Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly

Rofes, Laia, Arreola, Viridiana, Almirall, Jordi, Cabre, Mateu, Campins, Lluis, Garcia-Peris, Pilar, Speyer, Renée, and Clave, Pere (2011) Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly. Gastroenterology Research and Practice, 2011. 818979. pp. 1-13.

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Abstract

Oropharyngeal dysphagia is a major complaint among older people. Dysphagia may cause two types of complications in these patients: (a) a decrease in the efficacy of deglutition leading to malnutrition and dehydration, (b) a decrease in deglutition safety, leading to tracheobronchial aspiration which results in aspiration pneumonia and can lead to death. Clinical screening methods should be used to identify older people with oropharyngeal dysphagia and to identify those patients who are at risk of aspiration. Videofluoroscopy (VFS) is the gold standard to study the oral and pharyngeal mechanisms of dysphagia in older patients. Up to 30% of older patients with dysphagia present aspiration—half of them without cough, and 45%, oropharyngeal residue; and 55% older patients with dysphagia are at risk of malnutrition. Treatment with dietetic changes in bolus volume and viscosity, as well as rehabilitation procedures can improve deglutition and prevent nutritional and respiratory complications in older patients. Diagnosis and management of oropharyngeal dysphagia need a multidisciplinary approach.

Item ID: 31017
Item Type: Article (Research - C1)
ISSN: 1687-630X
Additional Information:

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Funders: Filial del Maresme de la Acadèmia de Ciències Mèdiques de Catalunya i Balears, Fundació de Gastroenterologia Dr. F. Vilardell, Fondo de Investigaciones Sanitarias, Novartis Medical Nutrition and Nestlé Medical Nutrition, Ciberehd, Instituto de Salud Carlos III
Projects and Grants: Fondo de Investigaciones Sanitarias FIS PI/051554, Fondo de Investigaciones Sanitarias PS09/01012
Date Deposited: 24 Feb 2014 23:47
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110315 Otorhinolaryngology @ 60%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110307 Gastroenterology and Hepatology @ 40%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920112 Neurodegenerative Disorders Related to Ageing @ 70%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920115 Respiratory System and Diseases (incl. Asthma) @ 30%
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