Clinical swallowing assessment in the diagnosis of silent aspiration
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista CEFAC (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-18462020000600509 |
Resumo: | ABSTRACT Purpose: to identify, in the clinical assessment of swallowing, signs indicating silent aspiration in ischemic stroke patients. Methods: forty-six patients were assessed, 17 days being the mean time elapsed from the stroke to the swallowing assessment. The clinical assessment encompassed structural and functional aspects, oximetry monitoring, and cervical auscultation. During the videofluoroscopy examination, the patients were also monitored with pulse oximetry. In both assessments, the patients were given 100 ml of liquid. In the statistical analysis, the exact logistic regression test and odds ratio calculation were used, with a 0.05 significance level. Results: seven, out of the 46 patients, presented aspiration, which was silent in six of them. Change in the cervical auscultation, in the clinical assessment (OR: 18.8; 95% CI: 1.2 - 1000, p = 0.03), was associated with silent aspiration, as detected in the videofluoroscopy. The hawking present in the analysis of the recording (OR: 12.2; 95% CI: 1.23 - ∞, p = 0.03), was associated with possible non-silent laryngotracheal penetrations and aspirations. No change was identified regarding oxygen saturation in patients presented with silent aspiration. Conclusion: the change in cervical auscultation observed in the clinical assessment can indicate silent aspiration in patients affected by an ischemic stroke. |
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Clinical swallowing assessment in the diagnosis of silent aspirationStrokeDeglutition DisordersDeglutitionPneumonia, AspirationABSTRACT Purpose: to identify, in the clinical assessment of swallowing, signs indicating silent aspiration in ischemic stroke patients. Methods: forty-six patients were assessed, 17 days being the mean time elapsed from the stroke to the swallowing assessment. The clinical assessment encompassed structural and functional aspects, oximetry monitoring, and cervical auscultation. During the videofluoroscopy examination, the patients were also monitored with pulse oximetry. In both assessments, the patients were given 100 ml of liquid. In the statistical analysis, the exact logistic regression test and odds ratio calculation were used, with a 0.05 significance level. Results: seven, out of the 46 patients, presented aspiration, which was silent in six of them. Change in the cervical auscultation, in the clinical assessment (OR: 18.8; 95% CI: 1.2 - 1000, p = 0.03), was associated with silent aspiration, as detected in the videofluoroscopy. The hawking present in the analysis of the recording (OR: 12.2; 95% CI: 1.23 - ∞, p = 0.03), was associated with possible non-silent laryngotracheal penetrations and aspirations. No change was identified regarding oxygen saturation in patients presented with silent aspiration. Conclusion: the change in cervical auscultation observed in the clinical assessment can indicate silent aspiration in patients affected by an ischemic stroke.ABRAMO Associação Brasileira de Motricidade Orofacial2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-18462020000600509Revista CEFAC v.22 n.6 2020reponame:Revista CEFAC (Online)instname:Centro de Especialização em Fonoaudiologia Clínica (CEFAC)instacron:CEFAC10.1590/1982-0216/20202268420info:eu-repo/semantics/openAccessFabricio,Mariana ZerbettoPacheco-Castilho,Aline CristinaPontes-Neto,Octavio MarquesDantas,Roberto Oliveiraeng2020-11-09T00:00:00Zoai:scielo:S1516-18462020000600509Revistahttp://www.revistacefac.com.br/https://old.scielo.br/oai/scielo-oai.php||revistacefac@cefac.br1982-02161516-1846opendoar:2020-11-09T00:00Revista CEFAC (Online) - Centro de Especialização em Fonoaudiologia Clínica (CEFAC)false |
dc.title.none.fl_str_mv |
Clinical swallowing assessment in the diagnosis of silent aspiration |
title |
Clinical swallowing assessment in the diagnosis of silent aspiration |
spellingShingle |
Clinical swallowing assessment in the diagnosis of silent aspiration Fabricio,Mariana Zerbetto Stroke Deglutition Disorders Deglutition Pneumonia, Aspiration |
title_short |
Clinical swallowing assessment in the diagnosis of silent aspiration |
title_full |
Clinical swallowing assessment in the diagnosis of silent aspiration |
title_fullStr |
Clinical swallowing assessment in the diagnosis of silent aspiration |
title_full_unstemmed |
Clinical swallowing assessment in the diagnosis of silent aspiration |
title_sort |
Clinical swallowing assessment in the diagnosis of silent aspiration |
author |
Fabricio,Mariana Zerbetto |
author_facet |
Fabricio,Mariana Zerbetto Pacheco-Castilho,Aline Cristina Pontes-Neto,Octavio Marques Dantas,Roberto Oliveira |
author_role |
author |
author2 |
Pacheco-Castilho,Aline Cristina Pontes-Neto,Octavio Marques Dantas,Roberto Oliveira |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Fabricio,Mariana Zerbetto Pacheco-Castilho,Aline Cristina Pontes-Neto,Octavio Marques Dantas,Roberto Oliveira |
dc.subject.por.fl_str_mv |
Stroke Deglutition Disorders Deglutition Pneumonia, Aspiration |
topic |
Stroke Deglutition Disorders Deglutition Pneumonia, Aspiration |
description |
ABSTRACT Purpose: to identify, in the clinical assessment of swallowing, signs indicating silent aspiration in ischemic stroke patients. Methods: forty-six patients were assessed, 17 days being the mean time elapsed from the stroke to the swallowing assessment. The clinical assessment encompassed structural and functional aspects, oximetry monitoring, and cervical auscultation. During the videofluoroscopy examination, the patients were also monitored with pulse oximetry. In both assessments, the patients were given 100 ml of liquid. In the statistical analysis, the exact logistic regression test and odds ratio calculation were used, with a 0.05 significance level. Results: seven, out of the 46 patients, presented aspiration, which was silent in six of them. Change in the cervical auscultation, in the clinical assessment (OR: 18.8; 95% CI: 1.2 - 1000, p = 0.03), was associated with silent aspiration, as detected in the videofluoroscopy. The hawking present in the analysis of the recording (OR: 12.2; 95% CI: 1.23 - ∞, p = 0.03), was associated with possible non-silent laryngotracheal penetrations and aspirations. No change was identified regarding oxygen saturation in patients presented with silent aspiration. Conclusion: the change in cervical auscultation observed in the clinical assessment can indicate silent aspiration in patients affected by an ischemic stroke. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-18462020000600509 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-18462020000600509 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1982-0216/20202268420 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ABRAMO Associação Brasileira de Motricidade Orofacial |
publisher.none.fl_str_mv |
ABRAMO Associação Brasileira de Motricidade Orofacial |
dc.source.none.fl_str_mv |
Revista CEFAC v.22 n.6 2020 reponame:Revista CEFAC (Online) instname:Centro de Especialização em Fonoaudiologia Clínica (CEFAC) instacron:CEFAC |
instname_str |
Centro de Especialização em Fonoaudiologia Clínica (CEFAC) |
instacron_str |
CEFAC |
institution |
CEFAC |
reponame_str |
Revista CEFAC (Online) |
collection |
Revista CEFAC (Online) |
repository.name.fl_str_mv |
Revista CEFAC (Online) - Centro de Especialização em Fonoaudiologia Clínica (CEFAC) |
repository.mail.fl_str_mv |
||revistacefac@cefac.br |
_version_ |
1754122582609625088 |