Characteristics of dysphagia in older patients evaluated at a tertiary center

Koçdor, Pelin; Siegel, Eric R.; Giese, Rachel; Tulunay‐Ugur, Ozlem E.

doi:10.1002/lary.24917

Cited by 18 publications

(9 citation statements)

References 14 publications

(29 reference statements)

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“…The items “Swallowing solids takes extra effort” and “Swallowing pills takes extra effort” were most often rated as a problem. Swallowing solids or pills are known to be common clinical complaints for people with dysphagia [50, 51]. The items “My swallowing problem has caused me to lose weight” and “Swallowing is painful” were most often rated as no problem.…”

Section: Discussionmentioning

confidence: 99%

Construct validity of the Eating Assessment Tool (EAT-10)

Wilmskoetter

Bonilha

Hong

et al. 2017

Disability and Rehabilitation

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Our analyses identified deficits in the construct validity of the EAT-10 suggestive of a need to improve the EAT-10 to support its frequent use in clinical practice and research. Implications for Rehabilitation Swallowing disorders are associated with severe complications, such as pneumonia and malnutrition, and impose both social and psychological burdens on patients. The Eating Assessment Tool is a self-report instrument developed to estimate initial dysphagia severity and monitor change in patient-reported dysphagia symptoms as a response to treatment. This study shows that the Eating Assessment Tool has deficits in its construct validity and a need to improve the instrument to support its frequent use in clinical practice and research.

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Section: Discussionmentioning

confidence: 99%

Construct validity of the Eating Assessment Tool (EAT-10)

Wilmskoetter

Bonilha

Hong

et al. 2017

Disability and Rehabilitation

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“…Moreover, microplasmin was reported to cure focal vitreomacular adhesion as tested in two MIVI-TRUST phase III clinical trials. The trials demonstrated that microplasmin can resolve vitreomacular adhesion and cure full thickness macular hole and vision impairments and that it is safe and well-tolerated [ 71 , 72 ].…”

Section: Therapeutic Approaches and Their Current Delivery Systemmentioning

confidence: 99%

Current Advances in Pharmacotherapy and Technology for Diabetic Retinopathy: A Systematic Review

Jiang

Jaganathan

et al. 2018

Journal of Ophthalmology

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Diabetic retinopathy (DR) is classically defined by its vascular lesions and damage in the neurons of the retina. The cellular and clinical elements of DR have many features of chronic inflammation. Understanding the individual cell-specific inflammatory changes in the retina may lead to novel therapeutic approaches to prevent vision loss. The systematic use of available pharmacotherapy has been reported as a useful adjunct tool to laser photocoagulation, a gold standard therapy for DR. Direct injections or intravitreal anti-inflammatory and antiangiogenesis agents are widely used pharmacotherapy to effectively treat DR and diabetic macular edema (DME). However, their effectiveness is short term, and the delivery system is often associated with adverse effects, such as cataract and increased intraocular pressure. Further, systemic agents (particularly hypoglycemic, hypolipidemic, and antihypertensive agents) and plants-based drugs have also provided promising treatment in the progression of DR. Recently, advancements in pluripotent stem cells technology enable restoration of retinal functionalities after transplantation of these cells into animals with retinal degeneration. This review paper summarizes the developments in the current and potential pharmacotherapy and therapeutic technology of DR. Literature search was done on online databases, PubMed, Google Scholar, clinitrials.gov, and browsing through individual ophthalmology journals and leading pharmaceutical company websites.

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“…Dysphagia, which is a common disorder in the elderly [8], is also considered a risk factor for aspiration pneumonia [6,9,10]. It has been reported that approximately 15%-40% of the elderly population over 65 years is affected by dysphagia [11,12], and 55% of elderly adults 70 years and older diagnosed with pneumonia presented with clini cal signs of oropharyngeal dysphagia [13].…”

Section: Introductionmentioning

confidence: 99%

“…It has been reported that approximately 15%-40% of the elderly population over 65 years is affected by dysphagia [11,12], and 55% of elderly adults 70 years and older diagnosed with pneumonia presented with clini cal signs of oropharyngeal dysphagia [13]. Only 20% of older patients with aspiration symptoms exhibit normal swallowing function in a videofluoroscopic swallowing study (VFSS), and laryngeal penetration is identified in approximately 40% and aspiration in 20% [8]. A previous study reported that oropharyngeal dysphagia is closely related to community-acquired pneumonia in elderly subjects regardless of functional status and comorbidities [9].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Aspiration Pneumonia in the Elderly With Swallowing Dysfunction: Videofluoroscopic Swallowing Study

Shin

Kim

et al. 2021

Ann Rehabil Med

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Objective To identify the variables of videofluoroscopic swallowing study (VFSS) that are useful for predicting the risk of aspiration pneumonia in elderly patients with dysphagia.Methods A total of 251 patients (aged 65 years or more) were included and divided into a pneumonia group (n=133) and a non-pneumonia group (n=118). The pneumonia group included patients who had been diagnosed with aspiration pneumonia, and individuals in the non-pneumonia group did not have pneumonia but were referred for VFSS. The medical records and results of VFSS were reviewed and compared between the groups retrospectively.Results The pneumonia group exhibited a male preponderance and a higher 8-point Penetration-Aspiration Scale (8PPAS) score. The mean values of 8PPAS score for swallowing thick liquid and rice porridge was significantly higher in the pneumonia group. The pharyngeal delay time (PDT) and pharyngeal transit time (PTT) were significantly longer in the pneumonia group. The amounts of vallecular and pyriform sinus residue were increased in the pneumonia group. The delay in swallowing reflex and the decrease in laryngeal elevation were more frequently observed in the pneumonia group. Among those variables, PDT and PTT were identified as significant predictors of aspiration pneumonia based on logistic regression analysis.Conclusion The present study delineated the findings of VFSS, suggesting an increased risk of aspiration pneumonia in elderly patients with dysphagia. The results demonstrate that prolonged PDT and PTT are significant predictors of aspiration pneumonia.

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Characteristics of dysphagia in older patients evaluated at a tertiary center

Abstract: 4.

Cited by 18 publications

References 14 publications

Construct validity of the Eating Assessment Tool (EAT-10)

Construct validity of the Eating Assessment Tool (EAT-10)

Current Advances in Pharmacotherapy and Technology for Diabetic Retinopathy: A Systematic Review

Predictors of Aspiration Pneumonia in the Elderly With Swallowing Dysfunction: Videofluoroscopic Swallowing Study

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