成人和老年人口腔健康状况不佳:透视吞咽研究的横断面分析。

IF 2.2 3区 医学 Q1 OTORHINOLARYNGOLOGY
Rafaela Soares Rech, Fernando Neves Hugo, Gabriela Soares Rech, Juliana Balbinot Hilgert
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引用次数: 0

摘要

在成人和老年人中,通过透视检查时吞咽来确定与喉气管吸入相关的口腔健康变量。这项横断面研究包括225名年龄在18岁或以上的患者,他们因疑似吞咽困难而被转诊进行临床评估和透视检查。口腔健康状况评估包括自我报告的牙齿数量、假牙的使用和适合度、口干症和咀嚼满意度。牙齿的数量和假牙的适合度也由言语治疗师进行临床评估。视频透视检查遵循标准化的方案。使用O'Neill吞咽量表评估吞咽困难的存在和严重程度。吞咽困难严重程度和结果量表定义了喉气管穿透或吸入食物的发生情况。结果以患病率和95%置信区间表示。在R版本4.2.1上运行具有鲁棒方差的泊松回归。用于估计与吞咽困难和误吸的关系。在多变量吸入模型中,以下因素与上弓相关:种植体不合适的部分牙列、固定义齿(单个或多个)或可移动部分义齿(PR, 3.45;95% CI, 1.15-10.41),部分牙列未修复修复(PR, 4.05;95% CI, 1.46-11.22),配合良好的常规全口义齿(PR, 4.82;95% CI, 1.29-17.92)和无全牙义齿(PR, 7.22;95% ci, 2.25-23.10)。对于下弓,相关因素包括:牙槽牙症与不合适的传统全假体(PR, 8.99;95% CI, 1.85-43.44),不含义齿的部分牙列(PR, 6.76;95% CI, 1.67-27.84)和无义齿全牙(PR, 8.69;95% ci, 1.86-40.63)。本研究强调了口腔健康状况不佳、吞咽困难和吸入性喉气管之间的显著关联,强调了语言病理学和牙科之间综合护理的必要性。我们的研究结果为未来的研究提供了基础,未来的研究将包括更强大的研究设计和口腔检查,以探索解释口腔健康、吞咽困难和误吸之间关系的潜在机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Poor Oral Health in Adults and Older Adults: A Cross-Sectional Analysis of Videofluoroscopic Swallowing Studies.

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.

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来源期刊
Dysphagia
Dysphagia 医学-耳鼻喉科学
CiteScore
4.90
自引率
15.40%
发文量
149
审稿时长
6-12 weeks
期刊介绍: Dysphagia aims to serve as a voice for the benefit of the patient. The journal is devoted exclusively to swallowing and its disorders. The purpose of the journal is to provide a source of information to the flourishing dysphagia community. Over the past years, the field of dysphagia has grown rapidly, and the community of dysphagia researchers have galvanized with ambition to represent dysphagia patients. In addition to covering a myriad of disciplines in medicine and speech pathology, the following topics are also covered, but are not limited to: bio-engineering, deglutition, esophageal motility, immunology, and neuro-gastroenterology. The journal aims to foster a growing need for further dysphagia investigation, to disseminate knowledge through research, and to stimulate communication among interested professionals. The journal publishes original papers, technical and instrumental notes, letters to the editor, and review articles.
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