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Dysphagia screening

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https://read.qxmd.com/read/30746827/relationship-between-jaw-opening-force-and-neck-circumference-in-healthy-older-individuals
#1
Saori Yoshida, Haruka Tohara, Kazuharu Nakagawa, Koji Hara, Kohei Yamaguchi, Ayako Nakane, Kanako Yoshimi, Chantaramanee Ariya, Yukiko Kurosawa, Shunsuke Minakuchi
AIM: In recent years, the relationships of arm circumference and calf circumference with swallowing function have been reported. However, the efficacy of using the neck circumference, which is closer to the swallowing-related muscles, has never been verified. Jaw-opening force, an indicator of suprahyoid muscle strength, is known to be useful for screening for dysphagia. The aim of the present study was to identify the relationships between neck circumference and swallowing-related muscle strength, and to clarify the association between these variables in older individuals...
February 12, 2019: Geriatrics & Gerontology International
https://read.qxmd.com/read/30735625/associations-between-spontaneous-swallowing-frequency-at-admission-dysphagia-and-stroke-related-outcomes-in-acute-care
#2
Giselle Carnaby, Isaac Sia, Michael Crary
OBJECTIVE: To expand the scope of prior spontaneous swallowing frequency analysis (SFA) studies, by evaluating the role of SFA in dysphagia-and stroke-related outcomes at acute stroke discharge. DESIGN: Period prevalence study SETTING: Tertiary care university hospital PARTICIPANTS: 96 patients with acute stroke. INTERVENTIONS: Subjects were screened for dysphagia using SFA. Mode of screening was 24 hours from identified stroke onset. All patients completed dysphagia- and stroke-related assessments...
February 5, 2019: Archives of Physical Medicine and Rehabilitation
https://read.qxmd.com/read/30733859/pneumonia-in-hospitalized-neurologic-patients-trends-in-pathogen-distribution-and-antibiotic-susceptibility
#3
Han Sang Lee, Jangsup Moon, Hye-Rim Shin, Seon Jae Ahn, Tae-Joon Kim, Jin-Sun Jun, Soon-Tae Lee, Keun-Hwa Jung, Kyung-Il Park, Ki-Young Jung, Manho Kim, Sang Kun Lee, Kon Chu
Background: Bed-ridden state, dysphagia, altered mental state, or respiratory muscle weakness are common in neurologic patients and increase the risk of pneumonia. The major causes of pneumonia in neurologic patients may differ from those in the general population, resulting in a different pathogen distribution. We investigated the trends of pathogen distribution in culture-positive pneumonia in hospitalized neurologic patients and the related antibiotic resistance in those with hospital-acquired pneumonia (HAP)...
2019: Antimicrobial Resistance and Infection Control
https://read.qxmd.com/read/30714263/dysphagia-screening-in-acute-ischemic-stroke
#4
Mohamed Al-Khaled
Dysphagia is a common neurological, often underdiagnosed symptom of an acute stroke, particularly, in patients suffering from a stroke in the posterior circulation, particularly brainstem infarction or a malign anterior circulation stroke, with altered consciousness. Up to 80% of acute stroke patients showed a dysfunction in swallowing, whereas the determined rate of dysphasia is depending on the stroke's severity, the type and timing of the dysphasia screening techniques. A quarter of the dysphasia patients developed a chronic swallowing dysfunction which severely affects the quality of life in addition to the malnutrition and dehydration risk ...
February 3, 2019: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://read.qxmd.com/read/30712651/an-unexpected-asymptomatic-epiglottal-site-of-kimura-disease
#5
F Dezoteux, R Dubois, G Lefèvre, J P Lecoutre, D Staumont-Sallé, O Carpentier
INTRODUCTION: Kimura disease (KD) is a chronic lymphoproliferative disorder of unknown etiology that affects the skin and lymph nodes, mostly observed in males of Asian descent. The natural history of asymptomatic epiglottal KD remains unknown. This rare site of KD is often only diagnosed when tumor growth starts to obstruct the upper airways. OBSERVATION: A 34-year-old North African male presented with fatigue and multiple, slowly progressive, fluctuating skin nodules in the right mandibular and retroauricular regions...
February 2019: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://read.qxmd.com/read/30701145/high-resolution-cervical-auscultation-signal-features-reflect-vertical-and-horizontal-displacements-of-the-hyoid-bone-during-swallowing
#6
Cedrine Rebrion, Zhenwei Zhang, Yassin Khalifa, Mona Ramadan, Atsuko Kurosu, James L Coyle, Subashan Perera, Ervin Sejdic
Millions of people across the globe suffer from swallowing difficulties, known as dysphagia, which can lead to malnutrition, pneumonia, and even death. Swallowing cervical auscultation, which has been suggested as a noninvasive screening method for dysphagia, has not been associated yet with any physical events. In this paper, we have compared the hyoid bone displacement extracted from the videofluoroscopy images of 31 swallows to the signal features extracted from the cervical auscultation recordings captured with a tri-axial accelerometer and a microphone...
2019: IEEE Journal of Translational Engineering in Health and Medicine
https://read.qxmd.com/read/30692360/-indication-for-radiotherapy-for-breast-cancer-metastasis-to-the-skull-base-accompanied-by-cranial-nerve-palsies
#7
Ayaka Azami, Yusuke Azami, Tohru Ohtake, Kazunoshin Tachibana, Noriaki Tomura, Ichiro Seto, Yukitoshi Todate, Mitsuru Waragai, Nobuyasu Suzuki, Atai Sato, Yoshinao Takano, Tsuyoshi Abe, Yasushi Teranishi
Distant metastasis to the skull base region frequently manifests various cranial nerve symptoms and reduces patients' quality of life(QOL). We report a 62-year-old woman with skull base metastasis of breast cancer, whose condition clinically improved following palliative radiotherapy. The patient presented to our hospital with hoarseness. CT screening revealed a tumor in the right breast, axial lymph node swelling, and osteoblastic change at multiple sites. A core needle biopsy of the breast tumor revealed invasive lobular carcinoma...
December 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/30685181/clinical-guide-for-the-diagnosis-and-follow-up-of-myotonic-dystrophy-type-1-md1-or-steinert-s-disease
#8
Gerardo Gutiérrez Gutiérrez, Jordi Díaz-Manera, Míriam Almendrote, Sharona Azriel, José Eulalio Bárcena, Pablo Cabezudo García, Ana Camacho Salas, Carlos Casanova Rodríguez, Ana María Cobo Esteban, Patricia Díaz Guardiola, Roberto Fernández-Torrón, María Pía Gallano Petit, Pablo García Pavía, María Gómez Gallego, Antonio José Gutiérrez Martínez, Ivonne Jericó, Solange Kapetanovic García, Adolfo López de Munaín Arregui, Loreto Martorell, Germán Morís de la Tassa, Raúl Moreno Zabaleta, José Luis Muñoz-Blanco, Juana Olivar Roldán, Samuel Ignacio Pascual Pascual, Rafael Peinado Peinado, Helena Pérez, Juan José Poza Aldea, María Rabasa, Alba Ramos, Alfredo Rosado Bartolomé, Miguel Ángel Rubio Pérez, Jon Andoni Urtizberea, Gustavo Zapata-Wainberg, Eduardo Gutiérrez-Rivas
BACKGROUND AND OBJECTIVES: Steinert's disease or myotonic dystrophy type 1 (MD1), (OMIM 160900), is the most prevalent myopathy in adults. It is a multisystemic disorder with dysfunction of virtually all organs and tissues and a great phenotypical variability, which implies that it has to be addressed by different specialities with experience in the disease. The knowledge of the disease and its management has changed dramatically in recent years. This guide tries to establish recommendations for the diagnosis, prognosis, follow-up and treatment of the complications of MD1...
January 23, 2019: Medicina Clínica
https://read.qxmd.com/read/30684489/swallow-screen-associated-with-airway-protection-and-dysphagia-after-acute-stroke
#9
Rachel W Mulheren, Marlís González-Fernández
OBJECTIVE: The goal was to examine the outcomes of an existing swallow screen protocol in comparison to results from a formal videofluoroscopic protocol. DESIGN: Prospective cohort study. SETTING: Acute hospital. PARTICIPANTS: 48 patients after acute stroke. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The Johns Hopkins Hospital Brain Rescue Unit 3 oz. Swallow Screen was implemented by nursing staff upon admission...
January 23, 2019: Archives of Physical Medicine and Rehabilitation
https://read.qxmd.com/read/30684017/clinical-approaches-to-assess-post-extubation-dysphagia-ped-in-the-critically-ill
#10
REVIEW
Andrea Perren, Patrick Zürcher, Joerg C Schefold
Swallowing disorders and respective consequences (including aspiration-induced pneumonia) are often observed in extubated ICU patients with data indicating that a large number of patients are affected. We recently demonstrated in a large-scale analysis that the incidence of post-extubation dysphagia (PED) is 12.4% in a general ICU population and about 18% in emergency admissions to the ICU. Importantly, PED was mostly sustained until hospital discharge and independently predicted 28- and 90-day mortality. Although oropharyngeal/laryngeal trauma, neuromuscular ICU-acquired weakness, reduced sensation/sensorium, dyssynchronous breathing, and gastrointestinal reflux, are all considered to contribute to PED, little is known about the underlying pathomechanisms and risk factors leading to PED in critically ill patients...
January 25, 2019: Dysphagia
https://read.qxmd.com/read/30671604/-prevention-of-malnutrition-in-institutional-long-term-care-with-the-dnqp-nutrition-management-expert-standard
#11
REVIEW
Sabine Bartholomeyczik
Malnutrition is a big challenge in long-term care. There are a variety of reasons for developing malnutrition; they can be disease-related as well as psychosocial. However, the consequences can be seriously health threatening. Therefore, effective prevention is necessary and is an important part of nursing.The following article deals with the prevention of malnutrition as a nursing task, particularly in institutional long-term care. This is discussed with the evidence-based expert standard on quality criteria for securing oral nutritional intake by the German Network for Quality Development in Nursing (DNQP)...
January 22, 2019: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://read.qxmd.com/read/30637130/comparison-of-two-bedside-evaluation-methods-of-dysphagia-in-patients-with-acute-stroke
#12
Ting Ye, Shengyan Huang, Yi Dong, Qiang Dong
Background: Dysphagia is a common complication after stroke. Water swallowing test (WST) is a recognised but limited tool in providing details about dysphagia, including severity and how to adjust the diet based on the test results. Methods: We performed a prospective observational study of comparing WST and volume-viscosity swallow test (V-VST) in patients with acute stroke within 14 days. All patients had WST and if failed would have a V-VST. The primary outcome was to compare the dysphagia levels assessed by these two test tools...
December 2018: Stroke and Vascular Neurology
https://read.qxmd.com/read/30623085/development-and-evaluation-of-screening-dysphagia-tools-for-observational-studies-and-routine-care-in-cancer-patients
#13
Michael Borean, Kishan Shani, M Catherine Brown, Judy Chen, Mindy Liang, Joel Karkada, Simranjit Kooner, Mark K Doherty, Grainne M O'Kane, Raymond Jang, Elena Elimova, Rebecca K Wong, Gail E Darling, Wei Xu, Doris Howell, Geoffrey Liu
Background and aims: Dysphagia can be associated with significant morbidity in cancer patients. We aimed to develop and evaluate dysphagia screener tools for use in observational studies (phase 1) and for routine symptom monitoring in clinical care (phase 2). Methods: Various dysphagia or odynophagia screening questions, selected after an expert panel reviewed the content, criterion, and construct validity, were compared with either functional assessment of cancer therapy - esophageal cancer (FACT-E) Swallowing Index Cut-Off Values or to questions adapted from the Patient Reported Outcomes for Common Terminology Criteria for Adverse Events...
July 2018: Health science reports
https://read.qxmd.com/read/30612234/development-of-a-non-invasive-device-for-swallow-screening-in-patients-at-risk-of-oropharyngeal-dysphagia-results-from-a-prospective-exploratory-study
#14
Catriona M Steele, Rajat Mukherjee, Juha M Kortelainen, Harri Pölönen, Michael Jedwab, Susan L Brady, Kayla Brinkman Theimer, Susan Langmore, Luis F Riquelme, Nancy B Swigert, Philip M Bath, Larry B Goldstein, Richard L Hughes, Dana Leifer, Kennedy R Lees, Atte Meretoja, Natalia Muehlemann
Oropharyngeal dysphagia is prevalent in several at-risk populations, including post-stroke patients, patients in intensive care and the elderly. Dysphagia contributes to longer hospital stays and poor outcomes, including pneumonia. Early identification of dysphagia is recommended as part of the evaluation of at-risk patients, but available bedside screening tools perform inconsistently. In this study, we developed algorithms to detect swallowing impairment using a novel accelerometer-based dysphagia detection system (DDS)...
January 5, 2019: Dysphagia
https://read.qxmd.com/read/30612233/sarcopenia-is-an-independent-risk-factor-for-dysphagia-in-community-dwelling-older-adults
#15
Seungwoo Cha, Won-Seok Kim, Ki Woong Kim, Ji Won Han, Hak Chul Jang, Soo Lim, Nam-Jong Paik
Dysphagia is common in older adults and associated with increased socioeconomic burdens. Recently, sarcopenia is considered to be a possible contributor for dysphagia. The purpose of this study is to investigate the association of dysphagia with sarcopenia in a geriatric population in Korea. This is a cross-sectional study using data from the Korean Longitudinal Study on Health and Aging (KLoSHA). Community-dwelling men and women aged 65 years and older without common causes of dysphagia in Seongnam City, Korea were included (N = 236)...
January 5, 2019: Dysphagia
https://read.qxmd.com/read/30604337/is-sensory-level-electrical-stimulation-effective-in-cerebral-palsy-children-with-dysphagia-a-randomized-controlled-clinical-trial
#16
Ebru Umay, Eda Gurcay, Erhan Arif Ozturk, Ece Unlu Akyuz
Dysphagia is one of the common findings in children with cerebral palsy (CP). Electrical stimulation (ES) has been demonstrated to positively contribute to swallowing functions, particularly in adult patients with various neurological disorders. Therefore, the objective of this study was to assess the effects of sensory-level ES treatment combined with conventional dysphagia rehabilitation in pediatric age group CP patients who had any oropharyngeal dysphagia symptoms and/or findings. Participants were randomly assigned to either the experimental group (Group 1, n = 52) who underwent intermittent galvanic stimulation to bilateral masseter muscles for 5 days/week, for 4 weeks combined with conventional dysphagia rehabilitation or the control group (Group 2, n = 50) who received sham stimulation with conventional dysphagia rehabilitation...
January 2, 2019: Acta Neurologica Belgica
https://read.qxmd.com/read/30588741/clinical-identification-of-feeding-and-swallowing-disorders-in-0-6-month-old-infants-with-down-syndrome
#17
Maria A Stanley, Nicole Shepherd, Nichole Duvall, Sandra B Jenkinson, Hasnaa E Jalou, Deborah C Givan, Gregory H Steele, Charlene Davis, Marilyn J Bull, Donna U Watkins, Randall J Roper
Feeding and swallowing disorders have been described in children with a variety of neurodevelopmental disabilities, including Down syndrome (DS). Abnormal feeding and swallowing can be associated with serious sequelae such as failure to thrive and respiratory complications, including aspiration pneumonia. Incidence of dysphagia in young infants with DS has not previously been reported. To assess the identification and incidence of feeding and swallowing problems in young infants with DS, a retrospective chart review of 174 infants, ages 0-6 months was conducted at a single specialty clinic...
December 27, 2018: American Journal of Medical Genetics. Part A
https://read.qxmd.com/read/30583964/the-risk-of-dysphagia-is-associated-with-malnutrition-and-poor-functional-outcomes-in-a-large-population-of-outpatient-older-individuals
#18
Sara Tagliaferri, Fulvio Lauretani, Giovanna Pelá, Tiziana Meschi, Marcello Maggio
Oropharyngeal dysphagia (OD) is a widespread clinical condition among older adults. Although it represents a risk factor for malnutrition, dehydration and aspiration pneumonia, its assessment and contribution to functional decline is often ignored. The aim of the present study was to estimate the prevalence of OD in a large population of non-institutionalized older people and to evaluate its relationship with malnutrition and physical function. 10-item Eating Assessment Tool (EAT-10) and Mini Nutritional Assessment Short Form (MNA-SF) were used to identify the risk of dysphagia and malnutrition...
November 30, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://read.qxmd.com/read/30582617/implication-of-fusobacterium-necrophorum-in-recurrence-of-peritonsillar-abscess
#19
S Ahmed Ali, Kevin J Kovatch, Josh Smith, Emily L Bellile, John E Hanks, Paul T Hoff
OBJECTIVE: Peritonsillar abscess (PTA) is a common infectious complication of pharyngeal infection managed by otolaryngologists and emergency room physicians. Streptococcus and Fusobacterium (e.g., Fusobacterium necrophorum, FN) species are commonly isolated pathogens. The aim of this study was to determine the implication of culture results on abscess recurrence following drainage. METHODS: Single-institution retrospective review of patients treated at the University of Michigan between 2000 and 2017...
December 24, 2018: Laryngoscope
https://read.qxmd.com/read/30580461/dysphagia-interprofessional-management-impact-and-patient-centered-care
#20
REVIEW
Carol Marie McGinnis, Kimberly Homan, Meghan Solomon, Julia Taylor, Kimberly Staebell, Denise Erger, Namrata Raut
Dysphagia affects a multitude of people worldwide with tremendous impact on the affected individual, families, and caregivers. Understanding dysphagia, as well as the status of screening, evaluation, and treatment, aids in the knowledge required by a interprofessional team to holistically care for patients with dysphagia and their caregivers. The impact of dysphagia includes potential associated risk and a cascade of effects. Conversations regarding meeting nutrition and fluid needs with consideration for quality of life need to be integrated into the plan of care for individuals with dysphagia...
February 2019: Nutrition in Clinical Practice
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