Correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.

Autor: Guijo LM; Postgraduate Students of the Speech, Language and Hearing Sciences Program, São Paulo State University-UNESP, Campus de Marília, Marília, SP, Brazil., Pilon JPG; Postgraduate Students of the Speech, Language and Hearing Sciences Program, São Paulo State University-UNESP, Campus de Marília, Marília, SP, Brazil., Cola PC; Dysphagia Lab, Speech, Language and Hearing Sciences Department, São Paulo State University-UNESP, Campus de Marília, Av. Hygino Muzzi Filho, 737-Mirante, Marília, SP, CEP 17.525-900, Brazil., da Silva RG; Dysphagia Lab, Speech, Language and Hearing Sciences Department, São Paulo State University-UNESP, Campus de Marília, Av. Hygino Muzzi Filho, 737-Mirante, Marília, SP, CEP 17.525-900, Brazil., Onofri SMM; Dysphagia Lab, Speech, Language and Hearing Sciences Department, São Paulo State University-UNESP, Campus de Marília, Av. Hygino Muzzi Filho, 737-Mirante, Marília, SP, CEP 17.525-900, Brazil. suely.motonaga@unesp.br.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2024 Nov 18. Date of Electronic Publication: 2024 Nov 18.
DOI: 10.1007/s00405-024-09069-y
Abstrakt: Purpose: To analyze the correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.
Methods: Cross-sectional, descriptive, retrospective, clinical study with 157 post-stroke individuals, 71 females and 86 males, aged 26 to 92 years (mean age: 67.2 years), all diagnosed by neurological assessment and imaging exams (computed tomography or magnetic resonance imaging), who underwent fiberoptic endoscopic evaluation of swallowing (FEES) in a rehabilitation center. They were served 5 mL of moderately thick liquid (level 3 in the International Dysphagia Diet Standardization Initiative [IDDSI]) in a spoon three times. Two expert raters in dysphagia assessed them with the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS) and Penetration Aspiration Scale (PAS). Their interrater sensitivity agreement was analyzed with the Kappa test, and Spearman's rank correlation (r) verified the correlation between pharyngeal residue and the PAS and calculated the effect size (r 2 ).
Results: YPRSRS in vallecula was positively correlated with PAS (r = 0.43; r 2  = 0.18; p ≤ 0.000); YPRSRS in pyriform sinus, with PAS (r = 0.54; r 2  = 0.29; p ≤ 0.000); and YPRSRS in both vallecula/pyriform sinus with PAS (r = 0.57; r 2  = 0.32; p ≤ 0.000).
Conclusion: The severity of pharyngeal residue in post-stroke individuals with dysphagia is correlated with the level of penetration-aspiration.
Competing Interests: Declarations Conflict of interest The authors declare no conflicts of interest.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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