Normal values for swallow events during endoscopic evaluation of swallowing: a preliminary study

European Archives of Oto-Rhino-Laryngology, Journal Year: 2024, Volume and Issue: 281(10), P. 5517 - 5525

Published: July 13, 2024

Language: Английский

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Costs of post-stroke dysphagia during acute hospitalization from a health-insurance perspective

European Stroke Journal, Journal Year: 2022, Volume and Issue: 8(1), P. 361 - 369

Published: Dec. 28, 2022

Oropharyngeal dysphagia is a common and complication-prone symptom after stroke assumed to increase medical expenses. The purpose of this study was therefore examine acute hospitalization costs associated with post-stroke dysphagia.This retrospective included patients who had been examined by Flexible Endoscopic Evaluation Swallowing (FEES). Health insurance expenditures were determined for the patient cases according 2021 revenue criteria. Multiple linear regression used predictors health spending including age, sex, severity, characteristics, comorbidity, therapeutic interventions, duration artificial ventilation, length hospital stay, severity dysphagia, as assessed Fiberoptic Dysphagia Severity Scale (FEDSS), ranging from 1 (best) 6 (worst).Six hundred seventy four (men/women: 367/307; mean age: 71.1 ± 12.8 years; National Institute Stroke Scale: 11.2 6.2; FEDSS 1/2/3/4/5/6: 113/73/144/119/124/101; health-insurance 11,521.5 12,950.5€) in analysis. Advanced age (p = 0.007; B 57.6), catheter interventions < 0.001; 4105.6), tracheotomy 0.006; 5195.2), ventilation 388.6), stay 441.9), severe an 0.004, 2554.3) independent increased 0.001, R-squared adjusted-R-squared 0.83).The results show association between care perspective. Therefore, therapies that target impaired secretion management may have potential reduce costs.

Language: Английский

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Oropharyngeal dysphagia

Elsevier eBooks, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 39

Published: Jan. 1, 2024

Language: Английский

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Oropharyngeal swallowing hydrodynamics of thin and mildly thick liquids in an anatomically accurate throat-epiglottis model

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: May 25, 2024

Abstract Understanding the mechanisms underlying dysphagia is crucial in devising effective, etiology-centered interventions. However, current clinical assessment and treatment of are still more symptom-focused due to our limited understanding sophisticated symptom-etiology associations causing swallowing disorders. This study aimed elucidate giving rise penetration flows into laryngeal vestibule that results aspirations with varying symptoms. Methods: Anatomically accurate, transparent throat models were prepared a 45° down flapped epiglottis simulate instant closure during swallowing. Fluid bolus dynamics visualized fluorescent dye from lateral, rear, front, endoscopic directions capture key hydrodynamic features leading aspiration. Three influencing factors, fluid consistency, liquid dispensing site, speed, systemically evaluated on their roles aspirations. Results: aspiration identified, entering airway through (a) interarytenoid notch (notch overflow), (b) cuneiform tubercle recesses (recess (c) off-edge flow underneath (off-edge capillary flow). Of three factors considered, viscosity has most significant impact rate, followed by site speed. Water had one order magnitude higher risks than 1% w/v methyl cellulose solution, mildly thick liquid. Anterior chances for posterior oropharyngeal both liquids speeds considered. The effects dispending speed varied. A lower increased anterior-dispensed flows, while it significantly reduced posterior-dispensed overflows. Visualizing hydrodynamics multiple orientations facilitates detailed site-specific inspections mechanisms.

Language: Английский

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Management of Dysphagia in Neurodegenerative Disease

Current Otorhinolaryngology Reports, Journal Year: 2023, Volume and Issue: 11(3), P. 352 - 364

Published: May 31, 2023

Language: Английский

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