Dysphagia最新文献

{"title":"Adaptation and Validation of the Sydney Swallow Questionnaire into Kannada (KSSQ).","authors":"Srirangam Vijayakumar Narasimhan, Dhanashekar Divyashree","doi":"10.1007/s00455-024-10748-5","DOIUrl":"10.1007/s00455-024-10748-5","url":null,"abstract":"<p><p>Self-rating questionnaires are necessary to quantify the impairment and the impact of impairment on the quality of life, provided that these questionnaires are delivered in the patient's native language. There are no questionnaires to assess the symptom severity of oropharyngeal dysphagia in Kannada-speaking individuals. The Sydney Swallow Questionnaire (SSQ) is one such explicit tool to assess the symptoms of dysphagia, especially among patients with oropharyngeal dysphagia. The SSQ is a simple and easy-to-understand questionnaire. Therefore, the present study aimed to adapt and validate the SSQ in Kannada. English version of the SSQ was translated to Kannada and was administered to two groups of native Kannada-speaking participants - Group 1 included 53 participants (66.49 + 12.65 years) diagnosed with oropharyngeal dysphagia, and Group 2 included 53 age and gender-matched native Kannada speakers with normal swallowing ability with no history and symptoms of swallowing disorders. Cronbach's alpha was used to assess the test-retest reliability. Internal consistency was assessed using the split-half correlation. The concurrent validity of the Kannada version of SSQ (KSSQ) was measured by determining the correlation between the total scores of KSSQ and the Kannada version of Dysphagia Handicap Index (DHI). The discriminant validity was assessed by comparing the KSSQ scores between the participants of both groups. The results indicated that the KSSQ had excellent test-retest reliability, strong internal consistency, and good concurrent and discriminant validity. Therefore, it was inferred that the KSSQ is a valid and reliable tool for assessing the symptoms of dysphagia, especially among Kannada-speaking patients with oropharyngeal dysphagia.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":"454-463"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Patients' Dietary Status/Restrictions Following Instrumental Swallow Evaluations in Skilled Nursing Facilities.","authors":"Theresa Hopkins-Rossabi, Amy Lenze, Sarah Carter Lindler, Catherine Hardy, Sarah Labruce Temple","doi":"10.1007/s00455-024-10750-x","DOIUrl":"10.1007/s00455-024-10750-x","url":null,"abstract":"<p><p>Many residents in Skilled Nursing Facilities (SNFs) present with dysphagia and receive altered diets or liquids to minimize the risk of complications. Limited access to timely instrumental evaluations of swallow may impede the best management of these dysphagic residents. De-identified FEES reports completed by a mobile FEES company during a single month, January 2019, were reviewed. Descriptive statistics were used to summarize the pre-study diet/liquid levels and the post-study diet/liquid recommendations. FEES reports (n = 952) were reviewed. Before the FEES evaluation, 209 residents were receiving only non-oral nutrition. After the FEES evaluation, 76% of these residents were recommended to receive oral nutrition. Before the FEES evaluation, 442 (46%) residents were receiving thickened liquids, after the FEES evaluation, 244 (26%) were recommended to have a less restrictive liquid level. Before the FEES evaluation, 576 (60%) residents were receiving altered food texture, after the FEES evaluation, 413 (43%) were recommended to have a less restrictive food texture. The percentage of residents recommended to receive thin liquids increased from 32 to 68% and those recommended to receive a regular diet increased from 18 to 34%. These data indicate that access to instrumental swallow evaluations in the SNF setting generally resulted in lifting liquid and diet restrictions for many residents in the cohort reviewed and potentially improved their quality of life.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":"476-488"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142105472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fluoroscopy Time of Radiologist-Monitored Modified Barium Swallow Exams in Oncology: A 3-year Single Institution Retrospective Study.","authors":"Brinda R Korivi, Carla L Warneke, Mostafa A Shehata, Sheila Buoy, Xiaohui Tang, Madhavi Patnana, Sarah M Palmquist, Sanaz Javadi, Sonia Prithvi Rao, Ronald A Rauch, Mindy X Wang, Khaled M Elsayes, Katherine A Hutcheson","doi":"10.1007/s00455-025-10822-6","DOIUrl":"https://doi.org/10.1007/s00455-025-10822-6","url":null,"abstract":"<p><p>Fluoroscopy time is an important metric for radiation safety, but how it is related to dysphagia severity as graded by Dynamic Grade of Swallowing Toxicity (DIGEST) criteria and other factors in oncology practice is undocumented. We evaluated the fluoroscopy time for the bolus protocol used at the originating institution of the DIGEST method and assessed the relationship between fluoroscopy time and DIGEST grade, exam indication, and additional parameters. Eleven trials, including specified VARIBAR® barium volumes, were included in the standard bolus protocol. Electronic health record (EHR) 2018-2021 databases were sampled in a retrospective STARI-guided DIGEST implementation evaluation for clinically reported DIGEST grades in the EHR and matched to fluoroscopy time. The study sample included 4,162 modified barium swallow (MBS) examinations. Using generalized linear modeling, we tested log-transformed fluoroscopy time associations with Tukey's adjustment for multiple pairwise comparisons. MBS duration ranged from 0.16 to 11.80 min (Median 2.21, IQR 1.98). Fluoroscopy time was associated with exam indication, cancer diagnosis, setting, and DIGEST grade. Fluoroscopy times increased as the DIGEST severity grade worsened (R² = 0.45, p < .0001). MBS indication was also associated with fluoroscopy time (R² = 0.12, p < .0001), with the shortest times for baseline exams and the longest for excluding leaks (Median1.6 vs. 3.5 min). Median fluoroscopy time was shorter among endocrine and metastatic cancer patients and longer among head and neck cancer patients (2 vs. 3 min, R² = 0.02, p < .0001). Inpatient examinations were longer than outpatient (Median 3.1 vs. 2.2 min, R² = 0.02, p < .0001). The bolus protocol was clinically acceptable within ALARA standards. Clinicians should be mindful of increased fluoroscopy time and optimize exams as clinically indicated in patients with severe dysphagia, leak exclusion, and inpatient studies.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Efficacy of Outpatient Swallowing Therapy: A Retrospective Longitudinal Cohort Study.","authors":"Tyler W Crosby, Sonja Molfenter, Matina Balou, Uche C Ezeh, Milan R Amin","doi":"10.1007/s00455-025-10823-5","DOIUrl":"https://doi.org/10.1007/s00455-025-10823-5","url":null,"abstract":"<p><p>Oropharyngeal dysphagia is an independent predictor of poor outcomes in many health conditions and can be targeted directly through swallowing therapy. This study aims to explore the outcomes of outpatient swallowing therapy in clinical practice across a diverse cohort of patients. This was a retrospective, single-site longitudinal cohort study. Patients 18 years or older with dysphagia who completed 7-8 weeks of outpatient swallowing therapy with a pre- and post-treatment videofluoroscopy were included. Therapy employed a progressive swallowing exercise regimen based on the Systematic Exercise for Treatment of Swallowing (SETS) protocol. Outcome measures included the pharyngeal components of the Modified Barium Swallow Impairment Profile, penetration-aspiration scale scores, and diet recommendations using the International Dysphagia Diet Standardization Initiative. 152 patients were included. Swallowing therapy improved all MBSImP component scores except 1, 7, and 13. Therapy improved total pharyngeal impairment scores by 2.66 points (p < .001) and total oral impairment score by 1.41 points (p < .001). Odds of elevated aspiration risk were reduced by 49% (p < .001). Patients were more likely to be on an unmodified food consistency after completion of therapy (OR 26, p = .004), but liquid consistency was not altered (OR 2.0, p = .57). Overall, 44% of patients in the cohort with an efficiency issue improved, and 50% of patients at risk for aspiration pre-therapy improved. Completing a 7-8 week course of exercise-based outpatient swallowing therapy is effective at improving multiple measures of swallowing physiology, safety and efficiency. It can also enable relaxation of diet consistency restrictions based on the IDDSI framework.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Public Awareness and Understanding of Dysphagia: A Representative Survey of US Adults.","authors":"Sonja M Molfenter, R Brynn Jones-Rastelli, Arie Barfield, Drew Cooks, Claire Crossman, Kaiyn Jackson, D'manda Price, Journee C Robinson, Aaron M Johnson","doi":"10.1007/s00455-025-10826-2","DOIUrl":"https://doi.org/10.1007/s00455-025-10826-2","url":null,"abstract":"<p><strong>Purpose: </strong>Dysphagia is a commonly occurring medical condition estimated to occur in between and 10% adults in the US. Despite this relatively high prevalence, the general population's understanding of this condition is currently unknown. Our aims were to (a) conduct a large-scale survey to determine the public's awareness and understanding of dysphagia in comparison to other three other health conditions and (b) compare this knowledge to relative prevalence rates of the conditions.</p><p><strong>Methods: </strong>The survey was designed to measure four constructs of interest comparing dysphagia with insomnia, vertigo and ataxia. Constructs included: (1) Knowledge of the Condition, (2) Source of Knowledge, (3) Health Impact, (4) Treating Medical Professionals. The survey was launched via Qualtrics™ software and participants were recruited and paid using Prolific™. Descriptive statistics were used to compare participants knowledge of dysphagia with the other conditions. To obtain relative prevalence rates, Cosmos was used to quantify the number of Epic-based patient encounters with any ICD-10 code for each condition in 2023 and expressed as a percent of all patient encounters in the US in 2023.</p><p><strong>Results: </strong>2000 adults (n = 1030 female) aged 18-95 (median 49, IQR = 33-62) completed our survey. When asked, 'Do you know what ____ is'? participants expressed higher familiarity with insomnia (99%) and vertigo (87%) in comparison to dysphagia (25%) and ataxia (18%). From a list of 8 options, 99% and 94% participants selected the correct impairment for insomnia and vertigo respectively, compared with 44% correct for dysphagia and 22% for ataxia. Participants selected an appropriate healthcare provider for dysphagia 47% of the time compared with 74% for insomnia, 56% for vertigo and 36% for ataxia. When asked to identify up to 3 sequelae (from a list of 9), only 4% of participants were able to correctly identify all three for dysphagia, in comparison to 16% for ataxia, 27% for vertigo and 60% for insomnia. The Cosmos analysis revealed that while insomnia had the highest prevalence in 2023 (5.5% of patient encounters), dysphagia occurred much more frequently (2.4%) than vertigo (0.68%) and ataxia (0.24%).</p><p><strong>Conclusions: </strong>These discrepancies highlight a notable gap in public awareness between dysphagia and more recognized conditions of insomnia and vertigo, even though the prevalence of dysphagia is higher than vertigo. Increasing public awareness of dysphagia is vital for early intervention, increasing quality of life, and advocating for equitable access to healthcare resources.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Pneumonia in Patients With Penetration-Aspirations Detected on Fiberoptic Endoscopic Evaluation of Swallowing.","authors":"Raviv Allon, Elad Babayof, Yonatan Lahav, Yael Shapira-Galitz","doi":"10.1007/s00455-025-10817-3","DOIUrl":"https://doi.org/10.1007/s00455-025-10817-3","url":null,"abstract":"<p><p>Aspiration pneumonia is a serious condition resulting from swallowing dysfunction. However, predicting high risk patients remains challenging. This study aimed to assess the incidence and risk factors for pneumonia in oropharyngeal dysphagia patients exhibiting episodes of penetration or aspiration during fiberoptic endoscopic swallowing evaluation (FEES). A retrospective analysis was performed on patients who visited a dysphagia clinic between 2016 and 2022, and demonstrated at least one episode of penetration or aspiration during the FEES (Penetration Aspiration Scale [PAS] score ≥ 3). Data collected included demographics, comorbidities and FEES findings. Outcomes included mortality, hospital admissions to treat pneumonia events, and incidents of pneumonia managed by primary care providers or outpatient medical facilities. Statistical analyses included descriptive statistics, chi-squared tests, t-tests, logistic regression and Kaplan-Meier survival analysis. Among 73 patients (mean follow-up: 3.87 ± 1.5 years), 33 (45.2%) exhibited penetration, and 40 (54.8%) aspiration. Pneumonia developed in 41 patients (56%), with 33 (45%) hospitalized. A total of 28 patients (38.4%) died during follow-up. A history of prior pneumonia (OR: 1.374, p = 0.02) and Murray Secretion Scale score (OR: 1.121, p = 0.022) were associated with subsequent pneumonia events. Reduced laryngeal sensation showed a near-significant trend toward association with pneumonia-related hospitalizations in the penetration group (58.3% vs. 19%, P = 0.052). No significant association was found between PAS and pneumonia or mortality. Prior pneumonia and secretions accumulation during FEES significantly predict pneumonia in patients presenting with penetration-aspiration during FEES. Reduced laryngeal sensation showed a nearly-significant trend toward pneumonia-related hospitalizations.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Head and Neck Posture on Swallowing Kinematics and Muscle Activation: A Systematic Review.","authors":"Manuel Matías Ambiado-Lillo","doi":"10.1007/s00455-025-10821-7","DOIUrl":"https://doi.org/10.1007/s00455-025-10821-7","url":null,"abstract":"<p><p>Swallowing is a complex neuromuscular process involving the coordination of anatomical structures in the central and peripheral nervous systems. The posture of the head and neck plays a critical role in the biomechanics of swallowing, especially in populations with dysphagia. This systematic review aims to explore the impact of head-neck posture on swallowing kinematics and muscle activation, providing a multidisciplinary perspective for optimizing dysphagia management.A comprehensive literature search was conducted across three databases: PubMed, Web of Science, and LILACS, adhering to the PRISMA guidelines. Studies that specifically addressed swallowing and posture were included, with 25 studies selected for analysis. The results indicate that cranio-cervical flexion (\"chin-down\" posture) improves laryngeal vestibule closure and reduces aspiration risk, while cranio-cervical extension (\"chin-up posture\") delays hyoid elevation and increases the risk of pharyngeal residue and aspiration. Additionally, excessive cervical muscle tone alters the kinematics of the hyoid bone, compromising the safety and efficiency of swallowing.Postural interventions, such as chin-tuck maneuvers and head rotations, have shown effectiveness in reducing aspiration and improving swallowing efficiency. However, factors such as muscle fatigue and long-term adherence may limit their effectiveness. Individualized approaches that consider the severity of dysphagia and the patient's functional capabilities are essential.This review highlights the need for further research with large-scale randomized controlled trials to better understand the complex interaction between posture and swallowing. A multidisciplinary approach, involving physiotherapists, speech therapists, and neurologists, is crucial for improving therapeutic outcomes in dysphagia rehabilitation.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between the Intensity and Frequency of Swallowing Rehabilitation and Oral Intake at Discharge in Older Patients with Acute Post-stroke Dysphagia.","authors":"Kota Ishizuka, Hayato Yamana, Kojiro Morita, Hiroki Matsui, Hiroyuki Ohbe, Kiyohide Fushimi, Hideo Yasunaga","doi":"10.1007/s00455-025-10809-3","DOIUrl":"https://doi.org/10.1007/s00455-025-10809-3","url":null,"abstract":"<p><p>This retrospective cohort study aimed to clarify the concurrent effects of intensity and frequency of early swallowing rehabilitation for post-stroke dysphagia. Using data from acute-care hospitals included in the Japanese Diagnosis Procedure Combination database between April 2020 and March 2021, we identified patients aged ≥65 years with dysphagia after acute stroke on admission who received swallowing rehabilitation within three days of hospitalization. Swallowing rehabilitation within seven days of hospitalization, starting from admission, was categorized into four types according to intensity (long/short per day) and frequency (high/low proportion of days performed). The primary outcomes were presence of dysphagia and recovery of total oral intake at discharge. Generalized estimating equations were used to assess the effects of rehabilitation intensity and frequency, adjusting for patient and hospital characteristics. Of the 4,669 patients with post-stroke dysphagia, 913 underwent swallowing rehabilitation within three days of hospitalization. The proportions of patients with dysphagia and total oral intake at discharge were 80% and 47%, respectively. The intensity and frequency of swallowing rehabilitation were not associated with dysphagia at discharge. Higher intensity or higher frequency was associated with total oral intake at discharge (odds ratio [95% confidence interval]:1.62 [0.93-2.81], 2.00 [1.11-3.60], and 2.75 [1.59-4.76] for low-intensity and high-frequency, high-intensity and low-frequency, and high-intensity and high-frequency groups, respectively). This nationwide study showed that the intensity and frequency of acute-phase swallowing rehabilitation were not associated with recovery from dysphagia after a stroke. However, they were associated with an improved oral intake at discharge.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Cultural Adaptation and Preliminary Validation of the Italian Version of the Feeding-Swallowing Impact Survey for both Members of Parental Dyads.","authors":"Alessandra Baffi, Valeria Crispiatico, Edoardo Nicolò Aiello, Beatrice Curti, Giulia De Luca, Barbara Poletti, Mariagrazia Buratti, Lorenzo Montali","doi":"10.1007/s00455-025-10816-4","DOIUrl":"https://doi.org/10.1007/s00455-025-10816-4","url":null,"abstract":"<p><p>The Feeding/Swallowing Impact Survey (FS-IS) is the first validated instrument to measure the impact of Pediatric Feeding Disorder (PFD) on their caregivers. This study aimed to translate and adapt the FS-IS into Italian (FS-IS-IT) and analyze its reliability and validity, for both fathers and mothers. The FS-IS-IT was developed using Beaton et al.'s 5-stage process. This cross-sectional study involved 32 dyads of parents of children with PFD and 15 dyads of caregivers of children with developmental disorders without PFD. Twenty caregivers completed the FS-IS-IT questionnaire twice to ensure test-retest reliability. All caregivers completed the Zarit Burden Inventory (ZBI) and the IDDSI Diet Functional Scale for construct validity analysis. ROC analysis was used to evaluating the diagnostic properties of FS-IS-IT in screening between dyads of children with PFD and dyads without these symptoms. The FS-IS-IT was reliable for both fathers and mothers, with satisfactory internal consistency (mothers' McDonald's ω=0.93; fathers' McDonald's ω=0.94) and test-retest reliability (intraclass correlation coefficient > 0.97). Moderate-to-strong statistically significant correlations (mothers: r(32)=0.73; p =.018; fathers: r(32)=-0.42; p=.018). r(32)=-0.41; p=.018). The FSIS-IT was featured by optimal diagnostics (mothers: AUC=0.97; fathers: AUC=0.94), a cut-off of 1.58 for mothers and 1.65 for fathers has shown good specificity and sensitivity. The FS-IS-IT is a reliable and valid tool for the assessment of the impact of PFD and shows optimal diagnostic properties.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poor Oral Health in Adults and Older Adults: A Cross-Sectional Analysis of Videofluoroscopic Swallowing Studies.","authors":"Rafaela Soares Rech, Fernando Neves Hugo, Gabriela Soares Rech, Juliana Balbinot Hilgert","doi":"10.1007/s00455-025-10820-8","DOIUrl":"https://doi.org/10.1007/s00455-025-10820-8","url":null,"abstract":"<p><p>To identify oral health variables associated with laryngotracheal aspiration-related outcomes as determined by swallowing during videofluoroscopy in adults and older adults. This cross-sectional study included 225 persons aged 18 years or older who were referred for clinical evaluation and videofluoroscopy examination due to suspected dysphagia. Oral health status assessment comprised self-reported the number of teeth, use and fit of dentures, xerostomia and satisfaction with chewing. The number of teeth and fit of dentures were also assessed clinically by a speech therapist. Videofluoroscopy followed a standardized protocol. The presence and severity of dysphagia was assessed using the O'Neill Swallowing Scale. The Dysphagia Severity and Outcome Scale defined the occurrence of laryngotracheal penetration or aspiration of food. Results were presented as prevalence ratios and 95% confidence intervals. Poisson regressions with robust variance ran on R version 4.2.1. were used to estimate associations with dysphagia and aspiration. In the multivariate models for aspiration, the following factors were associated with the upper arch: Partial dentition with poorly fitted implants, fixed prostheses (single or multiple), or removable partial dentures (PR, 3.45; 95% CI, 1.15-10.41), partial dentition without rehabilitation with prosthesis (PR, 4.05; 95% CI, 1.46-11.22), edentulism with well-fitted conventional total prosthesis (PR, 4.82; 95% CI, 1.29-17.92), and edentulism without complete dentures (PR, 7.22; 95% CI, 2.25-23.10). For the lower arch, associated factors included: Edentulism with poorly fitted conventional total prosthesis (PR, 8.99; 95% CI, 1.85-43.44), partial dentition without prosthesis (PR, 6.76; 95% CI, 1.67-27.84), and edentulism without prosthesis (PR, 8.69; 95% CI, 1.86-40.63). This study highlights the significant association between poor oral health, dysphagia, and aspiration laryngotracheal, underscoring the need for integrated care between speech-language pathology and dentistry. Our findings provide a foundation for future research that incorporates more robust research designs and oral examinations to explore underlying mechanisms explaining the relation between oral health, dysphagia, and aspiration.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}