Screening of dysphagia in geriatrics.
Geriatric population
Non-complaining aging subjects
Oropharyngeal dysphagia
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
19 12 2022
19 12 2022
Historique:
received:
10
08
2022
accepted:
07
12
2022
entrez:
19
12
2022
pubmed:
20
12
2022
medline:
22
12
2022
Statut:
epublish
Résumé
The oropharyngeal dysphagia is an underestimated symptom with various causes in the geriatric population. Clinical presentation is often insidious and dysphagia symptoms are seldomly mentioned by elderly patients although causing many life-threatening complications. The aim of this work was to introduce an easy applicable tool to be used by the caregivers and general practitioners for screening of dysphagia in geriatrics for early detection of at risk individuals. A sample of 200 Egyptian Arabic-speaking elderly patients (65 years or older) not complaining of dysphagia was recruited from nursing homes in Greater Cairo Area. They or their caregivers completed the designed screening tool, including; the designed questionnaires of dysphagia manifestations and eating habits. General, oral motor and bedside evaluation were also performed. In addition to filling in the EAT10 questionnaire and FEES that was performed for only suspected cases for the purpose of validation of the screening tool. The dysphagia manifestations questionnaire was significantly correlated with EAT 10 with p value of 0.001. It was correlated in some of its aspects with FEES showing quite reliability with p values' range between 0.012 and 0.044. The Questionnaire of eating habits reliability of r- value of 0.568 slightly exceeding EAT10 reliability of r -value of 0.721 in the subjects under study. The cutoff point of total score of the dysphagia manifestations was > 5, with a sensitivity of 17.65% & a specificity of 94.20%. The cutoff point of total score of the bedside evaluation was ≤ 1 with a sensitivity of 66.9% & a specificity of 56.9%. the use of this easy applicable screening tool managed to suspect and later on diagnose cases with oropharyngeal dysphagia in non-complaining aging subjects.
Sections du résumé
BACKGROUND
The oropharyngeal dysphagia is an underestimated symptom with various causes in the geriatric population. Clinical presentation is often insidious and dysphagia symptoms are seldomly mentioned by elderly patients although causing many life-threatening complications. The aim of this work was to introduce an easy applicable tool to be used by the caregivers and general practitioners for screening of dysphagia in geriatrics for early detection of at risk individuals.
METHODS
A sample of 200 Egyptian Arabic-speaking elderly patients (65 years or older) not complaining of dysphagia was recruited from nursing homes in Greater Cairo Area. They or their caregivers completed the designed screening tool, including; the designed questionnaires of dysphagia manifestations and eating habits. General, oral motor and bedside evaluation were also performed. In addition to filling in the EAT10 questionnaire and FEES that was performed for only suspected cases for the purpose of validation of the screening tool.
RESULTS
The dysphagia manifestations questionnaire was significantly correlated with EAT 10 with p value of 0.001. It was correlated in some of its aspects with FEES showing quite reliability with p values' range between 0.012 and 0.044. The Questionnaire of eating habits reliability of r- value of 0.568 slightly exceeding EAT10 reliability of r -value of 0.721 in the subjects under study. The cutoff point of total score of the dysphagia manifestations was > 5, with a sensitivity of 17.65% & a specificity of 94.20%. The cutoff point of total score of the bedside evaluation was ≤ 1 with a sensitivity of 66.9% & a specificity of 56.9%.
CONCLUSION
the use of this easy applicable screening tool managed to suspect and later on diagnose cases with oropharyngeal dysphagia in non-complaining aging subjects.
Identifiants
pubmed: 36536306
doi: 10.1186/s12877-022-03685-1
pii: 10.1186/s12877-022-03685-1
pmc: PMC9764511
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
981Informations de copyright
© 2022. The Author(s).
Références
Langenbecks Arch Surg. 2022 Mar;407(2):529-540
pubmed: 34750673
Am J Clin Nutr. 1997 Aug;66(2):460S-463S
pubmed: 9250133
Neurol Res Pract. 2021 May 4;3(1):23
pubmed: 33941289
Folia Phoniatr Logop. 2015;67(5):231-7
pubmed: 26844779
Dysphagia. 2016 Apr;31(2):214-22
pubmed: 26753926
Otolaryngol Head Neck Surg. 2009 Jan;140(1):33-6
pubmed: 19130958
J Prosthet Dent. 2002 Jun;87(6):667-73
pubmed: 12131890
Nutrients. 2022 Feb 25;14(5):
pubmed: 35267957
J Am Med Dir Assoc. 2008 Feb;9(2):128-35
pubmed: 18261707
Acta Otolaryngol. 2011 Dec;131(12):1319-25
pubmed: 21916773
Am J Prev Med. 2005 Jan;28(1):65-9
pubmed: 15626557
Alzheimer Dis Assoc Disord. 1994 Fall;8(3):177-89
pubmed: 7986487
Exp Brain Res. 2007 Jan;176(1):12-22
pubmed: 16896984
Clin Geriatr Med. 2018 May;34(2):183-189
pubmed: 29661331
Stroke. 1999 Apr;30(4):744-8
pubmed: 10187872
Clin Interv Aging. 2017 Jan 31;12:241-251
pubmed: 28203065
Gastroenterology. 2000 Apr;118(4):678-87
pubmed: 10734019
Geriatr Gerontol Int. 2017 Feb;17(2):295-301
pubmed: 26800427
Dysphagia. 2016 Feb;31(1):90-6
pubmed: 26525059
Otolaryngol Clin North Am. 2018 Aug;51(4):769-777
pubmed: 29779617
Gastroenterology. 1992 Sep;103(3):823-9
pubmed: 1499933
J Am Med Dir Assoc. 2017 Jul 1;18(7):576-582
pubmed: 28412164
Neuroimage. 2009 Feb 1;44(3):982-91
pubmed: 19010424
Dysphagia. 2017 Dec;32(6):785-796
pubmed: 28733775
BMC Geriatr. 2022 May 13;22(1):421
pubmed: 35562667
J Nutr Health Aging. 2016;20(8):806-815
pubmed: 27709229
Odontology. 2009 Jan;97(1):38-42
pubmed: 19184296
J Phys Ther Sci. 2015 Feb;27(2):393-6
pubmed: 25729176
Med Clin (Barc). 2005 May 21;124(19):742-8
pubmed: 15919036
Int J Mol Sci. 2022 Feb 25;23(5):
pubmed: 35269681
Ann Otol Rhinol Laryngol. 2015 May;124(5):351-4
pubmed: 25358607
Age Ageing. 2010 Jan;39(1):2-4
pubmed: 20015854
Dysphagia. 1995 Summer;10(3):192-202
pubmed: 7614861
Eur Geriatr Med. 2018 Apr;9(2):141-148
pubmed: 34654260
Am J Clin Nutr. 1997 Oct;66(4):760-73
pubmed: 9322549
Age Ageing. 2010 Jan;39(1):39-45
pubmed: 19561160
J Nutr Health Aging. 2018;22(10):1246-1252
pubmed: 30498833
BMC Geriatr. 2022 Aug 31;22(1):719
pubmed: 36042405
Dysphagia. 2007 Apr;22(2):100-7
pubmed: 17347905
J Nutr Health Aging. 2015 Jun;19(6):637-45
pubmed: 26054500
Laryngoscope. 2010 Nov;120(11):2147-52
pubmed: 20938951
Clin Interv Aging. 2016 Oct 07;11:1403-1428
pubmed: 27785002
J Clin Forensic Med. 2006 Apr;13(3):135-8
pubmed: 16356749
J Am Med Dir Assoc. 2019 Feb;20(2):147-151
pubmed: 30249360
Neurobiol Aging. 2010 Jun;31(6):1044-50
pubmed: 18715676
Ann Otol Rhinol Laryngol. 2008 Dec;117(12):919-24
pubmed: 19140539
Dysphagia. 2017 Dec;32(6):759-766
pubmed: 28687869
J Am Med Dir Assoc. 2018 Feb;19(2):141-147.e2
pubmed: 29030310
Clin Nutr. 2015 Jun;34(3):436-42
pubmed: 24882372
J Cachexia Sarcopenia Muscle. 2015 Dec;6(4):287-302
pubmed: 26675762
Restor Dent Endod. 2017 May;42(2):152-155
pubmed: 28503482
Acta Otorhinolaryngol Ital. 2008 Aug;28(4):206-11
pubmed: 18939710
Clin Nutr. 2019 Feb;38(1):303-309
pubmed: 29398338
J Gerontol A Biol Sci Med Sci. 2017 Sep 01;72(9):1290-1294
pubmed: 27707804
Neurogastroenterol Motil. 2010 Aug;22(8):851-8, e230
pubmed: 20529208
Stroke. 2005 Dec;36(12):2756-63
pubmed: 16269630
Front Endocrinol (Lausanne). 2016 Jun 20;7:69
pubmed: 27379021
J Am Med Dir Assoc. 2014 Dec;15(12):938-42
pubmed: 25306294