Impacto das alterações das estruturas do sistema estomatognático na deglutição de idosos acamados

Olchik, Maira Rozenfeld; Ayre, Annelise; Signorini, Alana Verza; Flores, Letícia Sousa

doi:10.5335/rbceh.v13i2.5673

Cited by 2 publications

(2 citation statements)

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“…( 2 ) We also observed an association between women and presence of dysphagia, although there no consensus in literature exists about this subject. ( 9 ) Malnutrition can also increase the frequency of dysphagia, because changes in consistence of food and the difficulty of ingestion can cause diet inadequacies. Higher score in the EAT-10 and indications of dysphagia risk were associated with change in nutritional status in older individuals.…”

Section: Introductionmentioning

confidence: 99%

The importance of dysphagia screening and nutritional assessment in hospitalized patients

Andrade

Santos

Firmino³

et al. 2018

Einstein (São Paulo)

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Objective:To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10).Methods:This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups.Results:The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index.Conclusion:Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

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Section: Introductionmentioning

confidence: 99%

The importance of dysphagia screening and nutritional assessment in hospitalized patients

Andrade

Santos

Firmino³

et al. 2018

Einstein (São Paulo)

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“…However, many other studies that used the EAT-10 as a screening tool excluded patients who are the most at risk with cognitive impairment or serious neurological diseases who were unable to answer the items in the questionnaire, so they did not test the actual feasibility of this tool in a hospital environment [13,[17][18][19]. The questionnaire was more frequently positive in female patients (58.3%), as has been observed in other studies, although there is no consensus in the scientific literature about this subject [20]. On the contrary, the study that validated the Spanish EAT-10 only found associations between the risk of dysphagia, older age and higher morbidity [13].…”

Section: Discussionmentioning

confidence: 99%

Implementing Dysphagia Screening and Assessment in an Intermediate and Long-Stay Hospital: A Hospital-Based Quality Improvement Project

2022

IJOH

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Dysphagia can occur due to a wide range of medical conditions including acute or progressive neurological disorders, trauma or surgery, with secondary effects such as dehydration and malnutrition causing an increase in morbidity and mortality rates. Dysphagia screening and assessment of swallowing function by a multidisciplinary care team is essential to identify, diagnose and manage patients with dysphagia. A cross-sectional study of dysphagia screening and assessment was performed from the 1st to the 15th of April 2022 on patients hospitalised in an intermediate and long-stay hospital in Cartagena in the southeast of Spain. The Eating Assessment Tool-10 (EAT-10) questionnaire was used as a direct-scoring screening test for dysphagia together with the standardised Volume-Viscosity Swallow Test (V-VST) in all patients with an EAT-10 score ≥ 3 points. After confirming dysphagia, different dietary and pharmaceutical interventions were performed. The following data were collected from the medical record program EKON®: age, gender, primary diagnosis, diet and texture and the use of thickener for liquids. A total of 86 patients were included in the study with a mean age of 80.0 ± 12.0 years. The mean EAT-10 score was 2.5 ± 1.7 points with 36 patients (43.9%) testing positive for being at risk of presenting dysphagia. Of these patients at risk, the V-VST detected dysphagia and the necessity of a nectar consistency in 24 patients, a honey consistency in 3 patients and a pudding consistency in 2 patients. Only 10 of the patients with dysphagia were using thickener prior to the screening and the assessment. Dietary and pharmaceutical interventions were made in the other 19 patients with dysphagia. Dysphagia screening in intermediate and long-stay hospitals is not common practice even though there is a high prevalence and important clinical repercussions. Implementing dysphagia screening and assessment protocols will improve quality of care in these patients.

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Impacto das alterações das estruturas do sistema estomatognático na deglutição de idosos acamados

Cited by 2 publications

References 10 publications

The importance of dysphagia screening and nutritional assessment in hospitalized patients

The importance of dysphagia screening and nutritional assessment in hospitalized patients

Implementing Dysphagia Screening and Assessment in an Intermediate and Long-Stay Hospital: A Hospital-Based Quality Improvement Project

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