Efficacy of a Ready-to-Drink Gelled Water and of a Thickening Powder in Patients with Oropharyngeal Dysphagia: a Crossover Randomized Study
| Autor: | L. Dussaulx, Achille Edem Tchalla, Jean-Yves Salle, Jean-Claude Desport, Pierre Jésus, Caroline Gayot, Annick Offret, Cécile Bonhomme, Charlotte Baudry, Etienne Hazart, Remy Thirion, Philippe Fayemendy, F. Trivin |
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| Přispěvatelé: | Service de Médecine Physique et Réadaptation, CHU Bordeaux [Bordeaux], Handicap, Activité, Vieillissement, Autonomie, Environnement (HAVAE), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Service de Médecine Gériatrique [CHU Limoges], CHU Limoges, Centre hospitalier Rene Pleven de Dinan, CH de Saint-Malo [Broussais], Clinique Saint-Yves [Rennes], Neuroépidémiologie Tropicale (NET), Université de Limoges (UNILIM)-Université de Limoges (UNILIM)-CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM), Service d'Hépato-Gastro-Entérologie et Nutrition [CHU Limoges], Lactalis Nutrition Santé, LACTALIS RECHERCHE ET DEVELOPPEMENT (LACTALIS R&D), Groupe Lactalis, Grelier, Elisabeth, Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-CHU Limoges-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Ready-to-drink gelled water
medicine.medical_specialty Gastroenterology law.invention 030507 speech-language pathology & audiology 03 medical and health sciences 0302 clinical medicine Swallowing Randomized controlled trial law Internal medicine Multicenter trial medicine In patient Thickened liquids Stroke Thickening powder business.industry Viscosity Dysphagia medicine.disease 3. Good health [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie 030211 gastroenterology & hepatology [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Thickening medicine.symptom 0305 other medical science business Oropharyngeal dysphagia |
| Zdroj: | SN Comprehensive Clinical Medicine SN Comprehensive Clinical Medicine, 2021, ⟨10.1007/s42399-021-00828-0⟩ |
| Popis: | Management of oropharyngeal dysphagia (OD) is mainly based on modifying liquid viscosity and solid consistency in order to preserve oral feeding while avoiding unsafe swallowing. Adding thickening powders (TP) to water is the most common practice in patients suffering from OD to liquids, but ready-to-use gelled waters (RGW) can also be proposed. The main objective of this study was to assess the efficacy of a RGW and a TP on swallowing in hospitalized patients with different OD etiologies. This open, crossover, multicenter trial recruited thirty hospitalized patients with OD to liquids, confirmed by positive 3-ounce water test or positive Practical Aspiration Screening Scheme test. The patient’s ability to swallow 120 g of a RGW (IDDSI level 4) and a drink prepared with TP (nectar viscosity; NTP, 291 cP, IDDSI level 2; or if necessary, honey; HTP, 769 cP, IDDSI level 3) was evaluated in a random order at 1- to 3-day intervals. The main criterion was the efficacy of each product, defined as the proportion of patients who successfully swallowed without immediate reflexive cough. The RGW and TP were successfully swallowed in respectively 93.3% (95% CI: 77.9–99.2) and 82.8% (95% CI: 64.2–94.2) of patients with different dysphagia etiologies (stroke, neurodegenerative diseases, or aging) and unable to swallow thin water. Taste and texture of both study products were well appreciated by patients, with a preference for the RGW over TP. Therefore, the use of these thickened products could be part of the therapeutic strategy for patients with OD to liquids. |
| Databáze: | OpenAIRE |
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