Airway invasion in non-neurologically ill patients with dysphagia: Contributing factors and associated problems during swallowing process. A retrospective observational study
Autor: | Kang Lip Kim, Gi-Young Park, Dong Rak Kwon, Do Yun Kwon, Hee Kyung Cho, Sang Gyu Kwak |
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Rok vydání: | 2020 |
Předmět: |
Male
Video Recording Observational Study law.invention 03 medical and health sciences 0302 clinical medicine Bolus (medicine) Community-acquired pneumonia Swallowing law medicine Humans 030212 general & internal medicine Mobility Limitation Serum Albumin Aged Retrospective Studies videofluoroscopic dysphagia scale airway invasion business.industry Respiratory Aspiration Retrospective cohort study General Medicine Odds ratio Pneumonia medicine.disease Intensive care unit Dysphagia Community-Acquired Infections risk factor 030220 oncology & carcinogenesis Anesthesia Fluoroscopy videofluoroscopic swallowing study Female non-neurogenically medicine.symptom business Airway Deglutition Disorders Research Article |
Zdroj: | Medicine |
ISSN: | 1536-5964 |
Popis: | Dysphagia can occur among patients receiving medical care despite having no history of neurologic disease. The current study aimed to investigate factors contributing to airway invasion among non-neurologically ill patients with dysphagia. This retrospective study included 52 non-neurologically ill patients who complained of swallowing difficulty and consulted the Department of Rehabilitation Medicine for videofluoroscopic swallowing studies between January 2018 and June 2019. Patients were then divided into 2 groups according to the presence of airway invasion (penetration or aspiration) based on videofluoroscopic swallowing study findings, with group 1 (n = 26) consisting of patients with airway invasion and group 2 (n = 26) consisting of those without airway invasion. Demographic information, functional ambulation ability within the past 3 months, presence of community acquired pneumonia (CAP), nutritional status, degree of dehydration, history of intensive care unit stay, history of endotracheal intubation, and videofluoroscopic dysphagia scale were reviewed. Patients with airway invasion exhibited decreased functional ambulation ability, greater incidence of CAP, and lower serum albumin concentration than patients without airway invasion (P |
Databáze: | OpenAIRE |
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