Risk factors for oropharyngeal dysphagia in cardiovascular diseases
Abstract Some conditions consolidated as risk factors for oropharyngeal dysphagia have already been identified in other diseases, such as neurological. Studies on cardiovascular diseases concentrate in individuals in the postoperative period; thus, it is unknown if these same factors occur in indivi...
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| Format: | Article |
| Language: | English |
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University of São Paulo
2020-05-01
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| Series: | Journal of Applied Oral Science |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100443&tlng=en |
| _version_ | 1819259145439674368 |
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| author | Tatiana Magalhães de ALMEIDA Lívia Maria Silva GOMES Débora AFONSO Daniel MAGNONI Isabela Cardoso Pimentel MOTA João Ítalo Dias FRANÇA Roberta Gonçalves da SILVA |
| author_facet | Tatiana Magalhães de ALMEIDA Lívia Maria Silva GOMES Débora AFONSO Daniel MAGNONI Isabela Cardoso Pimentel MOTA João Ítalo Dias FRANÇA Roberta Gonçalves da SILVA |
| author_sort | Tatiana Magalhães de ALMEIDA |
| collection | DOAJ |
| description | Abstract Some conditions consolidated as risk factors for oropharyngeal dysphagia have already been identified in other diseases, such as neurological. Studies on cardiovascular diseases concentrate in individuals in the postoperative period; thus, it is unknown if these same factors occur in individuals hospitalized for clinical or surgical treatment of these diseases. Objective to correlate predictive risk factors for oropharyngeal dysphagia in individuals with cardiovascular disease admitted at a reference cardiology hospital. Methodology This is a retrospective clinical study. Medical records of 175 individuals hospitalized for clinical and/or surgical treatment at a reference cardiology hospital from January to June 2017, attendants of the Speech-Language Pathology and Nutrition team, were analyzed. Of these, 100 records were included in the study: 41 females and 59 males (mean age 67.56 years). Deaths and individuals from 0 to 18 years were excluded. Stroke, malnutrition, age and prolonged orotracheal intubation were considered predictive risk factors for oropharyngeal dysphagia. Mann-Whitney test and Fisher's test were used for statistical analysis. Results Stroke (OR=2.93 p=0.02), malnutrition (OR=2.89 p=0.02) and prolonged orotracheal intubation (OR=3.94 p=0.02) were statistically significant predictors for oropharyngeal dysphagia within this population. Age below 80 years was not significant (p=0.06), but within octogenarians, significance was found (p=0.033). Conclusion Stroke, malnutrition, prolonged orotracheal intubation and age > 80 years are predictive risk factors for oropharyngeal dysphagia in adult population with cardiovascular diseases. |
| first_indexed | 2024-12-23T19:05:21Z |
| format | Article |
| id | doaj.art-c9eda95127614c9d8c5222c817a89216 |
| institution | Directory Open Access Journal |
| issn | 1678-7765 |
| language | English |
| last_indexed | 2024-12-23T19:05:21Z |
| publishDate | 2020-05-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Journal of Applied Oral Science |
| spelling | doaj.art-c9eda95127614c9d8c5222c817a892162022-12-21T17:34:37ZengUniversity of São PauloJournal of Applied Oral Science1678-77652020-05-012810.1590/1678-7757-2019-0489Risk factors for oropharyngeal dysphagia in cardiovascular diseasesTatiana Magalhães de ALMEIDAhttps://orcid.org/0000-0002-9042-4557Lívia Maria Silva GOMEShttps://orcid.org/0000-0002-7274-4741Débora AFONSOhttps://orcid.org/0000-0003-2702-5585Daniel MAGNONIhttps://orcid.org/0000-0002-1693-4620Isabela Cardoso Pimentel MOTAhttps://orcid.org/0000-0003-0010-9471João Ítalo Dias FRANÇAhttps://orcid.org/0000-0001-5606-5960Roberta Gonçalves da SILVAhttps://orcid.org/0000-0002-2016-3566Abstract Some conditions consolidated as risk factors for oropharyngeal dysphagia have already been identified in other diseases, such as neurological. Studies on cardiovascular diseases concentrate in individuals in the postoperative period; thus, it is unknown if these same factors occur in individuals hospitalized for clinical or surgical treatment of these diseases. Objective to correlate predictive risk factors for oropharyngeal dysphagia in individuals with cardiovascular disease admitted at a reference cardiology hospital. Methodology This is a retrospective clinical study. Medical records of 175 individuals hospitalized for clinical and/or surgical treatment at a reference cardiology hospital from January to June 2017, attendants of the Speech-Language Pathology and Nutrition team, were analyzed. Of these, 100 records were included in the study: 41 females and 59 males (mean age 67.56 years). Deaths and individuals from 0 to 18 years were excluded. Stroke, malnutrition, age and prolonged orotracheal intubation were considered predictive risk factors for oropharyngeal dysphagia. Mann-Whitney test and Fisher's test were used for statistical analysis. Results Stroke (OR=2.93 p=0.02), malnutrition (OR=2.89 p=0.02) and prolonged orotracheal intubation (OR=3.94 p=0.02) were statistically significant predictors for oropharyngeal dysphagia within this population. Age below 80 years was not significant (p=0.06), but within octogenarians, significance was found (p=0.033). Conclusion Stroke, malnutrition, prolonged orotracheal intubation and age > 80 years are predictive risk factors for oropharyngeal dysphagia in adult population with cardiovascular diseases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100443&tlng=enDeglutition DisordersCardiovascular DiseasesStrokeIntratracheal IntubationMalnutrition, Aging |
| spellingShingle | Tatiana Magalhães de ALMEIDA Lívia Maria Silva GOMES Débora AFONSO Daniel MAGNONI Isabela Cardoso Pimentel MOTA João Ítalo Dias FRANÇA Roberta Gonçalves da SILVA Risk factors for oropharyngeal dysphagia in cardiovascular diseases Journal of Applied Oral Science Deglutition Disorders Cardiovascular Diseases Stroke Intratracheal Intubation Malnutrition, Aging |
| title | Risk factors for oropharyngeal dysphagia in cardiovascular diseases |
| title_full | Risk factors for oropharyngeal dysphagia in cardiovascular diseases |
| title_fullStr | Risk factors for oropharyngeal dysphagia in cardiovascular diseases |
| title_full_unstemmed | Risk factors for oropharyngeal dysphagia in cardiovascular diseases |
| title_short | Risk factors for oropharyngeal dysphagia in cardiovascular diseases |
| title_sort | risk factors for oropharyngeal dysphagia in cardiovascular diseases |
| topic | Deglutition Disorders Cardiovascular Diseases Stroke Intratracheal Intubation Malnutrition, Aging |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100443&tlng=en |
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