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

Rajati, Fatemeh; Ahmadi, Nassim; Naghibzadeh, Zahra Al-Sadat; Kazeminia, Mohsen

doi:10.1186/s12967-022-03380-0

Cited by 65 publications

(40 citation statements)

References 68 publications

(46 reference statements)

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“…A meta-analysis by Rajati et al (2022) found a high prevalence of oropharyngeal dysphagia among those aged 75 years and older. Some contributing factors to this increased prevalence among older adults included muscle atrophy, neurological diseases, cardiovascular disease, and other chronic diseases.…”

Section: Oropharyngeal Dysphagiamentioning

confidence: 99%

Dysphagia

McIntosh¹

2023

Home Healthcare Now

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Dysphagia, or difficult swallowing, can result in malnutrition, dehydration, aspiration pneumonia, and airway obstruction. Some primary etiologies of dysphagia include neurological disorders, traumatic brain injury, Parkinson's disease, chronic obstructive pulmonary disease, head and neck cancer, cervical spine injury, and stroke. Home care clinicians are often the first healthcare professionals to encounter patients exhibiting signs of dysphagia and can play an important role in identifying, referring, and educating patients with dysphagia. This article will discuss the broad types of dysphagia, the signs and symptoms that suggest dysphagia, and the possible etiology and treatment.

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Section: Oropharyngeal Dysphagiamentioning

confidence: 99%

Dysphagia

McIntosh¹

2023

Home Healthcare Now

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“…The prevalence of dysphagia in the general population was estimated to 13.4% and may range from 7.3% to 64.2% according to populations and diseases [2 ▪▪ ]. Elderly patients reported higher rates of dysphagia than younger adults.…”

Section: Epidemiologymentioning

confidence: 99%

“…Dysphagia may be classified into esophageal and oropharyngeal dysphagia according to the location of the dysfunction. In otolaryngology, physicians are frequently faced with patients with oropharyngeal dysphagia that is related to abnormalities in the physiology of swallowing in the upper gastrointestinal tract [1,2 ▪▪ ]. The management of swallowing disorders is an important issue because persistent dysphagia may be associated with malnutrition, dehydration, aspiration pneumonia, bronchospasm, choking, and death [3 ▪ ,4].…”

Section: Introductionmentioning

confidence: 99%

The role of pH-impedance monitoring in swallowing disorders

Bobin¹,

Lechien

2022

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

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Purpose of reviewTo review the current evidence about the usefulness and the place of pH study in the management of patients with swallowing disorders.Recent findingsGastroesophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR) are found in approximately 30% of patients with esophageal or oropharyngeal dysphagia. Patients with suspected GERD may benefit from gastrointestinal endoscopy and proton pump inhibitors according to guidelines. The diagnosis of LPR in patients with oropharyngeal dysphagia is more controversial because there are no gold standard and diagnostic guidelines. The clinical diagnosis based on empirical therapeutic trial is a reasonable first-line strategy, but many dysphagic patients should not respond to treatment. These patients require hypopharyngeal-esophageal multichannel intraluminal impedance-pH monitoring (HEMII-pH), which is the most effective examination providing important information on GERD and LPR features. At the HEMII-pH, GERD patients often report upright (daytime) and supine (nighttime) liquid acid esophageal events with significant esophageal distal acid exposure time. LPR patients have more frequently upright (daytime) gaseous weakly acid or nonacid pharyngeal reflux events without distal esophageal acid exposure abnormalities in many times. The features of reflux at the HEMII-pH may indicate a personalized treatment for dysphagic patients combining proton pump inhibitors, alginate/magaldrate or gastroprokinetic in cases of esophageal dysmotility.SummaryGERD and LPR are prevalent causes of dysphagia. The large number of reflux patients who do not respond to empirical treatment makes important the awareness of otolaryngologists about pH-impedance monitoring indication, features, and interpretation.

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“…Data extraction was completed independently by a single rater for full articles that met all inclusion criteria outlined above. Data extraction included the following: (1)…”

Section: Data Extraction Processmentioning

confidence: 99%

“…Oropharyngeal dysphagia (OPD) refers to the difficulty or inability to move a bolus safely and effectively from the oral cavity to the esophagus, which can lead to related clinical complications, such as malnutrition, dehydration, and severe complications, such as aspiration pneumonia, suffocation, and eventually, premature death. As reported, the global prevalence of OPD was estimated to be 43.8% [ 1 ]. Furthermore, the prevalence of OPD is higher with predisposing conditions, such as stroke, Parkinson’s disease and pneumonia [ 1 – 3 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of voice training interventions on patients with oropharyngeal dysphagia: a systematic review

Niu

Zhou

Wang

et al. 2022

Eur Arch Otorhinolaryngol

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Background Voice training has been proposed as an intervention to improve swallowing function in patients with dysphagia. However, little is known about the effects of voice training on swallowing physiology. Objectives This systematic review investigates the effect of voice training on the swallowing function of patients with oropharyngeal dysphagia and provides the theoretical basis for improving the swallowing function and life quality of patients with oropharyngeal dysphagia. Data sources A systematic review using a narrative synthesis approach of all published studies was sought with no date restrictions. Five electronic databases (EMBASE, PubMed, CINAHL, Web of Science, and The Cochrane Library) were searched from inception to April 2022. Study selection Eight studies were included. Two researchers screened the literature according to inclusion and exclusion criteria, extracted data, and carried out quality control according to the Cochrane handbook5.1.0. Data were analyzed narratively and descriptively. Conclusions In general, statistically significant positive therapy effects were found. Voice training improves the oral and pharyngeal stages of swallowing in patients with neurological causes of dysphagia, such as stroke, and in patients with non-neurological causes of dysphagia, such as head and neck cancer. However, the current literature is limited and further primary research is required to provide more evidence to support voice training intervention in dysphagia. Future studies could further refine the content of voice training interventions, increase the number of patients enrolled, assess the long-term effects of voice training interventions and add associated assessments of the quality of life after treatment.

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

Cited by 65 publications

References 68 publications

Dysphagia

Dysphagia

The role of pH-impedance monitoring in swallowing disorders

The effect of voice training interventions on patients with oropharyngeal dysphagia: a systematic review

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