Novel Bedside Phonetic Evaluation to Identify Dysphagia and Aspiration Risk

Festić, Emir; Soto, Jose Soto; Pitre, Lisa A.; Leveton, Marilu; Ramsey, Danielle M.; Freeman, William D.; Heckman, Michael G.; Lee, Augustine S.

doi:10.1378/chest.15-0789

Cited by 20 publications

(11 citation statements)

References 21 publications

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“…33 By approaching ARDS proactively by its mechanism, such as aspiration, rather than syndromically after it has happened, it may be possible to mitigate progression to respiratory failure and death by early identification and intervention. This is an area of ongoing research, to identify patients at risk for aspiration based on clinical profile 32,34 and specific diagnostic tests that assess phonation, swallow, and cough, [35][36][37] so that early interventions can be provided (eg, the Checklist for Lung Injury Prevention, oral hygiene, speech therapy, up-regulation of cough reflex) to prevent aspiration.…”

Section: Aspiration Syndromesmentioning

confidence: 99%

Aspiration Pneumonia and Related Syndromes

Lee

Ryu

2018

Mayo Clinic Proceedings

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Aspiration is a syndrome with variable respiratory manifestations that span acute, life-threatening illnesses, such as acute respiratory distress syndrome, to chronic, sometimes insidious, respiratory disorders such as aspiration bronchiolitis. Diagnostic testing is limited by the insensitivity of histologic testing, and although gastric biomarkers for aspiration are increasingly available, none have been clinically validated. The leading mechanism for microaspiration is thought to be gastroesophageal reflux disease, largely driven by the increased prevalence of gastroesophageal reflux across a variety of respiratory disorders, including chronic obstructive pulmonary disease, asthma, idiopathic pulmonary fibrosis, and chronic cough. Failure of therapies targeting gastric acidity in clinical trials, in addition to increasing concerns about both the overuse of and adverse events associated with proton pump inhibitors, raise questions about the precise mechanism and causal link between gastroesophageal reflux and respiratory disease. Our review summarizes key aspiration syndromes with a focus on reflux-mediated aspiration and highlights the need for additional mechanistic studies to find more effective therapies for aspiration syndromes.

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Section: Aspiration Syndromesmentioning

confidence: 99%

Aspiration Pneumonia and Related Syndromes

Lee

Ryu

2018

Mayo Clinic Proceedings

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“…등의 주로 삼킴 기능과 관 련된 내용이 포함된다 (Belafsky et al, 2008). 또한, 기능 저하로 인 하여 본인의 활동 제약을 호소하는 문항, 예컨대, '삼킴문제 때문에 사람들과의 모임이 즐겁지 않다'와 같이 삼킴과 연관된 삶의 질 (quality of life) 문항들로도 구성되기도 한다 (McHorney et al, 2002 (Byeon, 2016;Festic et al, 2016 (Lee, Choi, Choi, & Kim, 2018 (Affoo, Foley, Garrick, Siqueira, & Martin, 2015), 씹기나 삼킴 기능에 부정적인 영향이 미친다 (Rogus-Pulia, Gangnon, Kind, Connor, & Asthana, 2018 (Bloem et al, 1990;Chen, Golub, Hapner, & Johns, 2009;González-Fernández, Humbert, Winegrad, Cappola, & Fried, 2014;Lindgren & Janzon, 1991;Mann, Heuberger, & Wong, 2013;Nathadwarawala, McGroary, & Wiles, 1994;Okamoto et al, 2012 Some food spills out of my mouth while I chew. 9-Indicators, DRACE, DSQ, DYMUS, SDQ, SWAL-QOL, DegHI, TWST 10…”

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Content Validity of the Swallowing Monitoring and Assessment Protocol for the Elderly

Kim¹,

Kim²,

Lee³

2018

Commun Sci Disord

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Since swallowing function changes with typical aging, it is important to elucidate the geriatric swallowing characteristics. Some swallowing features in the elderly may be related to geriatric diseases such as stroke, motor disorders, and dementia; in all of which early detection of swallowing problems can play a critical role in both diagnosis and intervention by utilizing a comprehensive evaluation tool. Therefore, the purpose of the study was to establish the content validity of evaluation items of the swallowing assessment protocol, which is under development. Methods: We trichotomized a total of 78 evaluation items from the ubiquitous swallowing assessment tools into three domains: self-report of swallowing function, self-report of swallowing-related quality-of-life, and clinical swallowing assessment. Ten speech-language pathologists (age, 43.60± 5.99 years; clinical experience period, 15.00 ± 6.63 years) responded to a 5-point Likert questionnaire to evaluate the content validity of the items. Based on these results, each Content Validity Index (CVI) was retrieved. The cutoff point of .75 was used as an indicator of items with good content validity. Results: The number of the evaluation items with the CVI exceeding the cutoff point of .75 were 66 in total, comprising 16 items regarding self-report of swallowing function, 22 of self-report regarding swallowing-related quality-of-life, and 18 regarding clinical swallowing assessment. Conclusion: These items are expected to be utilized for assessing the swallowing function of the community-dwelling elderly. By doing so, we may be able to detect and monitor dysphagia-related symptoms, often leading to aspiration pneumonia, weight loss, and/or elderly frailty.

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“…O aumento da precisão dos movimentos, o desenvolvimento das capacidades lexical e cognitiva e das capacidades receptiva e de autorregulação, resultam em um sistema de fala inteligível, estando a diadococinesia oral sendo influenciada direta ou indiretamente por desvios na normalidade do comportamento praxiasorofacias e linguais. 37,50 A língua desempenha importante papel nas funções estomatognáticas, por isso tanto a precisão quanto a sua força devem ser avaliadas de forma separada. Avaliar possíveis déficits pode prever a gênese de diversas patologias: distorções fonéticas, dificuldade mastigatórias, de ejeção e contenção do bolo alimentar, alterações na qualidade vocal e diversas outras 38,39 .…”

Section: Discussionunclassified