[Swallowing disorders, pneumonia and respiratory tract infectious disease in the elderly] : Troubles de la déglutition du sujet âgé et pneumopathies en 14 questions/réponses

Autor: Puisieux, François, D'Andrea, Cristiano, Baconnier, P., Bui-Dinh, D., Castaings-Pelet, S., Crestani, Bruno, Desrues, B., Ferron, C., Franco, Alain, Gaillat, J., Guenard, Hervé, Housset, Bruno, Jeandel, Claude, Jebrak, G., Leymarie-Selles, A., Orvoen-Frija, Elisabeth, Piette, François, Pinganaud, Geneviève, Salle, Jean-Yves, Strubel, D., Vernejoux, J.-M., De Wazières, Benoît, Weil-Engerer, S.
Přispěvatelé: Service de gériatrie, Hôpital des bateliers-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Service de gérontologie, Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Bicêtre, Service de physiologie respiratoire, CHU Grenoble, Service SSR, CHU Bordeaux [Bordeaux], Physiopathologie et Epidemiologie de l'Insuffisance Respiratoire, Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de pneumologie A, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-AP-HP - Hôpital Bichat - Claude Bernard [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Diderot - Paris 7 (UPD7), Service de pneumologie, Service de médecine gériatrique, CHU de Saint-Etienne, Centre de gérontologie, Service des maladies infectieuses, Hôpital d'Annecy, EFR, Service de Pneumologie et de Pathologie Professionnelle, CHI Créteil, Centre de gérontologie clinique, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Service d'ORL, CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), CHU Charles Foix [AP-HP], Service de Médecine Physique et de Réadaptation [CHU Limoges], CHU Limoges, Neuroépidémiologie Tropicale et Comparée (NETEC), Université de Limoges (UNILIM)-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST FR CNRS 3503), Service de gérontologie et de prévention du vieillissement, Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Service des maladies respiratoires, Unité de gériatrie aigüe, Hôpital Rothschild [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)
Jazyk: francouzština
Rok vydání: 2009
Předmět:
Zdroj: Revue des Maladies Respiratoires
Revue des Maladies Respiratoires, Elsevier Masson, 2009, 26 (6), pp.587-605. ⟨10.1019/20094092⟩
ISSN: 0761-8425
Popis: International audience; Swallowing disorders (or dysphagia) are common in the elderly and their prevalence is often underestimated. They may result in serious complications including dehydration, malnutrition, airway obstruction, aspiration pneumonia (infectious process) or pneumonitis (chemical injury caused by the inhalation of sterile gastric contents). Moreover the repercussions of dysphagia are not only physical but also emotional and social, leading to depression, altered quality of life, and social isolation. While some changes in swallowing may be a natural result of aging, dysphagia in the elderly is mainly due to central nervous system diseases such as stroke, parkinsonism, dementia, medications, local oral and oesophageal factors. To be effective, management requires a multidisciplinary team approach and a careful assessment of the patient's oropharyngeal anatomy and physiology, medical and nutritional status, cognition, language and behaviour. Clinical evaluation can be completed by a videofluoroscopic study which enables observation of bolus movement and movements of the oral cavity, pharynx and larynx throughout the swallow. The treatment depends on the underlying cause, extent of dysphagia and prognosis. Various categories of treatment are available, including compensatory strategies (postural changes and dietary modification), direct or indirect therapy techniques (swallow manoeuvres, medication and surgical procedures).
Databáze: OpenAIRE
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