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
Artículo
en Español
| 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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Trastornos de Deglución
/
Hospitalización
/
Intubación Intratraqueal
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2011
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
/
Universidad de Chile/CL
Similares
MEDLINE
...
LILACS
LIS