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Revista de la Universidad Industrial de Santander. Salud
versão impressa ISSN 0121-0807versão On-line ISSN 2145-8464
Resumo
SUAREZ-ESCUDERO, Juan Camilo; MORENO, Lillyana Martínez; GOMEZ RIOS, Elizabeth e 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 28-Nov-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.
Palavras-chave : Deglutition disorders; Deglutition; Perception; Neurologic manifestations; Etiology; Signs and symptoms; Symptom assessment; Clinical evolution.