Current Otorhinolaryngology Reports, Journal Year: 2023, Volume and Issue: 11(3), P. 352 - 364
Published: May 31, 2023
Language: Английский
The Lancet Neurology, Journal Year: 2023, Volume and Issue: 22(9), P. 858 - 870
Published: Aug. 16, 2023
Language: Английский
Citations
45
The Lancet Neurology, Journal Year: 2024, Volume and Issue: 23(4), P. 418 - 428
Published: March 18, 2024
Language: Английский
Citations
21
Trends in Food Science & Technology, Journal Year: 2024, Volume and Issue: 147, P. 104478 - 104478
Published: April 7, 2024
Language: Английский
Citations
14
Neurological Research and Practice, Journal Year: 2024, Volume and Issue: 6(1)
Published: May 9, 2024
Abstract Flexible endoscopic evaluation of swallowing (FEES) is one the most important methods for instrumental evaluation. The challenging part examination consists in interpretation various observations encountered during endoscopy and deduction clinical consequences. This review proposes framework an integrated FEES-report that systematically moves from salient findings FEES to more advanced domains such as dysphagia severity, phenotypes impairment pathomechanisms. Validated scales scores are used enhance diagnostic yield. In concluding report, FEES-findings put into perspective context. potential etiology conceivable differential diagnoses considered, further steps proposed, treatment options evaluated, a timeframe re-assessment suggested. designed be adaptable open continuous evolution. Additional items, novel protocols, pathophysiological observations, advancements disease-related knowledge, new options, can easily incorporated. Moreover, there customizing this approach report on structural dysphagia.
Language: Английский
Citations
9
Acta Anaesthesiologica Scandinavica, Journal Year: 2025, Volume and Issue: 69(5)
Published: March 27, 2025
Dysphagia is independently associated with adverse outcomes in intensive care units (ICU). Early identification through dysphagia screening does not occur routinely, negatively impacting optimal patient management. This study aimed to validate the Swedish version of Gugging Swallowing Screen-Intensive Care Unit (GUSS-IVA). a prospective multicentre 56 adult ICU patients endotracheal intubation exceeding 48 h at three hospitals Sweden. The GUSS-ICU was translated into (GUSS-IVA) and used screen all prolonged intubated (>48 h) once extubated. GUSS-IVA conducted by nursing staff then compared gold standard Flexible Endoscopic Evaluation (FEES) within 2 screen. Fifty-one underwent FEES (where assessors were blinded results). Sensitivity specificity calculated, as area under receiver operating characteristic curves (AUC) 95% confidence intervals (CI). For inter-rater reliability, initial screen, 29/56 screened second time first results. Among patients, 38 (67.9%) identified dysphagic using With FEES, 42 51 (82.4%) diagnosed dysphagia; these, 16 (31.4%) classified aspirating. Compared showed high sensitivity values (81% 89%, respectively) an AUC 0.85 (95% CI: 0.71-0.95) positive predictive value 97%. High convergent validity obtained for Outcome Severity Scale (ɸ = 0.57, p < .001) Functional Oral Intake 0.52, moderate Penetration-Aspiration 0.30, .033). reliability agreement (Cohen's kappa κ 0.501, .006). indicates that valid reliable identify patients. Given negative impact on short long-term outcomes, recommended essential step early further diagnostics subsequent
Language: Английский
Citations
1
Frontiers in Aging Neuroscience, Journal Year: 2022, Volume and Issue: 14
Published: July 28, 2022
"Presbyphagia" refers to characteristic age-related changes in the complex neuromuscular swallowing mechanism. It has been hypothesized that cumulative impairments multiple domains affect functional reserve of with age, but multifactorial etiology and postulated compensatory strategies brain are incompletely understood. This study investigates presbyphagia its neural correlates, focusing on clinical determinants associated adaptive neuroplasticity.64 subjects over 70 years age free typical diseases explaining dysphagia received comprehensive workup including flexible endoscopic evaluation (FEES), magnetoencephalography (MEG) during pharyngeal stimulation, volumetry muscles, laboratory analyzes, assessment hand-grip-strength, nutritional status, frailty, olfaction, cognition mental health. Neural MEG activation was compared between participants without FEES, influencing factors were analyzed. Presbyphagia defined as presence oropharyngeal alterations e.g., penetration, aspiration, residue pooling or premature bolus spillage into piriform sinus and/or laryngeal vestibule.32 64 showed alterations, mainly characterized by residue, whereas airway rarely compromised. In analysis, activated an increased cortical sensorimotor network swallowing. As major determinant, exhibited reduced sensation. independent predictor a status linear regression model.Swallowing frequently occur otherwise healthy older adults decreased status. Increased may constitute compensation attempt uphold function due sensory decline. Further studies needed clarify whether observed can be considered physiological per se concept need extended theory continuous transition dysphagia.
Language: Английский
Citations
25
Neurological Research and Practice, Journal Year: 2023, Volume and Issue: 5(1)
Published: Feb. 16, 2023
Post-stroke dysphagia (PSD) is common and can lead to serious complications. Pharyngeal sensory impairment assumed contribute PSD. The aim of this study was investigate the relationship between PSD pharyngeal hypesthesia compare different assessment methods for sensation.
Language: Английский
Citations
11
Dysphagia, Journal Year: 2024, Volume and Issue: 39(5), P. 872 - 880
Published: Feb. 8, 2024
Several scales to assess pharyngeal residue in Fiberoptic Endoscopic Evaluation of Swallowing (FEES) are currently available. The study aimed compare the reliability and applicability real clinical practice among four rating scales: Pooling Score (P-SCORE), Boston Residue Clearance Scale (BRACS), Yale Pharyngeal Severity Rating (YPRSRS), Ordinal (RORS). Twenty-five FEES videos were evaluated times, once for each scale, by speech language pathologists. To test intra-rater reliability, same raters re-assessed two weeks apart. applicability, recorded time required complete assessment perceived difficulty/ease on a visual-analog scale (VAS). inter-rater calculated with Cohen's weighted Kappa Fleiss Kappa, respectively. Time scores compared. analysis showed almost perfect agreement YPRSRS (k = 0.91) RORS 0.83) substantial P-SCORE 0.76) BRACS 0.74). Pairwise comparison no significant differences scales. 0.78) was significantly higher than 0.52, p < 0.001), 0.56, 0.65, 0.005). longest (p 0.001) as most difficult 0.001). easiest 0.05). In conclusion, highest while score. These results will allow clinicians consciously choose which use practice.
Language: Английский
Citations
4
Age and Ageing, Journal Year: 2024, Volume and Issue: 53(3)
Published: March 1, 2024
Abstract Background Ageing process and abnormal protein accumulation in dementia damage neural pathways affecting the swallowing leading to disorder. Objective To estimate prevalence of disorder among older adults with different subtypes. Methods We conducted a systematic search across multiple databases, including PubMed, Embase, Scopus, Web Science OVID Medline. The meta-analysis employed R (version 4.0.2) utilised generalised linear mixed model random-effect approach pooled adults, considering various quality included studies was assessed using Hoy’s criteria. Heterogeneity identified through Cochrane’s Q I2 statistics. further explore heterogeneity, moderator analysis performed identify contributing variables studies. Results Eighteen 12,532 subtypes were enrolled our meta-analysis. 58%, 46.5% for Alzheimer’s dementia, 34.9% Parkinson’s 18.8% vascular 16.3% 12.2% Lewy body dementia. According assessment tools, had highest prevalence, 58% instrumental assessments 39% clinical assessments. Medical history, moderate-to-severe Clinical Dementia Rating, delayed oral phase, pharyngeal phase poor tongue motility contributed heterogeneity Conclusions More than half demonstrate have Our findings offer valuable insights healthcare professionals identification ageing population
Language: Английский
Citations
4
Otolaryngologic Clinics of North America, Journal Year: 2024, Volume and Issue: 57(4), P. 589 - 597
Published: April 4, 2024
Language: Английский
Citations
4