2016
DOI: 10.1371/journal.pone.0167326
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Cognitive Dysfunction and Malnutrition Are Independent Predictor of Dysphagia in Patients with Acute Exacerbation of Congestive Heart Failure

Abstract: Early detection and intervention for dysphagia is important in patients with congestive heart failure (CHF). However, previous studies have focused on how many patients with dysphagia develop CHF. Studies focusing on the comorbidity of dysphagia in patients with CHF are rare. Additionally, risk factors for dysphagia in patients with CHF are unclear. Thus, the aim of this study was to clarify risk factors for dysphagia in patients with acute exacerbation of CHF. A total of 105 patients, who were admitted with a… Show more

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Cited by 25 publications
(20 citation statements)
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“…Few reports have discussed the correlation between MPT and dysphagia. Among heart failure patients, the MPT was shorter in patients with dysphagia (8·1 ± 3·7 s) than in patients without dysphagia (14·1 ± 7·6 s) ( P < 0·001); however, the MPT was not a predictor of dysphagia on multivariate analysis (Yokota et al, ). Because the MPT after extubation in the present study was shorter than that previously reported in patients with heart failure, further investigation is needed to determine whether MPT after extubation is a predictor of dysphagia.…”
Section: Discussionmentioning
confidence: 99%
“…Few reports have discussed the correlation between MPT and dysphagia. Among heart failure patients, the MPT was shorter in patients with dysphagia (8·1 ± 3·7 s) than in patients without dysphagia (14·1 ± 7·6 s) ( P < 0·001); however, the MPT was not a predictor of dysphagia on multivariate analysis (Yokota et al, ). Because the MPT after extubation in the present study was shorter than that previously reported in patients with heart failure, further investigation is needed to determine whether MPT after extubation is a predictor of dysphagia.…”
Section: Discussionmentioning
confidence: 99%
“…In this study EAT-10 score was significantly and negatively associated to cognitive status, but the relationship was not independent of other confounders, suggesting that cognitive function alone does not influence EAT-10. Yokota et al [35] described MMSE as an independent predictor of dysphagia in patients with acute exacerbation of heart failure, and also the group of Chatindiara et al [22] showed a significant association between EAT-10 and decline in cognition assessed by Montreal Cognitive Assessment (MoCA). Available literature demonstrates that dysphagia is a frequent comorbidity of dementia and other neurological diseases, such as Parkinson's Diseases [6]; however, subjects enrolled in the present study presented mild cognitive impairment, and those with neurological diseases diagnosis were at early stages.…”
Section: Tablementioning
confidence: 99%
“…Notably, we found that MA, a major swallowing-related muscle, appears to be more susceptible than TA or SOL muscles to the adverse effects of PG-LPS. This is important, because it has been reported that the consequences of dysphagia in hospitalized patients with cardiovascular disease, pneumonia and stroke may include increased length of hospital stay and a worse prognosis [35][36][37]. Thus, improvement of oral health education and services for the hospitalized elderly might decrease the incidence of periodontitis and it might concomitantly improve morbidity, mortality, and quality of life.…”
Section: Discussionmentioning
confidence: 99%