Oropharyngeal Dysphagia: an association between dysphagia level, symptoms and comorbidity

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Objective: Associate levels of dysphagia according to the patient health condition. Methods: Retrospective study analyzing 149 medical records of patients who underwent Fiberoptic endoscopic evaluation of swallowing (FEES) in a tertiary hospital from 2016 to 2018. Data was collected on symptoms, com...

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Principais autores: Magalhães Junior, Hipólito Virgílio, Bedaque, Henrique, Ferreira, Lidiane Maria de Brito Macedo, Fernandes, Kallil Monteiro, Godoy, Cynthia Meira de Almeida
Outros Autores: 0000-0002-8469-9570
Formato: article
Idioma:English
Publicado em: Journal of Surgical and Clinical Research
Assuntos:
deglutition
dysphagia
deglutition disorders
nasolaryngoscope
Endereço do item:https://repositorio.ufrn.br/handle/123456789/52854
https://doi.org/10.20398/jscr.v11i1.20955
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spelling ri-123456789-528542023-06-22T20:51:03Z Oropharyngeal Dysphagia: an association between dysphagia level, symptoms and comorbidity Disfagia Orofaríngea: associações entre o grau de disfagia, sintomas e comorbidades Magalhães Junior, Hipólito Virgílio Bedaque, Henrique Ferreira, Lidiane Maria de Brito Macedo Fernandes, Kallil Monteiro Godoy, Cynthia Meira de Almeida 0000-0002-8469-9570 deglutition dysphagia deglutition disorders nasolaryngoscope Objective: Associate levels of dysphagia according to the patient health condition. Methods: Retrospective study analyzing 149 medical records of patients who underwent Fiberoptic endoscopic evaluation of swallowing (FEES) in a tertiary hospital from 2016 to 2018. Data was collected on symptoms, comorbidities, FESS findings and oropharynx dysphagia classification. Statistical analysis was performed through descriptive and bivariate analysis using the Chi-square and Fisher's exact tests with a 5% significance level. Results: Most patients are elderly, female and with the main complaint of gagging for liquids and solids (30.9%), and gagging only for liquids was associated with the presence of mild dysphagia. The most prevalent degree of oropharynx dysphagia (OD) was mild (45%). In relation to patients' diseases, associations were identified between amyotrophic lateral sclerosis and mild dysphagia, Parkinson's disease and moderate dysphagia, and past pneumonia and / or head and neck cancer with severe dysphagia. Conclusions: The main complaint of patients with dysphagia and their pathological history should guide the treatment, without dispensing with complementary exams such as FESS, highlighting Parkinson's disease with moderate oropharynx dysphagia and past pneumonia and / or head and neck cancer as severe dysphagia. Objetivo:Associar os graus de disfagia com condições de saúde do paciente.Métodos:Estudo retrospectivo com análise de 149 prontuários de pacientes que realizaram videoendoscopia da deglutição (VED) em hospital terciário no período de 2016a 2018. Foram coletados dados sobre sintomas, comorbidades, achados da videoendoscopia da deglutição e classificação da disfagiaorofaríngea. A análise estatística foi feita através de análise descritiva e bivariada com os testes Qui-quadrado e exato de Fisher com significância de 5%.Resultados:Maioria dos pacientes sãoidosos, do sexo feminino e com queixa principal de engasgos para líquidos e sólidos (30,9%), sendo que engasgo apenas para líquido teve associação com presença de disfagia leve. O grau de disfagia orofaríngea (DO) mais prevalente foi o leve (45%). Em relação às doenças dos pacientes, foram identificadas associações entre esclerose lateral amiotrófica e disfagia leve, doença de Parkinson e disfagia moderada, e passado de pneumonia e/ou câncer de cabeça e pescoço com disfagia grave. Conclusões:A queixa principal do paciente com disfagia e seu antecedente patológico deve nortear o tratamento, sem dispensar exames complementares como a VED, destacando doença de Parkinson com disfagia orofaringea moderada e passado de pneumonia e/ou câncer de cabeça e pescoço como disfagia grave. 2023-06-22T20:51:03Z 2023-06-22T20:51:03Z 2020-05-22 article BEDAQUE, Henrique de Paula; FERREIRA, Lidiane Maria de Brito Macedo; FERNANDES, Kallil Monteiro; GODOY, Cynthia Meira de Almeida; MAGALHÃES JUNIOR, Hipólito Virgilio. Oropharyngeal Dysphagia: an association between dysphagia level, symptoms and comorbidity. Journal of Surgical And Clinical Research, [S.L.], v. 11, n. 1, p. 39-45, 22 maio 2020. Journal of Surgical and Clinical Research. http://dx.doi.org/10.20398/jscr.v11i1.20955. Disponível em: https://periodicos.ufrn.br/jscr/article/view/20955. Acesso em: 01 jun. 2023. https://repositorio.ufrn.br/handle/123456789/52854 https://doi.org/10.20398/jscr.v11i1.20955 en application/pdf Journal of Surgical and Clinical Research
institution Repositório Institucional
collection RI - UFRN
language English
topic deglutition
dysphagia
deglutition disorders
nasolaryngoscope
spellingShingle deglutition
dysphagia
deglutition disorders
nasolaryngoscope
Magalhães Junior, Hipólito Virgílio
Bedaque, Henrique
Ferreira, Lidiane Maria de Brito Macedo
Fernandes, Kallil Monteiro
Godoy, Cynthia Meira de Almeida
Oropharyngeal Dysphagia: an association between dysphagia level, symptoms and comorbidity
description Objective: Associate levels of dysphagia according to the patient health condition. Methods: Retrospective study analyzing 149 medical records of patients who underwent Fiberoptic endoscopic evaluation of swallowing (FEES) in a tertiary hospital from 2016 to 2018. Data was collected on symptoms, comorbidities, FESS findings and oropharynx dysphagia classification. Statistical analysis was performed through descriptive and bivariate analysis using the Chi-square and Fisher's exact tests with a 5% significance level. Results: Most patients are elderly, female and with the main complaint of gagging for liquids and solids (30.9%), and gagging only for liquids was associated with the presence of mild dysphagia. The most prevalent degree of oropharynx dysphagia (OD) was mild (45%). In relation to patients' diseases, associations were identified between amyotrophic lateral sclerosis and mild dysphagia, Parkinson's disease and moderate dysphagia, and past pneumonia and / or head and neck cancer with severe dysphagia. Conclusions: The main complaint of patients with dysphagia and their pathological history should guide the treatment, without dispensing with complementary exams such as FESS, highlighting Parkinson's disease with moderate oropharynx dysphagia and past pneumonia and / or head and neck cancer as severe dysphagia.
author2 0000-0002-8469-9570
author_facet 0000-0002-8469-9570
Magalhães Junior, Hipólito Virgílio
Bedaque, Henrique
Ferreira, Lidiane Maria de Brito Macedo
Fernandes, Kallil Monteiro
Godoy, Cynthia Meira de Almeida
format article
author Magalhães Junior, Hipólito Virgílio
Bedaque, Henrique
Ferreira, Lidiane Maria de Brito Macedo
Fernandes, Kallil Monteiro
Godoy, Cynthia Meira de Almeida
author_sort Magalhães Junior, Hipólito Virgílio
title Oropharyngeal Dysphagia: an association between dysphagia level, symptoms and comorbidity
title_short Oropharyngeal Dysphagia: an association between dysphagia level, symptoms and comorbidity
title_full Oropharyngeal Dysphagia: an association between dysphagia level, symptoms and comorbidity
title_fullStr Oropharyngeal Dysphagia: an association between dysphagia level, symptoms and comorbidity
title_full_unstemmed Oropharyngeal Dysphagia: an association between dysphagia level, symptoms and comorbidity
title_sort oropharyngeal dysphagia: an association between dysphagia level, symptoms and comorbidity
publisher Journal of Surgical and Clinical Research
publishDate 2023
url https://repositorio.ufrn.br/handle/123456789/52854
https://doi.org/10.20398/jscr.v11i1.20955
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