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
Dans Espagnol
| 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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Troubles de la déglutition
/
Hospitalisation
/
Intubation trachéale
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2011
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Pontificia Universidad Católica de Chile/CL
/
Universidad de Chile/CL
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