Interdisciplinary evaluation of dysphagia: clinical swallowing evaluation and videoendoscopy of swallowing

Sordi, Mara Regina Lemes De; Mourão, Lúcia Figueiredo; Silva, Ariovaldo Armando da; Flosi, Luciana Claudia Leite

doi:10.1016/s1808-8694(15)30537-1

Cited by 9 publications

(11 citation statements)

References 20 publications

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“…En este sentido, diferentes publicaciones (1,3,8,23) sostienen que el diagnóstico y tratamiento de la disfagia requieren un abordaje multidisciplinar que incluya conocimientos de diferentes dominios profesionales. En cualquier caso, parece necesaria más investigación en este campo, puesto que existen importantes lagunas en la evidencia sobre el diagnóstico y manejo de la disfagia en personas con demencia (35), al igual que tampoco hay datos suficientes que determinen la efectividad de tratamientos para la disfagia o para prevenir la aspiración neumónica, una de las complicaciones más frecuentes (23).…”

Section: Principales Hallazgosunclassified

Section: Introductionunclassified

“…Por ello, la detección temprana y el manejo de la disfagia también son críticos para prevenir la desnutrición (7)(8)(9). Cada fase evolutiva exige estrategias diferentes que deben comenzar por la sensibilización, el conocimiento del problema y su detección temprana (6)(7)(8)(9)(10). Sin embargo, existe un gran desconocimiento en cuanto a la alimentación de estos enfermos y a las medidas básicas de adaptación en la evolución de la enfermedad, siendo necesario el abordaje multidisciplinar en el diagnóstico y tratamiento de este trastorno (11).…”

Section: Introductionunclassified

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Abordaje de la disfagia en enfermos de alzhéimer

González

Molina-Recio

2016

Nutr Hosp

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Palabras clave:Alzheimer. Disfagia. Multidisciplinar. Revisión sistemática. Key words:Alzheimer. Dysphagia. Multidisciplinary. Systematic review. AbstractIntroduction: Dysphagia is a symptom that refers to the inability to move the bolus from the mouth to the stomach. Despite its importance and the severity of possible complications it is relatively little known and studied. The prevalence of oropharyngeal dysphagia in Alzheimer patients is up to 84% and it may cause complications with great clinical signifi cance due to alterations in swallowing effi ciency and security. Aim: To know the current state of knowledge regarding the integrated approach of dysphagia in Alzheimer patients, fi nding the factors that enable an early diagnosis to facilitate the prevention of complications and to choose the pattern most appropriate action. Methodology: Systematic review of papers published English and Spanish between 2005 and 2014. Databases consulted: PubMed, Cochrane, Scopus, Elsevier, Scielo and Dialnet. Mesh terms used: disfagia, dysphagia, alzheimer, and texture modifi ed food. Results: The diagnosis of dysphagia in Alzheimer patients is performed using clinical methods and complementary examinations such as videofl uoroscopy, considered to be the gold standard for the study of oropharyngeal dysphagia, detecting from 1/3 to 1/4 of the cases, who could present no diagnosable clinically silent aspiration. There are therapeutic strategies that include changes in bolus volume and viscosity, postural changes, deglutition maneuvers, rehabilitation procedures and increase sensory techniques that have proved effective, but it is a complex task that requires a multidisciplinary approach for a correct diagnosis and treatment to improve the quality of life of these patients. Conclusions: There is a lack of scientifi c evidence in addressing dysphagia and of knowledge about the feeding and nutrition of these patients. This condition requires a multidisciplinary intervention where dietary measures play a major role.

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Section: Principales Hallazgosunclassified

Section: Introductionunclassified

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Abordaje de la disfagia en enfermos de alzhéimer

González

Molina-Recio

2016

Nutr Hosp

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“…CES is interpretive and based on the observation of swallowing and signs suggestive of changes in the oral and pharyngeal phases (3) .…”

Section: Introductionmentioning

confidence: 99%

“…The indirect assessment includes anamnesis, and structural and sensory evaluation of the oral cavity and laryngeal functioning. The direct evaluation comprises the swallowing of foods of different consistencies (pasty, solid, and liquid), in which cervical auscultation is performed at rest, during swallowing of saliva, and before, during, and after swallowing of food to assess the effectiveness of the oral and pharyngeal stages of deglutition (3) . Once CES is conducted, the speech-language pathologist determines whether the patient is eligible for objective videofluoroscopic examination -the gold standard measure for the diagnosis of dysphagia (4) .…”

Section: Introductionmentioning

confidence: 99%

Modificação da voz após deglutição: compatibilidade com achados da videofluoroscopia

Santos

Scheeren

Maciel

et al. 2017

CoDAS

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RESUMO Objetivo Verificar se a modificação da voz após a deglutição relaciona-se com os dados do exame de videofluoroscopia. Método 27 indivíduos com disfagia orofaríngea realizaram a gravação da vogal sustentada /a/ antes e após a deglutição durante exame de videofluoroscopia. Utilizou-se a escala GRBAS e acrescentou-se o aspecto voz molhada para avaliação dos dados. Em relação ao exame, verificou-se estase de alimento em valéculas e recessos piriformes, penetração laríngea, aspiração traqueal e grau de disfagia. Resultados Houve diminuição do grau de alteração e astenia e aumento da tensão fonatória após a deglutição, sem diferença para o parâmetro voz molhada. Obteve-se sensibilidade e especificidade de ±50% para estase em recessos piriformes e valéculas; porém, sensibilidade de 80% para detecção de penetração e de 66-75% para aspiração e modificação da tensão fonatória, com 77-91% de valores preditivos negativos para os três parâmetros de avaliação, sem correlação com o grau de disfagia. Conclusão A modificação dos parâmetros da escala GRBAS após a deglutição apresentou boa compatibilidade com achados da videofluoroscopia.

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Oropharyngeal Dysphagia in Older Patients

Spirgienė

Lindhe

Damulevičienė

2021

Perspectives in Nursing Management and Care for Older Adults

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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.

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Interdisciplinary evaluation of dysphagia: clinical swallowing evaluation and videoendoscopy of swallowing

Cited by 9 publications

References 20 publications

Abordaje de la disfagia en enfermos de alzhéimer

Abordaje de la disfagia en enfermos de alzhéimer

Modificação da voz após deglutição: compatibilidade com achados da videofluoroscopia

Oropharyngeal Dysphagia in Older Patients

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