Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario / Functional endoscopic evaluation of swallowing among hospitalized patients
Rev. méd. Chile
;
139(8): 1025-1031, ago. 2011. ilus
Article
in Spanish
| LILACS
| ID: lil-612217
ABSTRACT
Background:
Swallowing disorders are common in hospitalized patients. Functional endoscopic evaluation of swallowing (FEES) is a simple, safe and effective test for the diagnosis and monitoring of these disorders.Aim:
To report the results of functional endoscopic swallowing evaluation. Material andMethods:
Retrospective review of all records of functional swallowing evaluation procedures performed in a 6 months period.Results:
A total of 327 evaluations were analyzed. Sixty seven percent were performed for the first time in a patient and 32.4 percent were follow-up evaluations. Mean age of patients was 73 ± 17 (SD) years and 56 percent were male. Twenty nine percent had prolonged orotracheal intubation (> 48 hours). Swallowing was evaluated as normal, mildly, moderately and severely altered in 8.2, 27, 27 and 38 percent of cases, respectively. Age (> 50 years) and orotracheal intubation were the most important predictors of severity (p = 0,01). Oral feeding was achieved during hospital stay in 78 and 55 percent of patients with moderate or severe swallowing disorders, respectively, after a delay of 8.7 and 14.3 days, respectively. Having a severe swallowing disorder during the first evaluation, increased fourfold the risk of gastrostomy.Conclusions:
Most hospitalized patients with swallowing disorders achieve oral feeding before leaving hospital. Safe oral feeding is delayed as swallowing disorder is of greater severity.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Deglutition Disorders
/
Hospitalization
/
Intubation, Intratracheal
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2011
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
/
Universidad de Chile/CL
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