Is silent aspiration a risk factor for respiratory infection in Parkinson’s disease patients?

Detalhes bibliográficos
Autor(a) principal: Nóbrega, Ana Caline
Data de Publicação: 2008
Outros Autores: Rodrigues, Bernardo, Melo, Ailton de Souza
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5953
Resumo: Acesso restrito: Texto completo. p. 646-648
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spelling Nóbrega, Ana CalineRodrigues, BernardoMelo, Ailton de SouzaNóbrega, Ana CalineRodrigues, BernardoMelo, Ailton de Souza2012-05-24T14:21:37Z20081353-8020http://www.repositorio.ufba.br/ri/handle/ri/5953v. 14, n. 8Acesso restrito: Texto completo. p. 646-648Objective: To assess if silent aspiration is a risk factor for respiratory infection in patients with Parkinson’s disease (PD). Method: From February 2006 to June 2006, 19 PD patients with diurnal sialorrhea were evaluated by swallow videofluoroscopy (VF). Two patients moved away and contact with them was lost. The other patients were divided into two groups according to the presence or absence of penetration/aspiration and were followed up for 1 year. During this period, patients were assessed for airway infections, hospital admissions, weight loss, use of nasoenteral or gastric tube and to detect cases of death. Results: Silent laryngeal penetration or silent aspiration (SLP/SA) was observed in four patients. During the follow up period, three of the four patients with SLP/SA developed respiratory infection, and one of the 13 patients who did not show SLP/SA had airway infection (RR ¼ 9.75, 95% CI: 1.36e69.65). Two patients with SLP/SA developed airway infection and died, and there were two deaths in the group who had not been diagnosed for SLP/SA, one due to cardiac arrest and the other related to pancreatic cancer. Conclusion: The results suggest that patients with Parkinson’s disease with diurnal sialorrhea and SLP/SA have an increased risk of respiratory infections, which is the main cause of death in PD patients. The data support a greater emphasis on preventive interventions for silent aspirations and silent penetration to improve survival in patients with Parkinson’s disease. 2008 Elsevier Ltd. 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dc.title.pt_BR.fl_str_mv Is silent aspiration a risk factor for respiratory infection in Parkinson’s disease patients?
dc.title.alternative.pt_BR.fl_str_mv Parkinsonism & Related Disorders
title Is silent aspiration a risk factor for respiratory infection in Parkinson’s disease patients?
spellingShingle Is silent aspiration a risk factor for respiratory infection in Parkinson’s disease patients?
Nóbrega, Ana Caline
Parkinson’s disease
Pneumonia
Respiratory infection
Silent aspiration
Swallowing
title_short Is silent aspiration a risk factor for respiratory infection in Parkinson’s disease patients?
title_full Is silent aspiration a risk factor for respiratory infection in Parkinson’s disease patients?
title_fullStr Is silent aspiration a risk factor for respiratory infection in Parkinson’s disease patients?
title_full_unstemmed Is silent aspiration a risk factor for respiratory infection in Parkinson’s disease patients?
title_sort Is silent aspiration a risk factor for respiratory infection in Parkinson’s disease patients?
author Nóbrega, Ana Caline
author_facet Nóbrega, Ana Caline
Rodrigues, Bernardo
Melo, Ailton de Souza
author_role author
author2 Rodrigues, Bernardo
Melo, Ailton de Souza
author2_role author
author
dc.contributor.author.fl_str_mv Nóbrega, Ana Caline
Rodrigues, Bernardo
Melo, Ailton de Souza
Nóbrega, Ana Caline
Rodrigues, Bernardo
Melo, Ailton de Souza
dc.subject.por.fl_str_mv Parkinson’s disease
Pneumonia
Respiratory infection
Silent aspiration
Swallowing
topic Parkinson’s disease
Pneumonia
Respiratory infection
Silent aspiration
Swallowing
description Acesso restrito: Texto completo. p. 646-648
publishDate 2008
dc.date.issued.fl_str_mv 2008
dc.date.accessioned.fl_str_mv 2012-05-24T14:21:37Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5953
dc.identifier.issn.none.fl_str_mv 1353-8020
dc.identifier.number.pt_BR.fl_str_mv v. 14, n. 8
identifier_str_mv 1353-8020
v. 14, n. 8
url http://www.repositorio.ufba.br/ri/handle/ri/5953
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1016/j.parkreldis.2007.12.007
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reponame_str Repositório Institucional da UFBA
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