Prevalence of dysphagia in a consecutive cohort of subjects with MS using fibre-optic endoscopy
| Autor: | C. Rezzani, Claudio Solaro, Roberto Bergamaschi, Eliana Berra, Emanuele D'Amico, M. Messmer Uccelli, A. Giusti, Giulia Gamberini, Maria Grazia Grasso, Alessandro Cuccaro, Francesco Patti |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Neurology FEES DOSS Dermatology Severity of Illness Index Cohort Studies Multiple sclerosis 03 medical and health sciences 0302 clinical medicine Swallowing Internal medicine Prevalence otorhinolaryngologic diseases medicine Humans 030212 general & internal medicine Optical Fibers Neuroradiology medicine.diagnostic_test business.industry Endoscopy General Medicine Dysphagia Middle Aged medicine.disease Deglutition disorders Deglutition Psychiatry and Mental health Italy Cohort Female Neurology (clinical) Neurosurgery medicine.symptom business 030217 neurology & neurosurgery |
| Popis: | Multiple sclerosis (MS) refers to chronic inflammation of the central nervous system including the brain and spinal cord. Dysphagia is a symptom that represents challenges in clinical practice. The aim of the present study was to evaluate the prevalence of dysphagia in an Italian cohort of subjects with MS using the Dysphagia Outcome Severity Score (DOSS), based on fibre-optic endoscopy, and determine factors that correlate with the presence of swallowing problems. Data were collected in a multicentre study from a consecutive sample of MS patients, irrespective of self-reported dysphagia. The study included 215 subjects. Possible scores for DOSS range from 7 to 1, with 7 indicating normal swallowing. One hundred twenty-four (57.7%) subjects demonstrated abnormal swallowing and 57 (26.5%) of these had swallowing problems that required nutrition/diet modifications when evaluated objectively with fibre-optic endoscopy. Subjects with dysphagia were more severely disabled and more often had a progressive form of MS, compared to MS subjects with normal swallowing. In subjects with EDSS |
| Databáze: | OpenAIRE |
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