Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônica

Detalhes bibliográficos
Autor(a) principal: Silva, Gabriele dos Anjos Palagi da
Data de Publicação: 2021
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Manancial - Repositório Digital da UFSM
dARK ID: ark:/26339/0013000016c37
Texto Completo: http://repositorio.ufsm.br/handle/1/25667
Resumo: Introduction: Swallowing is the act of taking food from the oral cavity to the stomach in a safe way, aiming to protect the airway and maintain the individual's nutritional status. When an abnormality, anatomical or functional, appears at any stage of the swallowing process, the result is the installation of dysphagia. In patients with Chronic Obstructive Pulmonary Disease (COPD), abnormalities in respiratory and ventilatory patterns can interfere with the coordination between swallowing and breathing, leading to dysphagia. In addition, reports indicate that COPD is associated with sleep disorders and excessive daytime sleepiness. Obstructive Sleep Apnea Syndrome (OSAS) and COPD are common clinical conditions, and a large number of COPD patients are expected to present with SOAS. Objective: To characterize and relate the manifestations of sleep and swallowing in individuals with COPD. Methods: This is a cross-sectional study, carried out in the Pulmonary Rehabilitation unit of a University Hospital. The sample includes 37 patients with COPD, of both genders, in outpatient follow-up. The patients were evaluated regarding aspects of body composition, peak expiratory flow, perception of dyspnea (Modified Medical Research Council - mMRC), impact of the disease on health status (COPD Assessment Test - CAT), excessive daytime sleepiness (Scale of Epworth sleepiness - ESS), risk of sleep apnea (Berlin Clinical Questionnaire), modified Mallampati index and symptoms indicative of dysphagia (Questionnaire for Dysphagia Screening - QDS). Data were analyzed using multivariate analysis, the level of significance was set at 5%, with a 95% confidence interval. Results: In this sample consisting of individuals with moderate to severe COPD, 83% of them reported symptoms of swallowing dysfunction assessed by the QDS and 62.2% were at risk for sleep apnea. The CAT, Epworth and Berlin indices predicted 32% of the risk for dysphagia. Conclusion: Among individuals, the high frequency of risk for dysphagia present in 31 (83.8%) of the subjects can be observed. Similarly, the risk for sleep apnea was present in 23 (62.2%) patients in the sample. Furthermore, abnormal sleepiness was observed in 14 (37.8%) of the patients. The impact of the disease on health status, daytime sleepiness scores and risk of sleep apnea were the best predictors of dysphagia risk for COPD among those surveyed. In this sense, it is proposed that assessments of health status, drowsiness and QDS be included in the assessment routine of patients with COPD.
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spelling Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônicaManifestations of sleep and swallowing in individuals with chronic obstructive pulmonary diseaseDoença pulmonar obstrutiva crônicaDeglutiçãoTranstornos de deglutiçãoChronic obstructive pulmonary diseaseDeglutitionDeglutition disordersCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAIntroduction: Swallowing is the act of taking food from the oral cavity to the stomach in a safe way, aiming to protect the airway and maintain the individual's nutritional status. When an abnormality, anatomical or functional, appears at any stage of the swallowing process, the result is the installation of dysphagia. In patients with Chronic Obstructive Pulmonary Disease (COPD), abnormalities in respiratory and ventilatory patterns can interfere with the coordination between swallowing and breathing, leading to dysphagia. In addition, reports indicate that COPD is associated with sleep disorders and excessive daytime sleepiness. Obstructive Sleep Apnea Syndrome (OSAS) and COPD are common clinical conditions, and a large number of COPD patients are expected to present with SOAS. Objective: To characterize and relate the manifestations of sleep and swallowing in individuals with COPD. Methods: This is a cross-sectional study, carried out in the Pulmonary Rehabilitation unit of a University Hospital. The sample includes 37 patients with COPD, of both genders, in outpatient follow-up. The patients were evaluated regarding aspects of body composition, peak expiratory flow, perception of dyspnea (Modified Medical Research Council - mMRC), impact of the disease on health status (COPD Assessment Test - CAT), excessive daytime sleepiness (Scale of Epworth sleepiness - ESS), risk of sleep apnea (Berlin Clinical Questionnaire), modified Mallampati index and symptoms indicative of dysphagia (Questionnaire for Dysphagia Screening - QDS). Data were analyzed using multivariate analysis, the level of significance was set at 5%, with a 95% confidence interval. Results: In this sample consisting of individuals with moderate to severe COPD, 83% of them reported symptoms of swallowing dysfunction assessed by the QDS and 62.2% were at risk for sleep apnea. The CAT, Epworth and Berlin indices predicted 32% of the risk for dysphagia. Conclusion: Among individuals, the high frequency of risk for dysphagia present in 31 (83.8%) of the subjects can be observed. Similarly, the risk for sleep apnea was present in 23 (62.2%) patients in the sample. Furthermore, abnormal sleepiness was observed in 14 (37.8%) of the patients. The impact of the disease on health status, daytime sleepiness scores and risk of sleep apnea were the best predictors of dysphagia risk for COPD among those surveyed. In this sense, it is proposed that assessments of health status, drowsiness and QDS be included in the assessment routine of patients with COPD.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESIntrodução: A deglutição é o ato de conduzir o alimento da cavidade oral até o estômago de forma segura, com o objetivo de proteger a via aérea e de manter o estado nutricional do indivíduo. Quando surge uma anormalidade, anatômica ou funcional, em qualquer fase do processo de deglutição, o resultado é a instalação da disfagia. Em pacientes com Doença Pulmonar Obstrutiva Crônica (DPOC) as anormalidades nos padrões respiratório e ventilatório podem interferir na coordenação entre deglutição e respiração levando à disfagia. Além disso, relatos apontam que a DPOC está associada aos distúrbios do sono e a sonolência excessiva diurna. A Síndrome da Apneia Obstrutiva do Sono (SAOS) e a DPOC são condições clínicas comuns, e espera-se que um grande número de pacientes com DPOC apresente SOAS. Objetivo: Caracterizar e relacionar as manifestações do sono e da deglutição em indivíduos com DPOC. Métodos: Trata-se de um estudo transversal, realizado na unidade de Reabilitação Pulmonar de um Hospital Universitário. A amostra inclui 37 pacientes com DPOC, de ambos os sexos, em acompanhamento ambulatorial. Os pacientes foram avaliados em relação aos aspectos de composição corporal, pico de fluxo expiratório, percepção de dispneia (Modified Medical Research Council - mMRC), impacto da doença no estado de saúde (COPD Assessment Test - CAT), sonolência excessiva diurna (Escala de Sonolência de Epworth - ESE), risco de apneia do sono (Questionário Clínico de Berlim), índice de Mallampati modificado e sintomas indicativos de disfagia (Questionnaire for Dysphagia Screening - QDS). Os dados foram analisados por meio de análise multivariada, o nível de significância foi estabelecido em 5%, com intervalo de confiança de 95%. Resultados: Nesta amostra constituída por indivíduos com DPOC de grau moderado a grave, 83% deles relataram sintomas de disfunção da deglutição avaliados pelo QDS e 62,2% apresentaram risco para apneia do sono. Os índices de CAT, Epworth e Berlim predisseram 32% do risco para disfagia. Conclusão: Dentre os indivíduos, pode ser observada a elevada frequência de risco para disfagia presente em 31 (83,8%) dos sujeitos. De forma semelhante, o risco para apneia do sono esteve presente em 23 (62,2%) pacientes da amostra. Além disso, observou-se sonolência anormal em 14 (37,8%) dos pacientes. O impacto da doença no estado de saúde, os escores de sonolência diurna e risco de apneia do sono foram os melhores preditores para risco de disfagia para DPOC dentre os pesquisados. Neste sentido, propõe-se que as avaliações do estado de saúde, sonolência e QDS sejam incluídas na rotina de avaliação dos pacientes com DPOC.Universidade Federal de Santa MariaBrasilFonoaudiologiaUFSMPrograma de Pós-Graduação em Distúrbios da Comunicação HumanaCentro de Ciências da SaúdePasqualoto, Adriane Schmidthttp://lattes.cnpq.br/3243310050281330Busanello-Stella, Angela RuviaroBolzan, Geovana de PaulaDumke, AneliseSilva, Gabriele dos Anjos Palagi da2022-07-27T17:47:26Z2022-07-27T17:47:26Z2021-07-12info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/25667ark:/26339/0013000016c37porAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2022-07-27T17:47:26Zoai:repositorio.ufsm.br:1/25667Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2022-07-27T17:47:26Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônica
Manifestations of sleep and swallowing in individuals with chronic obstructive pulmonary disease
title Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônica
spellingShingle Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônica
Silva, Gabriele dos Anjos Palagi da
Doença pulmonar obstrutiva crônica
Deglutição
Transtornos de deglutição
Chronic obstructive pulmonary disease
Deglutition
Deglutition disorders
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
title_short Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônica
title_full Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônica
title_fullStr Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônica
title_full_unstemmed Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônica
title_sort Manifestações do sono e da deglutição em indivíduos com doença pulmonar obstrutiva crônica
author Silva, Gabriele dos Anjos Palagi da
author_facet Silva, Gabriele dos Anjos Palagi da
author_role author
dc.contributor.none.fl_str_mv Pasqualoto, Adriane Schmidt
http://lattes.cnpq.br/3243310050281330
Busanello-Stella, Angela Ruviaro
Bolzan, Geovana de Paula
Dumke, Anelise
dc.contributor.author.fl_str_mv Silva, Gabriele dos Anjos Palagi da
dc.subject.por.fl_str_mv Doença pulmonar obstrutiva crônica
Deglutição
Transtornos de deglutição
Chronic obstructive pulmonary disease
Deglutition
Deglutition disorders
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
topic Doença pulmonar obstrutiva crônica
Deglutição
Transtornos de deglutição
Chronic obstructive pulmonary disease
Deglutition
Deglutition disorders
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
description Introduction: Swallowing is the act of taking food from the oral cavity to the stomach in a safe way, aiming to protect the airway and maintain the individual's nutritional status. When an abnormality, anatomical or functional, appears at any stage of the swallowing process, the result is the installation of dysphagia. In patients with Chronic Obstructive Pulmonary Disease (COPD), abnormalities in respiratory and ventilatory patterns can interfere with the coordination between swallowing and breathing, leading to dysphagia. In addition, reports indicate that COPD is associated with sleep disorders and excessive daytime sleepiness. Obstructive Sleep Apnea Syndrome (OSAS) and COPD are common clinical conditions, and a large number of COPD patients are expected to present with SOAS. Objective: To characterize and relate the manifestations of sleep and swallowing in individuals with COPD. Methods: This is a cross-sectional study, carried out in the Pulmonary Rehabilitation unit of a University Hospital. The sample includes 37 patients with COPD, of both genders, in outpatient follow-up. The patients were evaluated regarding aspects of body composition, peak expiratory flow, perception of dyspnea (Modified Medical Research Council - mMRC), impact of the disease on health status (COPD Assessment Test - CAT), excessive daytime sleepiness (Scale of Epworth sleepiness - ESS), risk of sleep apnea (Berlin Clinical Questionnaire), modified Mallampati index and symptoms indicative of dysphagia (Questionnaire for Dysphagia Screening - QDS). Data were analyzed using multivariate analysis, the level of significance was set at 5%, with a 95% confidence interval. Results: In this sample consisting of individuals with moderate to severe COPD, 83% of them reported symptoms of swallowing dysfunction assessed by the QDS and 62.2% were at risk for sleep apnea. The CAT, Epworth and Berlin indices predicted 32% of the risk for dysphagia. Conclusion: Among individuals, the high frequency of risk for dysphagia present in 31 (83.8%) of the subjects can be observed. Similarly, the risk for sleep apnea was present in 23 (62.2%) patients in the sample. Furthermore, abnormal sleepiness was observed in 14 (37.8%) of the patients. The impact of the disease on health status, daytime sleepiness scores and risk of sleep apnea were the best predictors of dysphagia risk for COPD among those surveyed. In this sense, it is proposed that assessments of health status, drowsiness and QDS be included in the assessment routine of patients with COPD.
publishDate 2021
dc.date.none.fl_str_mv 2021-07-12
2022-07-27T17:47:26Z
2022-07-27T17:47:26Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufsm.br/handle/1/25667
dc.identifier.dark.fl_str_mv ark:/26339/0013000016c37
url http://repositorio.ufsm.br/handle/1/25667
identifier_str_mv ark:/26339/0013000016c37
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Fonoaudiologia
UFSM
Programa de Pós-Graduação em Distúrbios da Comunicação Humana
Centro de Ciências da Saúde
publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Fonoaudiologia
UFSM
Programa de Pós-Graduação em Distúrbios da Comunicação Humana
Centro de Ciências da Saúde
dc.source.none.fl_str_mv reponame:Manancial - Repositório Digital da UFSM
instname:Universidade Federal de Santa Maria (UFSM)
instacron:UFSM
instname_str Universidade Federal de Santa Maria (UFSM)
instacron_str UFSM
institution UFSM
reponame_str Manancial - Repositório Digital da UFSM
collection Manancial - Repositório Digital da UFSM
repository.name.fl_str_mv Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv atendimento.sib@ufsm.br||tedebc@gmail.com
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