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Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario / Functional endoscopic evaluation of swallowing among hospitalized patients
Cabezón A, Rodrigo; Ramírez R, Constanza; Badía V, Pedro; León M, Norma; Fonseca A, Ximena.
Afiliação
  • Cabezón A, Rodrigo; Pontificia Universidad Católica de Chile. Departamento de Otorrinolaringología. Santiago. CL
  • Ramírez R, Constanza; Universidad de Chile. Facultad de Medicina. Interna de Medicina. CL
  • Badía V, Pedro; Pontificia Universidad Católica de Chile. Departamento de Otorrinolaringología. Santiago. CL
  • León M, Norma; Universidad de Chile. Facultad de Medicina. Interna de Medicina. CL
  • Fonseca A, Ximena; Pontificia Universidad Católica de Chile. Departamento de Otorrinolaringología. Santiago. CL
Rev. méd. Chile ; 139(8): 1025-1031, ago. 2011. ilus
Article em Es | LILACS | ID: lil-612217
Biblioteca responsável: BR1.1
ABSTRACT

Background:

Swallowing disorders are common in hospitalized patients. Functional endoscopic evaluation of swallowing (FEES) is a simple, safe and effective test for the diagnosis and monitoring of these disorders.

Aim:

To report the results of functional endoscopic swallowing evaluation. Material and

Methods:

Retrospective review of all records of functional swallowing evaluation procedures performed in a 6 months period.

Results:

A total of 327 evaluations were analyzed. Sixty seven percent were performed for the first time in a patient and 32.4 percent were follow-up evaluations. Mean age of patients was 73 ± 17 (SD) years and 56 percent were male. Twenty nine percent had prolonged orotracheal intubation (> 48 hours). Swallowing was evaluated as normal, mildly, moderately and severely altered in 8.2, 27, 27 and 38 percent of cases, respectively. Age (> 50 years) and orotracheal intubation were the most important predictors of severity (p = 0,01). Oral feeding was achieved during hospital stay in 78 and 55 percent of patients with moderate or severe swallowing disorders, respectively, after a delay of 8.7 and 14.3 days, respectively. Having a severe swallowing disorder during the first evaluation, increased fourfold the risk of gastrostomy.

Conclusions:

Most hospitalized patients with swallowing disorders achieve oral feeding before leaving hospital. Safe oral feeding is delayed as swallowing disorder is of greater severity.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Transtornos de Deglutição / Hospitalização / Intubação Intratraqueal Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Transtornos de Deglutição / Hospitalização / Intubação Intratraqueal Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile