Management: General principles and guidelines

Groher, Michael E.

doi:10.1007/bf02493481

Cited by 12 publications

(10 citation statements)

References 7 publications

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“…Dysphagia has been associated with increased mortality and morbidity [26,27]. We found that OD is a risk factor for mortality but discerned no difference in length of hospital stay.…”

Section: Discussionmentioning

confidence: 60%

Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality

Tufan¹

2017

MMJ

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Objective: Oropharyngeal dysphagia (OD) is a common but underdiagnosed syndrome among older adults. The aim of this study was to assess the prevalence of OD in hospitalized older adults by using ten-item Eating Assessment Tool (EAT-10) and the relationship between mortality and OD. Patients and Methods:Patients aged over 65 years admitted to an internal medicine inpatient clinic of a university hospital in Turkey were enrolled in the study. The number of drugs, the number of chronic diseases, routes of feeding (oral, parenteral, or both), length of hospital stay, albumin levels on admission day, and mortality status of the patients were recorded by a physician. The EAT-10 questionnaire was administered to all patients for OD. Results:One hundred and thirty-six patients (54.4% female) were enrolled in the study. Their mean age was 74.6±6.6 years. The prevalence of OD in hospitalized older adults was 23%. The mortality rates were significantly higher in the dysphagic subjects as compared to the non-dysphagic ones (25.8% vs.10.5%; p=0.041). The number of patients with malignancy was significantly higher in the dysphagic group as compared to the non-OD subjects (41.9% vs.20%; p=0.018). Conclusion:OD is a geriatric syndrome and should be screened and treated in all geriatric patients in hospitals. It will improve patient outcomes and quality of life. Hastalar ve Yöntem:İstanbul'da bir üniversite hastanesi iç hastalıkları servisine başvuran 65 yaş üstü hastalar çalışmaya dahil edildi. Hastaların kullandığı ilaç sayısı, kronik hastalıkların sayısı, beslenme yolları (oral, parenteral veya her ikisi), hastanede kalış süresi, başvuru günündeki albümin düzeyleri ve çıkış mortalite durumu ilgili hekim tarafından kaydedildi. OD'yi taramak için EAT-10 anketi tüm hastalara uygulandı. Bulgular:Yüz otuz altı hasta (% 54,4 kadın) çalışmaya alındı. Yaş ortalaması 74,6 ± 6,6 yıl idi. Hastanede yatan yaşlı erişkinlerde OD prevalansı % 23 idi. Mortalite oranları disfajik olan hastalarda olmayanlara kıyasla anlamlı derecede yüksek bulundu (% 25,8 vs % 10,5; p=0.041). Malignite tanısı olan hastaların sayısı disfajik grupta anlamlı derecede yüksek bulundu (% 41,9 vs % 20; p=0.018).Sonuç: OD geriatrik bir sendromdur. Özellikle hastanede yatan tüm yaşlı hastalarda taranmalı ve tedavi edilmelidir. Bu yaklaşım hastaların durumunu ve yaşam kalitelerini arttıracaktır.

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“…Dysphagia has been associated with increased mortality and morbidity [26,27]. We found that OD is a risk factor for mortality but discerned no difference in length of hospital stay.…”

Section: Discussionmentioning

confidence: 60%

Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality

Tufan¹

2017

MMJ

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“…Speech-language pathologists continue to make major contributions to the understanding of swallowing disorders. Two major references on assessment and treatment of patients with oropharyngeal dysphagia are authored by speech-language pathologists [9,10]. The involvement of this profession in disorders of swallowing is now well established.…”

Section: Historical Perspectivementioning

confidence: 99%

Speech-language pathology and dysphagia: A brief historical perspective

Miller

Groher

1993

Dysphagia

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“…A proper body position for feeding is essential to promote normal swallowing [15]. Ideal feeding requires that a person be placed in a seated position with the buttocks well back in the chair, knees bent, and trunk and head in the midline.…”

mentioning

confidence: 99%

“…Neck extension can inhibit muscular movements of swallowing [6] and can align the airway to facilitate aspiration [15]. A patient who has an extensor thrust "reflex" can go into full body extension as a result of the hyperextension of the neck.…”

mentioning

confidence: 99%

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Development of a multidisciplinary feeding profile for children who are dependent feeders

Kenny¹,

Koheil²,

Greenberg³

et al. 1989

Dysphagia

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The multidisciplinary feeding profile (MFP) is the first statistically based protocol for the quantitative assessment of feeding disorders in severely disabled children. This assessment can be completed in 30-45 min with foods and facilities that are available in homes, hospitals, and chronic care units. This paper describes the state of current testing methods, the parameters of successful feeding activity, the development of the test protocol, and the results of statistical analyses.

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Management: General principles and guidelines

Cited by 12 publications

References 7 publications

Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality

Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality

Speech-language pathology and dysphagia: A brief historical perspective

Development of a multidisciplinary feeding profile for children who are dependent feeders

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