RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218,
Journal Year:
2023,
Volume and Issue:
4(6), P. e463310 - e463310
Published: June 9, 2023
A
colocação
de
traqueostomia
é
uma
intervenção
médica
frequentemente
usada
para
pessoas
com
condições
respiratórias
complexas.
Dada
a
localização
anatômica
e
via
compartilhada
dos
sistemas
respiratório
alimentar,
pode
ter
consequências
não
intencionais
até
mesmo
adversas,
sendo
dessas
complicações
disfagia.
Objetivos:
identificar
se
predispor
Materiais
métodos:
Trata-se
revisão
integrativa,
em
que
questão
norteadora
foi
“Traqueostomia
predispõe
disfagia?”.
busca
pelos
artigos
ocorreu
nas
principais
bases
dados
(PubMed
Scielo)
partir
termos
“tracheostomy”,
“dysphagia”
“deglutition
disorders”,
combinados
entre
si
por
operadores
booleanos.
Resultados
discussão:
Os
achados
do
estudo
demonstraram
intubação,
uso
pronação
foram
significativamente
associados
disfagia
orofaríngea.
Mesmo
na
ausência
um
problema
deglutição
antes
da
admissão
hospitalar,
durante
hospitalização
tem
efeito
prejudicial
nos
resultados
funcionais,
especialmente
pacientes
críticos
crônicos
pneumonia
grave
requerem
período
prolongado
cuidados
ventilatórios
invasivos
subsequentemente
traqueostomia.
Conclusão:
Concluímos
Além
disso,
esclarecido
principal
fisiopatologia
devido
à
causar
diminuição
entrada
sensorial,
redução
pressão
subglótica
ar
atrofia
desuso
das
estruturas
laríngeas,
levando,
assim,
Dysphagia,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 5, 2025
Oropharyngeal
dysphagia
(OD)
is
a
prevalent
issue
in
hospitalized
COVID-19
patients.
This
study
aimed
to
determine
swallowing
abnormalities
post-COVID-19
patients
with
OD
and
the
potential
risk
factors
of
aspiration
who
have
recovered
from
COVID-19.
Screening
for
was
done
310
were
discharged
main
university
isolation
hospital
during
period.
A
longitudinal
descriptive
carried
out
on
127
adult
between
ages
24
65
years
failed
screening
at
time
discharge.
Instrumental
assessment
using
fiberoptic
endoscopic
evaluation
(FEES)
one
two
different
points:
one-week
post-discharge
(Group
1)
3-4
weeks
(group
2).
The
prominent
delayed
triggering
reflex,
laryngeal
penetration,
tracheal
aspiration,
as
well
vallecular
pyriform
sinuses
residue
lower
frequencies
milder
degrees
group
2
than
1
Statistically
significant
associations
found
presence
ageusia
anosmia
both
impaired
sensation
reflex.
Significant
detected
following
factors:
higher
Eating
Assessment
Tool
(EAT-10)
scores,
dysphonia,
respiratory
rate,
longer
duration
use
noninvasive
ventilation
(NIV)
and/or
invasive
mechanical
(IMV).
combined
EAT-10
scores
rate
predicted
by
an
overall
percentage
87.1.
Revista CEFAC,
Journal Year:
2025,
Volume and Issue:
27(3)
Published: Jan. 1, 2025
RESUMO
Objetivo:
avaliar
os
aspectos
olfatórios
e
deglutitórios
em
pacientes
com
síndrome
pós-COVID
19.
Métodos:
amostra
composta
por
62
indivíduos
idades
entre
20
91
anos
(52,84
±
16,45),
sendo
a
maioria
do
sexo
masculino
(n=37;
59,68%).
Os
participantes
foram
avaliados
meio
da
olfatometria;
pressão
dos
lábios
língua
avaliação
deglutição,
uso
de
alimentos
três
diferentes
consistências
duas
escalas:
funcional
ingestão
via
oral
American
Speech-Language-Hearing
Association
-
National
Outcomes
Measurement
System.
Para
análise
resultados,
foi
realizada
estatística
descritiva
(média
desvio
padrão)
inferencial
(testes
Qui-Quadrado
T
Student),
adotando-se
5%
nível
significância.
Resultados:
alteração
olfato
esteve
presente
83,71%
amostra,
classificação
média
4,26
1,52
pontos
(hiposmia
moderada)
deglutição
16,13%
casos,
que,
destes,
apresentou
funcional.
valores
médios
foram:
para
45,86
(±
19,93)
kPa,
o
ápice
língua:
31,93
18,45)
kPa
dorso
32,28
17,66)
kPa.
Conclusão:
nos
19
que
participaram
possível
constatar
presença
tanto
distúrbio
quanto
disfagia,
embora
as
hiposmias
tenham
prevalecido
no
grupo
questão.
Frente
ao
exposto,
sugere-se
na
iminência
quadros
doença,
avaliações
sejam
realizadas
forma
rotineira,
uma
vez
tal
virose,
até
momento,
não
extinta.
Revista CEFAC,
Journal Year:
2025,
Volume and Issue:
27(3)
Published: Jan. 1, 2025
ABSTRACT
Purpose:
to
evaluate
the
olfactory
and
swallowing
aspects
in
patients
with
post-COVID-19
syndrome.
Methods:
sample
comprised
62
individuals
aged
between
20
91
years
(52.84
±
16.45),
predominantly
males
(n=37;
59.68%).
They
were
evaluated
by
olfactometry
(Connecticut
test),
lip
tongue
pressure
(PLL
equipment
from
Pró-Fono®),
assessment,
using
foods
three
different
consistencies
two
scales,
FOIS
ASHA-NOMS.
Descriptive
statistics
(mean
standard
deviation)
inferential
(Chi-Square
Student's
t-tests)
performed
analyze
results,
adopting
5%
as
statistical
significance.
Results:
an
altered
sense
of
smell
was
present
83.71%
sample,
average
score
4.26
1.52
points
(moderate
hyposmia)
impaired
16.13%
cases,
which
majority
presented
functional
swallowing.
The
values
were:
for
lips
45.86
(±
19.93)
kPa,
apex
31.93
18.45)
dorsum
32.28
17.66)
kPa.
Conclusion:
syndrome
who
participated
it
possible
observe
presence
both
disturbance
dysphagia,
although
hyposmia
prevailed
group
question.
Given
above,
is
suggested
that
event
outbreak
disease,
assessments
should
be
carried
out
routinely,
since
this
virus
has
not
yet
been
eradicated.
Aging and Disease,
Journal Year:
2023,
Volume and Issue:
15(2), P. 927 - 927
Published: Aug. 2, 2023
COVID-19
hospital
mortality
is
higher
among
older
patients
through
as
yet
little-known
factors.
We
aimed
to
assess
the
effect
of
frailty
(FR),
oropharyngeal
dysphagia
(OD)
and
malnutrition
(MN)
on
in
hospitalized
patients.
Prospective
cohort
study
(>70
years)
with
admitted
a
general
from
April
2020
January
2021.
Patients
were
evaluated
admission,
discharge
at
1-
3-months
follow
up.
FR
was
assessed
FRAIL-VIG,
OD
Volume-Viscosity
Swallowing
Test
MN
GLIM
criteria.
Clinical
characteristics
outcomes,
including
intra-hospital,
3-month
mortality,
analyzed.
258
included
(82.5±7.6
years;
58.9%
women);
66.7%
had
(mild
28.7%,
moderate
27.1%
severe
10.9%);
65.4%,
50.6%,
MN.
prevalence
increased
non-FR
severity
levels
FR:
mild,
(29.8%,
71.6%,
90.0%,
96.2%;
p<0.0001,
respectively),
but
not
that
(50.6%,
47.1%,
52.5%,
56.0%).
Mortality
over
whole
significantly
across
categories
(9.3%
non-FR;
23.0%
mild;
35.7%
moderate;
75.0%
severe;
p<.001).
Functionality
(Barthel
pre-admission,
HR=0.983,
CI-95%:0.973-0.993;
p=0.001),
(HR=2.953,
CI-95%:0.970-8.989;
p=0.057)
(HR=4.279,
CI-95%:1.658-11.049;
p=0.003)
independent
risk
factors
for
intra-hospital
mortality.
FR,
are
highly
prevalent
conditions
COVID-19.
Functionality,
Topics in Clinical Nutrition,
Journal Year:
2024,
Volume and Issue:
unknown
Published: May 17, 2024
This
study
investigated
the
use
of
Eating
Assessment
Tool
10
(EAT-10)
in
predicting
clinical
outcomes
older
adults
hospitalized
with
COVID-19
infections
between
February
and
June
2021.
The
EAT-10
was
performed
for
all
patients.
Thirty
one
percent
23%
153
patients
had
oropharyngeal
dysphagia
risk
in-hospital
mortality,
respectively.
Older
age
(hazard
ratio:
1.08;
95%
confidence
interval,
1.03-1.13;
P
=
.003)
higher
score
1.02;
1.01-1.04;
.043)
were
associated
mortality.
having
increased
independently
a
mortality
COVID-19.
BMC Pulmonary Medicine,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: June 10, 2024
Abstract
Background
The
mortality
of
pneumonia
in
older
adults
surpasses
that
other
populations,
especially
with
the
prevalence
coronavirus
disease
2019
(COVID-19).
Under
influence
multiple
factors,
a
series
geriatric
syndromes
brought
on
by
age
is
one
main
reasons
for
poor
prognosis
pneumonia.
This
study
attempts
to
analyze
impact
syndrome
Methods
prospective
cross-sectional
study.
Patients
over
65
years
old
COVID-19
and
severe
acute
respiratory
2
(SARS-CoV-2)-negative
community-acquired
(SN-CAP)
were
included
research.
General
characteristics,
laboratory
tests,
length
stay
(LOS),
comprehensive
assessment
(CGA)
collected.
Multivariate
regression
analysis
determine
independent
predictors
severity,
mortality,
LOS
COVID-19.
At
same
time,
enrolled
subjects
divided
into
three
categories
clustering
10
CGA
indicators,
their
clinical
characteristics
prognoses
analyzed.
Results
A
total
792
study,
including
204
SN-CAP
(25.8%)
588
(74.2%)
There
was
no
significant
difference
between
non-severe
regarding
LOS,
(
P
>
0.05),
while
significantly
higher
than
both
<
0.05).
Barthel
Index
used
assess
activities
daily
living
an
risk
factor
severity
linearly
correlated
cluster
based
indicators
patients
groups:
Cluster
1
n
=
276),
named
low
ability
group,
worst
CGA,
LOS;
3
228),
called
high
group
best
above
indicators;
288),
medium
falls
two.
Conclusion
indicates
decreased
are
Geriatric
can
help
judge
adults.