systematic review and meta-analysis was to determine the prevalence of dysphagia in individuals living in residential aged care facilities using appropriate assessment methods, and in four subgroups at higher risk: individuals with nervous system diseases, dementia, malnutrition, and poor dentition. Scopus, Web of Science, Medline, and CINAHL Plus were searched, and study selection was conducted in Covidence. Meta-analysis using a random effects model was used to obtain the pooled prevalence of dysphagia. Seven studies were eligible for inclusion. Dysphagia prevalence ranged from 16 to 69.6%. The pooled prevalence of dysphagia was 56.11% (95% CI 39.363–72.172, p < 0.0001, I2 = 98.61%). Sensitivity analysis examining the prevalence of dysphagia using only the CSE indicated a pooled prevalence of 60.90% (95% CI 57.557–64.211, p = 0.9994, I2 = 0%). Only one study each reported on dysphagia prevalence in individuals with nervous system diseases (31%), poor dentition (92%), and dementia (68.4%), meaning that meta-analysis could not be completed. No studies reported on the prevalence of dysphagia in individuals with malnutrition. The prevalence of dysphagia is high amongst residents of aged care facilities. This evidence should be used to guide improvements in the health outcomes and quality of life of aged care residents. Future research should explore the prevalence in the subgroups at higher risk.

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“…Then, 38 studies were excluded for not reporting assessment method for dysphagia ( n = 20), the study subject was the facility rather than participants ( n = 3), studies not conducted in nursing homes ( n = 7), study participants from the same sample ( n = 2), and the study was an intervention or pilot study ( n = 6). In the end, 43 studies 8,9,12–52 met the inclusion criteria and were included in the meta‐analysis. No study was identified through hand searching the reference lists of included articles.…”

Section: Resultsmentioning

confidence: 99%

The prevalence of dysphagia at risk among older adults in nursing homes: a meta‐analysis

Tian,

Hu,

Yang

et al. 2023

Psychogeriatrics

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To estimate the prevalence of dysphagia at risk among older adults in nursing homes. Electronic databases of PubMed, Web of Science, CINAHL and Embase for English language, WanFang, VIP and CNKI for Chinese language were systematically searched to identify relevant observational studies published not later than July 4, 2021. Studies conducted in nursing homes and reported dysphagia screening or assessment methods were included. In total, 43 studies involving 56 746 participants were included in this meta‐analysis. The overall pooled crude prevalence of dysphagia at risk was 35.9% (95% CI: 29.0–43.4%), with high heterogeneity (I2 = 99.5%). There was a statistically significant difference in prevalence estimates with respect to study locations, dysphagia assessment staff and representativeness of samples. The prevalence of dysphagia among older adults in nursing homes is relatively high. Routine screening strategy for dysphagia is necessary for older adults in nursing homes.

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Development of a simplified dysphagia assessment by dentists in older persons

Abstract: Simplified clinical examination of swallowing by dentists was found to be an accurate method to screen dysphagia in older persons.

Cited by 11 publications

References 24 publications

Dysphagia and Oral Health in Older People

Dysphagia and Oral Health in Older People

The Prevalence of Dysphagia in Individuals Living in Residential Aged Care Facilities: A Systematic Review and Meta-Analysis

The prevalence of dysphagia at risk among older adults in nursing homes: a meta‐analysis

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