Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Revista de la Universidad Industrial de Santander. Salud
Print version ISSN 0121-0807On-line version ISSN 2145-8464
Abstract
SUAREZ-ESCUDERO, Juan Camilo; MORENO, Lillyana Martínez; GOMEZ RIOS, Elizabeth and RUEDA VALLEJO, Zulma Vanessa. Temporal perception of dysphagia symptoms in a cohort of patients with neurogenic oropharyngeal dysphagia. Rev. Univ. Ind. Santander. Salud [online]. 2023, vol.55, e49. Epub Nov 28, 2023. ISSN 0121-0807. https://doi.org/10.18273/saluduis.55.e:23041.
Introduction:
Dysphagia results from several pathophysiological mechanisms where its symptoms are not static or homogeneous in people, especially when there is neurogenic oropharyngeal dysphagia.
Objective:
To know the perception and behavior over time of symptoms of dysphagia using the Eating Assessment Tool-10 (EAT-10) in patients with neurogenic oropharyngeal dysphagia to visualize the clinical dynamics of this form of dysphagia.
Methodology:
Observational cohort study in patients with neurogenic oropharyngeal dysphagia of neurological and neuromuscular causes with, follow-up at three and six months, and completion of the EAT-10 at baseline, third and sixth month.
Results:
A total of 90 people with baseline evaluation were included, of whom 56.7% (51/90) achieved follow-up at the third month and 25.6% (23/90) at the sixth month. Symptoms of dysphagia with greater self-perception at all three moments were difficulty swallowing solids, sensation of food stuck in the throat and coughing when eating. Odynophagia was not a commonly perceived symptom. The total score of the EAT-10 was between 16.61±9 and 18.1±9.5 points in general. In patients with complete follow-up, variation in self-perception of swallowing liquids and pills was observed. Variation of the score when adjusting for the reception of therapies.
Discussion:
Neurological and neuromuscular diseases directly impact swallowing with mild to profound severity, where self-perception of swallowing symptoms is dynamic, but with cardinal symptoms of oropharyngeal dysphagia over time.
Conclusions:
The recognition and monitoring of dysphagia symptoms should be usual aspects in the care of patients with neurological and neuromuscular diseases.
Keywords : Deglutition disorders; Deglutition; Perception; Neurologic manifestations; Etiology; Signs and symptoms; Symptom assessment; Clinical evolution.