Clinical and etiological characterization of a sam-ple of children and adults with dysphagia treated in two healthcare centers in Medellín/Colombia: a retrospective study

Introduction: Dysphagia is a frequent disorder throughout the life cycle, which has different etiolo-gies in relation to its clinical type in oropharyngeal or esophageal.Objective: Clinical and etiological characterization of a sample with dysphagia attended in two health care center...

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Main Authors: Suárez-Escudero, Juan Camilo, Alarcón-Bolívar, Daniela, Correa-Hernández, Sergio Andrés, Bechara-Mestra, María Daniela, Larios-Gómez, Michelle, Toro-Correa, Sara, Gil-Serna, Juan José, Isaza-Arias, John Alejandro
Format: Article
Language:Spanish
Published: Universidad de Antioquia 2022-07-01
Series:Iatreia
Subjects:
Online Access:https://revistas.udea.edu.co/index.php/iatreia/article/view/344559/20808595
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author Suárez-Escudero, Juan Camilo
Alarcón-Bolívar, Daniela
Correa-Hernández, Sergio Andrés
Bechara-Mestra, María Daniela
Larios-Gómez, Michelle
Toro-Correa, Sara
Gil-Serna, Juan José
Isaza-Arias, John Alejandro
author_facet Suárez-Escudero, Juan Camilo
Alarcón-Bolívar, Daniela
Correa-Hernández, Sergio Andrés
Bechara-Mestra, María Daniela
Larios-Gómez, Michelle
Toro-Correa, Sara
Gil-Serna, Juan José
Isaza-Arias, John Alejandro
author_sort Suárez-Escudero, Juan Camilo
collection DOAJ
description Introduction: Dysphagia is a frequent disorder throughout the life cycle, which has different etiolo-gies in relation to its clinical type in oropharyngeal or esophageal.Objective: Clinical and etiological characterization of a sample with dysphagia attended in two health care centers in the city of Medellín (Colombia), showing the etiology and clinical type of dysphagia according to age groups. Methods: Observational, descriptive, and retrospective study, through the review and analysis of and clinical records of patients with a diagnosis of dysphagia, treated between 2012 and 2018 in a university hospital and a speech therapy center in swallowing. Results: Sample of 527 patients. Distributed in tho-se under 18 years 45.4% (239/527); 18 to 59: 20.1% (106/527) and over 60: 34.5% (182/527). Clinical type, etiology, and most frequent health condition in the entire sample: oropharyngeal dysphagia, functional etiology, and neurological diseases. The most frequent conditions causing dysphagia in children under 18 years of age were childhood development disorders; group 18 to 59 years, cancer and, in those over 60 years of age, neurodegenerative processes. Conclusion: Oropharyngeal dysphagia due to functional etiology is common throughout the life cycle, and neurological diseases seem to largely explain its pathophysiology. In older adults it is associated with neurodegenerative disorders, and in those under 60 years of age (including children) the etiology is diverse. Its causes and clinical characteristics must be considered for promotion, diagnosis, treatment, and rehabilitation processes.
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spelling doaj.art-14cf8c1c07fc4a6ebcd940fed59c0c272022-12-22T01:55:16ZspaUniversidad de AntioquiaIatreia0121-07932011-79652022-07-0135324925710.17533/10.17533/udea.iatreia.13841876Clinical and etiological characterization of a sam-ple of children and adults with dysphagia treated in two healthcare centers in Medellín/Colombia: a retrospective studySuárez-Escudero, Juan Camilo0https://orcid.org/0000-0003-0716-561XAlarcón-Bolívar, Daniela1https://orcid.org/0000-0002-6864-4924Correa-Hernández, Sergio Andrés2https://orcid.org/0000-0001-6292-7985Bechara-Mestra, María Daniela3https://orcid.org/0000-0002-2347-4255Larios-Gómez, Michelle4https://orcid.org/0000-0002-1198-3933Toro-Correa, Sara5https://orcid.org/0000-0002-9871-3337Gil-Serna, Juan José6Isaza-Arias, John Alejandro7Universidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaUniversidad Pontificia Bolivariana, Medellín, AntioquiaIntroduction: Dysphagia is a frequent disorder throughout the life cycle, which has different etiolo-gies in relation to its clinical type in oropharyngeal or esophageal.Objective: Clinical and etiological characterization of a sample with dysphagia attended in two health care centers in the city of Medellín (Colombia), showing the etiology and clinical type of dysphagia according to age groups. Methods: Observational, descriptive, and retrospective study, through the review and analysis of and clinical records of patients with a diagnosis of dysphagia, treated between 2012 and 2018 in a university hospital and a speech therapy center in swallowing. Results: Sample of 527 patients. Distributed in tho-se under 18 years 45.4% (239/527); 18 to 59: 20.1% (106/527) and over 60: 34.5% (182/527). Clinical type, etiology, and most frequent health condition in the entire sample: oropharyngeal dysphagia, functional etiology, and neurological diseases. The most frequent conditions causing dysphagia in children under 18 years of age were childhood development disorders; group 18 to 59 years, cancer and, in those over 60 years of age, neurodegenerative processes. Conclusion: Oropharyngeal dysphagia due to functional etiology is common throughout the life cycle, and neurological diseases seem to largely explain its pathophysiology. In older adults it is associated with neurodegenerative disorders, and in those under 60 years of age (including children) the etiology is diverse. Its causes and clinical characteristics must be considered for promotion, diagnosis, treatment, and rehabilitation processes.https://revistas.udea.edu.co/index.php/iatreia/article/view/344559/20808595deglutitiondeglutition disordersetiologyneurologic manifestations
spellingShingle Suárez-Escudero, Juan Camilo
Alarcón-Bolívar, Daniela
Correa-Hernández, Sergio Andrés
Bechara-Mestra, María Daniela
Larios-Gómez, Michelle
Toro-Correa, Sara
Gil-Serna, Juan José
Isaza-Arias, John Alejandro
Clinical and etiological characterization of a sam-ple of children and adults with dysphagia treated in two healthcare centers in Medellín/Colombia: a retrospective study
Iatreia
deglutition
deglutition disorders
etiology
neurologic manifestations
title Clinical and etiological characterization of a sam-ple of children and adults with dysphagia treated in two healthcare centers in Medellín/Colombia: a retrospective study
title_full Clinical and etiological characterization of a sam-ple of children and adults with dysphagia treated in two healthcare centers in Medellín/Colombia: a retrospective study
title_fullStr Clinical and etiological characterization of a sam-ple of children and adults with dysphagia treated in two healthcare centers in Medellín/Colombia: a retrospective study
title_full_unstemmed Clinical and etiological characterization of a sam-ple of children and adults with dysphagia treated in two healthcare centers in Medellín/Colombia: a retrospective study
title_short Clinical and etiological characterization of a sam-ple of children and adults with dysphagia treated in two healthcare centers in Medellín/Colombia: a retrospective study
title_sort clinical and etiological characterization of a sam ple of children and adults with dysphagia treated in two healthcare centers in medellin colombia a retrospective study
topic deglutition
deglutition disorders
etiology
neurologic manifestations
url https://revistas.udea.edu.co/index.php/iatreia/article/view/344559/20808595
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