The Dietitian’s Role in Diagnosis and Treatment of Dysphagia

Macleod, M.; O’Shea, S.

doi:10.1007/174_2017_124

Cited by 4 publications

(3 citation statements)

References 34 publications

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“…A summary of an environmental scan of social media sources is provided in Supplementary Table II, http://links.lww.com/COOH/A43. The consensus across the grey literature, clinical guidelines, expert clinical reports and anecdotal evidence is that gum-based thickeners are preferable as a more palatable and consistent option compared to starch-based thickeners [26,27], not because of amylase-resistant properties. An environmental scan of social media found that discussion regarding the amylase-resistant properties of dysphagia products was scarce and does not appear to be an important contributing factor for clinical decision making.…”

Section: Resultsmentioning

confidence: 99%

Section: Andandmentioning

confidence: 99%

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Review of the effect of amylase-resistant dysphagia products on swallowing safety

Burnip

Cichero

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewThickened fluids are a widely utilised compensatory management strategy for people with impaired swallowing (dysphagia). Over recent years there has been a shift in practice to offer gum-based instead of starch-based products. A key marketing message has been that gum-based thickeners with amylase-resistant properties are superior in promoting 'safer swallowing'. This review sought evidence to evaluate the effect of amylase-resistant products on swallowing safety. Recent findingsNo studies directly compared the effect of amylase-resistant products with usual care or products without amylase resistance. Five studies cited amylase-resistant properties and compared gum-based to starchbased dysphagia products or thin fluids. Swallowing safety was frequently judged subjectively with rating scales. Swallowing biomechanics were not included and clinically meaningful outcomes, such as incidence of aspiration pneumonia, were not reported. A scoping review of the grey literature found little evidence that amylase-resistant properties of dysphagia products were of significant concern to clinicians or patients.

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Section: Resultsmentioning

confidence: 99%

Section: Andandmentioning

confidence: 99%

Review of the effect of amylase-resistant dysphagia products on swallowing safety

Burnip

Cichero

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…nasogastric (NG-tube) or gastrostomy (G-tube) tube) [2,4,5]. Nevertheless, hospitalized and institutionalized individuals on texture-modified regimens are reported as having a reduced oral intake, with suboptimal fluid, energy, and protein consumption [6,7], as well as macro and micronutrients deficits [8].…”

Section: Introductionmentioning

confidence: 99%

Validation of the Italian Version of the Functional Oral Intake Scale (FOIS-It) Against Fiberoptic Endoscopic Evaluation of Swallowing and Nutritional Status

et al. 2021

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The Functional Oral Intake Scale (FOIS) is a reliable and valid tool to assess functional oral intake of food and liquids in patients with oropharyngeal dysphagia (OD). Its validity was established for stroke patients against Videofluoroscopic Swallowing Study in English and Chinese and against Fiberoptic Endoscopic Evaluation of Swallowing (FEES) in German. FOIS was cross-culturally validated into Italian (FOIS-It), but construct validity against instrumental assessment and nutritional status was not investigated. The study aims at contributing to the validation of the FOIS-It, by performing convergent and known-group validity against FEES and nutritional status in patients with OD of different etiologies. Overall, 220 adult patients with OD of etiological heterogeneity were recruited. FOIS-It score and Body Mass Index (BMI) were collected. FEES was performed to assess swallowing safety and efficiency based on the Penetration-Aspiration Scale (PAS) and the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS). Moderate to weak associations with PAS (ρ = − .37, p < .01), YPRSRS in the pyriform sinuses (ρ = − .20, p < .01), and BMI (ρ = .24, p < .01) were detected with Spearman’s correlation. FOIS-It distribution was compared with the Mann–Whitney U and Kruskal–Wallis tests. Significantly lower FOIS-It scores were detected among patients with penetration/aspiration (PAS > 2) and penetration (PAS > 2 ≤ 5) for all consistencies (p < .01), aspiration (PAS > 5) of liquids and semisolids (p < .001), residue in the pyriform sinuses (YPRSRS > 3) with semisolids (p < .001) and solids (p = .02), and malnutrition (BMI ≤ 18.5; p = .019). FOIS-It appears as a valid tool to assess functional oral intake against FEES’ measures of swallowing safety and efficiency and nutritional status in patients with OD of etiological heterogeneity.

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Dysphagia Management in Iran: Knowledge, Attitude and Practice of Healthcare Providers

Farpour

Smithard

et al. 2018

Dysphagia

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Despite the remarkable burden of dysphagia, appropriate multidisciplinary management is lacking in Iran and patients are often deprived of effective treatments. Obtaining a full understanding of knowledge, attitude and practice (KAP) of healthcare providers is necessary to determine the gaps in improvement of the quality of care for dysphagic patients. A questionnaire was designed covering demographic information and the parameters of KAP. Face and content validity were determined. Test-retest reliability confirmed that the questionnaire scores are stable over time (r = 0.77, p value < 0.01). Participants were healthcare providers employed in university-affiliated hospitals in three major cities of Iran; Tehran, Shiraz and Mashhad. In total, 312 healthcare professionals completed our survey. The majority (96.8%) were familiar with the term "dysphagia or swallowing disorders". Most of the participants believed their profession (88.5%), as well as other disciplines (92.3%) can play an important role in the management of dysphagia; and this problem should be recognized in a multidisciplinary manner (96.2%). Also, 60.9% had encountered a patient with dysphagia. 52.2% had used at least one assessment method, while 49.9% had applied at least one treatment method. However, very few participants were familiar with a standard test for screening and assessment of dysphagia (11.9%). 74.7% were willing to participate in a workshop on dysphagia. As the main pitfalls of care lie in diagnosis and treatment expertise, the policy of hospitals should prioritize educating and updating the skills of healthcare professionals, encourage multidisciplinary teamwork, establishing clear guidelines and facilitate access to advanced tools.

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The Dietitian’s Role in Diagnosis and Treatment of Dysphagia

Cited by 4 publications

References 34 publications

Review of the effect of amylase-resistant dysphagia products on swallowing safety

Review of the effect of amylase-resistant dysphagia products on swallowing safety

Validation of the Italian Version of the Functional Oral Intake Scale (FOIS-It) Against Fiberoptic Endoscopic Evaluation of Swallowing and Nutritional Status

Dysphagia Management in Iran: Knowledge, Attitude and Practice of Healthcare Providers

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