Prevalência e fatores de risco para disfagia orofaríngea em idosos frágeis com fraturas traumato-ortopédicas

Delevatti, Carine; Rodrigues, Esther da Cunha; Almeida, Sheila Tamanini de; Santos, Karoline Weber dos

doi:10.1590/2317-6431-2020-2388

Cited by 2 publications

(1 citation statement)

References 27 publications

(42 reference statements)

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“…Regarding dysphagia in patients with orthopedic trauma injuries or multiple traumas as underlying diseases, in this study, there was a low frequency, which is not consistent with the literature dealing with this topic. In a hospital specializing in traumatic injury, a study was carried out on 229 patients, of whom 64 (27.9%) had complaints in swallowing solid foods and 26 (11.4%) had complaints for liquids 14 . The low frequency of dysphagia in multiple traumas is justified by the fact that the hospital in this research has exclusive wards for trauma and multiple traumas, an orthopedics and neurology sector, and this research was carried out on patients admitted exclusively to the institution’s medical clinic.…”

Section: Discussionmentioning

confidence: 99%

Profile of oropharyngeal dysphagia patients in a teaching hospital in Northern Brazil: a descriptive cross-sectional study

Gonçalves,

Pontes-Silva,

Zica

et al. 2023

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: The aim of this study was to describe the profile of patients with oropharyngeal dysphagia in a teaching hospital in the public health system in northern Brazil. METHODS: This is a descriptive cross-sectional study. All procedures of this study were approved by the ethics committee. A convenience sample composed of participants aged >18 years, of both sexes, with any underlying pathology admitted to the medical clinic on exclusive oral feeding, alternatively enteral or gastric tube feeding (Gastrostomy), or associated by both routes, whose swallowing assessment was performed by a Speech-Language Pathologist. Data from the database/medical records were investigated from March 2020 to September 2021. RESULTS: The sample consisted of 44 patients diagnosed with oropharyngeal dysphagia, with a higher frequency of males (63.64%) aged over 60 years (70.45%). Almost half of the evaluated patients were diagnosed with neurological disorders (47.73%) and had dysphagia associated with other underlying diseases (31.82%). Excluding patients with neurological disorders, trauma/polytrauma, and respiratory disorders from the last group, some patients (11.36%) had two concomitant underlying diseases. CONCLUSION: According to the sample of this study, the profile of oropharyngeal dysphagia patients includes pneumonia, respiratory failure, bronchoaspiration, and the consequent need for ventilatory support.

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Section: Discussionmentioning

confidence: 99%

Profile of oropharyngeal dysphagia patients in a teaching hospital in Northern Brazil: a descriptive cross-sectional study

Gonçalves,

Pontes-Silva,

Zica

et al. 2023

Rev. Assoc. Med. Bras.

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The global prevalence of oropharyngeal dysphagia in different populations: a systematic review and meta-analysis

et al. 2022

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Background Oropharyngeal dysphagia (OD) refers to any abnormality in the physiology of swallowing in the upper gastrointestinal tract, which leads to the related clinical complications, such as malnutrition, dehydration, and sever complication, such as aspiration pneumonia, suffocation, and eventually, premature death. The previous studies indicated a various range of prevalence of OD. The present systematic review and meta-analysis aimed to standardize the global prevalence of OD in different populations. Methods A systematic literature review was conducted using Embase, Scopus, PubMed, Web of Science (WoS) databases, and Google Scholar motor engine using related MeSH/Emtree and Free Text words, with no time limitation until November 2021. The heterogeneity among studies was quantified using I2 index and the random effects model was used, due to the high heterogeneity among the results of studies included in the meta-analysis. Results The systematic literature search retrieved 2092 studies. After excluding the irrelevant studies, ultimately 27 articles with a sample size of 9841 were included in the meta-analysis. After combining the studies, the overall estimate of the global prevalence rate of OD was 43.8% (95% CI 33.3–54.9%) and the highest prevalence rate was estimated in Africa with 64.2% (95% CI 53.2–73.9%). Given the subgroup analysis based on the study population, the highest prevalence of OD was related to Dementia with 72.4% (95% CI 26.7–95.0%). The results of meta-regression indicated that the prevalence of OD has an increasing trend with the enhancement of year of publication and mean age. Conclusion The results of the present systematic review and meta-analysis revealed that the prevalence of OD is high in different populations and its trend has been increasing in recent years. Therefore, the appropriate strategies should be applied to reduce the prevalence of OD by finding its causation and monitoring at all levels, as well as providing feedback to hospitals.

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Prevalência e fatores de risco para disfagia orofaríngea em idosos frágeis com fraturas traumato-ortopédicas

Cited by 2 publications

References 27 publications

Profile of oropharyngeal dysphagia patients in a teaching hospital in Northern Brazil: a descriptive cross-sectional study

Profile of oropharyngeal dysphagia patients in a teaching hospital in Northern Brazil: a descriptive cross-sectional study

The global prevalence of oropharyngeal dysphagia in different populations: a systematic review and meta-analysis

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