Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario

Background: Swallowing disorders are common in hospitalized patients. Functional endoscopic evaluation of swallowing (FEES) is a simple, safe and effective test for the diagnosis and monitoring of these disorders. Aim: To report the results of functional endoscopic swallowing evaluation. Material an...

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Autores principales:	Cabezón A,Rodrigo, Ramírez R,Constanza, Badía V,Pedro, León M,Norma, Fonseca A,Ximena
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Deglutition disorders dysphagia Intubation gastrointestinal
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000800007
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spelling	oai:scielo:S0034-988720110008000072011-12-20Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitarioCabezón A,RodrigoRamírez R,ConstanzaBadía V,PedroLeón M,NormaFonseca A,Ximena Deglutition disorders dysphagia Intubation gastrointestinal Background: Swallowing disorders are common in hospitalized patients. Functional endoscopic evaluation of swallowing (FEES) is a simple, safe and effective test for the diagnosis and monitoring of these disorders. Aim: To report the results of functional endoscopic swallowing evaluation. Material and Methods: Retrospective review of all records of functional swallowing evaluation procedures performed in a 6 months period. Results: A total of 327 evaluations were analyzed. Sixty seven percent were performed for the first time in a patient and 32.4% were follow-up evaluations. Mean age of patients was 73 ± 17 (SD) years and 56% were male. Twenty nine percent had prolonged orotracheal intubation (> 48 hours). Swallowing was evaluated as normal, mildly, moderately and severely altered in 8.2, 27, 27 and 38% of cases, respectively. Age (> 50 years) and orotracheal intubation were the most important predictors of severity (p = 0,01). Oral feeding was achieved during hospital stay in 78 and 55 % of patients with moderate or severe swallowing disorders, respectively, after a delay of 8.7 and 14.3 days, respectively. Having a severe swallowing disorder during the first evaluation, increased fourfold the risk of gastrostomy. Conclusions: Most hospitalized patients with swallowing disorders achieve oral feeding before leaving hospital. Safe oral feeding is delayed as swallowing disorder is of greater severity.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.8 20112011-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000800007es10.4067/S0034-98872011000800007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Deglutition disorders dysphagia Intubation gastrointestinal
spellingShingle	Deglutition disorders dysphagia Intubation gastrointestinal Cabezón A,Rodrigo Ramírez R,Constanza Badía V,Pedro León M,Norma Fonseca A,Ximena Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario
description	Background: Swallowing disorders are common in hospitalized patients. Functional endoscopic evaluation of swallowing (FEES) is a simple, safe and effective test for the diagnosis and monitoring of these disorders. Aim: To report the results of functional endoscopic swallowing evaluation. Material and Methods: Retrospective review of all records of functional swallowing evaluation procedures performed in a 6 months period. Results: A total of 327 evaluations were analyzed. Sixty seven percent were performed for the first time in a patient and 32.4% were follow-up evaluations. Mean age of patients was 73 ± 17 (SD) years and 56% were male. Twenty nine percent had prolonged orotracheal intubation (> 48 hours). Swallowing was evaluated as normal, mildly, moderately and severely altered in 8.2, 27, 27 and 38% of cases, respectively. Age (> 50 years) and orotracheal intubation were the most important predictors of severity (p = 0,01). Oral feeding was achieved during hospital stay in 78 and 55 % of patients with moderate or severe swallowing disorders, respectively, after a delay of 8.7 and 14.3 days, respectively. Having a severe swallowing disorder during the first evaluation, increased fourfold the risk of gastrostomy. Conclusions: Most hospitalized patients with swallowing disorders achieve oral feeding before leaving hospital. Safe oral feeding is delayed as swallowing disorder is of greater severity.
author	Cabezón A,Rodrigo Ramírez R,Constanza Badía V,Pedro León M,Norma Fonseca A,Ximena
author_facet	Cabezón A,Rodrigo Ramírez R,Constanza Badía V,Pedro León M,Norma Fonseca A,Ximena
author_sort	Cabezón A,Rodrigo
title	Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario
title_short	Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario
title_full	Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario
title_fullStr	Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario
title_full_unstemmed	Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario
title_sort	evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: experiencia en un hospital clínico universitario
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000800007
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Evaluación de la deglución con nasofibroscopia en pacientes hospitalizados: factores predictivos y seguimiento intrahospitalario: Experiencia en un hospital clínico universitario

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