Abordaje de la disfagia en la demencia avanzada

Gómez-Busto, Fernando; Andia, Virginia; Alegría, L. Ruiz de; Francés, I.

doi:10.1016/j.regg.2008.07.006

Cited by 12 publications

(10 citation statements)

References 53 publications

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“…The strength of the evidence was found as high using GRADE for all test endpoints (OD, impaired safety, impaired efficacy, and aspirations) (Table 4) [21]. ; High Quality 3 Gómez-Busto et al [28] 2009 Spain Approach to dysphagia in advanced dementia. Silveira Guijarro et al [29] 2011 Spain Oropharyngeal dysphagia in elderly inpatients in a unit of convalescence.…”

Section: Quality Of Studies In the Srmentioning

confidence: 99%

A Systematic and a Scoping Review on the Psychometrics and Clinical Utility of the Volume-Viscosity Swallow Test (V-VST) in the Clinical Screening and Assessment of Oropharyngeal Dysphagia

Riera

Marín

Serra‐Prat

et al. 2021

Foods

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(1) Background: The volume-viscosity swallow test (V-VST) is a clinical tool for screening and diagnosis of oropharyngeal dysphagia (OD). Our aims were to examine the clinical utility of the V-VST against videofluoroscopy (VFS) or fiberoptic endoscopic evaluation of swallow (FEES) and to map the V-VST usage with patients at risk of OD across the years since it was described for the first time, carrying a systematic and a scoping review. (2) Methods: We performed both a systematic review (SR) including studies that look at the diagnostic test accuracy, and a scoping review (ScR) with articles published from September 2008 to May 2020. Searches were done in different databases, including PubMed and EMBASE from September 2008 until May 2020, and no language restrictions were applied. A meta-analysis was done in the SR to assess the psychometric properties of the V-VST. Quality of studies was assessed by Dutch Cochrane, QUADAS, GRADE (SR), and STROBE (ScR) criteria. The SR protocol was registered on PROSPERO (registration: CRD42020136252). (3) Results: For the diagnostic accuracy SR: four studies were included. V-VST had a diagnostic sensitivity for OD of 93.17%, 81.39% specificity, and an inter-rater reliability Kappa = 0.77. Likelihood ratios (LHR) for OD were 0.08 (LHR–) and 5.01 (LHR+), and the diagnostic odds ratio for OD was 51.18. Quality of studies in SR was graded as high with low risk of bias. In the ScR: 34 studies were retrieved. They indicated that V-VST has been used internationally to assess OD’s prevalence and complications. (4) Conclusions: The V-VST has strong psychometric properties and valid endpoints for OD in different phenotypes of patients. Our results support its utility in the screening and clinical diagnosis and management of OD.

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Section: Quality Of Studies In the Srmentioning

confidence: 99%

A Systematic and a Scoping Review on the Psychometrics and Clinical Utility of the Volume-Viscosity Swallow Test (V-VST) in the Clinical Screening and Assessment of Oropharyngeal Dysphagia

Riera

Marín

Serra‐Prat

et al. 2021

Foods

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“…In general, it is accepted that dementia affects nutrition almost from the outset, producing anorexia, weight loss and eating/swallowing difficulties Gómez‐Busto et al . (). Proper nutrition is also affected by depression, which appears in 45% of cases (Morley & Kraenzle ).…”

Section: Introductionmentioning

confidence: 97%

Validation of the Spanish version of the Edinburgh feeding evaluation in dementia scale applied to institutionalized older persons with dementia: a study protocol

et al. 2016

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AimThe aim of this study was to obtain a Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale version, to assess its reliability for use by medical staff and caregivers at residential care homes, to evaluate by confirmatory methods its construct validity. A further aim was to determine the criterion validity with respect to biochemical markers of malnutrition such as serum albumin, transferrin, cholesterol and lymphocytes, the body mass index and the mini nutritional assessment.DesignClinimetric cross‐validation study.MethodsInstitutionalized subjects with dementia will be observed while consuming meals and evaluated with the instrument independently by nurses and caregivers.

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“…), while the moderate stage is characterised by loss of appetite, behavioural disorders and apraxia (loss of ability to perform a movement). In the advanced stages, dependence becomes more visible and acute, and can lead to difficulty in swallowing [ 11 , 12 ]. Feeding difficulties affect 70% of patients in the advanced stages of dementia [ 12 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia

Figueredo

Morilla‐Herrera

Giraldos³

et al. 2018

PLoS ONE

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AimsTo adapt the Edinburgh Feeding Evaluation in Dementia Scale (EdFED) for use in a Spanish-speaking population and to assess its validity and reliability in patients with dementia.MethodA cross-sectional study was carried out in two stages: 1. Cross-cultural adaptation (translation, back-translation, review by committee of experts, pilot test and weighting of results); 2. Clinimetric validation comprising interobserver reliability assessment, test-retest reliability and internal consistency. To determine construct validity, confirmatory factorial analysis and principal components analysis were performed by oblique rotations. Criteria validity was analysed using the Pearson correlation (p<0.05) with the BMI, MNA and analytical values of albumin, transferrin, cholesterol, absolute lymphocytes and total proteins.Data collection was carried out for six months in 2016 in nursing homes and Alzheimer’s day centers in the province of Málaga (Spain), at nine centers, with 262 patients (aged over 60 years and presenting feeding difficulties), 20 nurses, 20 professional caregivers and 103 family caregivers.ResultsA version of EdFED culturally adapted to Spanish was obtained. The sample presented the following characteristics: 76.3% women, mean age 82.3 years (SD: 7.9); MNA 18.73 (SD: 4.44); BMI 23.99 (SD: 4.72); serum albumin 3.79 mg/dl (SD: 0.36). A Cronbach’s alpha of 0.88 was obtained, with an inter-item global correlation of 0.43 and a homogeneity index ranging from 0.42 to 0.73. The exploratory factor analysis reproduced the three-factor model identified by the original authors, explaining 62.32% of the total variance. The criterion validity showed a good inverse correlation with MNA and a moderate one with albumin, total proteins, transferrin and BMI.DiscussionThe Spanish version of EdFED is reliable and valid for use in elderly people with dementia. The most appropriate for our environment is the three-factor model, which maintains the original factors, with a slight redistribution of the items.

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Abordaje de la disfagia en la demencia avanzada

Cited by 12 publications

References 53 publications

A Systematic and a Scoping Review on the Psychometrics and Clinical Utility of the Volume-Viscosity Swallow Test (V-VST) in the Clinical Screening and Assessment of Oropharyngeal Dysphagia

A Systematic and a Scoping Review on the Psychometrics and Clinical Utility of the Volume-Viscosity Swallow Test (V-VST) in the Clinical Screening and Assessment of Oropharyngeal Dysphagia

Validation of the Spanish version of the Edinburgh feeding evaluation in dementia scale applied to institutionalized older persons with dementia: a study protocol

Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia

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