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Prevalence of self-reported voice and swallowing complaints in an outpatient geriatric population.
Gascon, Laurence; Belfiglio, Mario; Nowacki, Amy S; Adessa, Michelle; Hashmi, Ardeshir Z; Bryson, Paul C.
Afiliación
  • Gascon L; Department of Otolaryngology Cleveland Clinic Cleveland Ohio USA.
  • Belfiglio M; Department of Otolaryngology Cleveland Clinic Cleveland Ohio USA.
  • Nowacki AS; Department of Quantitative Health Sciences Cleveland Clinic Cleveland Ohio USA.
  • Adessa M; Department of Otolaryngology Cleveland Clinic Cleveland Ohio USA.
  • Hashmi AZ; Department of Internal Medicine and Geriatrics Cleveland Clinic Cleveland Ohio USA.
  • Bryson PC; Department of Otolaryngology Cleveland Clinic Cleveland Ohio USA.
Laryngoscope Investig Otolaryngol ; 9(5): e70012, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39257726
ABSTRACT

Background:

Older adults suffer from increased rates of dysphagia and dysphonia, both of which have a profound effect on quality of life and are often underdiagnosed. We sought to better understand the prevalence of these complaints and the potential utility of a patient-reported screening program in a geriatrics clinic.

Methods:

Using an IRB-approved cross-sectional survey and retrospective cohort design, we recruited participants from a population of new patients seeking care at an academic geriatrics clinic. We used three validated questionnaires to assess self-reported dysphagia, dysphonia, and pill dysphagia the Eating-Assessment Tool-10 (EAT-10), the Voice Handicap Index-10 (VHI-10), and the PILL-5. Patients who screened positive on any questionnaire were offered referral to a laryngologist for additional evaluation. Patients who screened positive on the PILL-5 were also offered referral to our geriatric pharmacist.

Results:

Among our 300 patients surveyed, the mean age was 76 (SD 8.46). A total of 82 (27.3%) patients screened positive (73 on EAT-10, 10 on PILL-5, 13 on VHI-10) and were offered referral, of which 36 accepted. These positive screening patients took more prescription medications (p = .024) and had a higher GDS score (p < .001) when compared to the patients who screened negative.

Conclusions:

Many new patients seeking generalized care at our center screened positively for dysphagia and/or dysphonia on validated questionnaires. Geriatric patients may benefit from integrating screening for these disorders to identify the need of further evaluation. It is unknown if these survey tools are appropriate in a non-otolaryngology clinic. Level of evidence III.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Laryngoscope Investig Otolaryngol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Laryngoscope Investig Otolaryngol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos