Swallowing disorders: management data.

A. Schindler, E. Grosso, C. Tiddia, A. L. Cavalot, G. Ricca, F. Ottaviani, O. Schindler

Research output: Contribution to journalArticle

Abstract

Aim of the investigation was to assess the workload and verify the results of oropharyngeal dysphagia management in a large state hospital by means of a descriptive, observational prospective study and descriptive statistical analysis. 81 patients [37 females, 44 males, mean age 61.3 (+/- 13) years] suffering from oropharyngeal dysphagia were evaluated and treated in the in- and outpatient Divisions of the "Azienda Ospedaliera S. Giovanni Battista" in Turin. Treatment of oropharyngeal dysphagia included changes in consistency and texture of food, compensatory postures of head, strengthening exercises for oropharyngeal muscles, and stimulation of pharyngeal sensitivity. In data collection and analysis, the following were used as outcome measures: mode of nutrition delivery (oral, enteral, parenteral), dietary adjustments, presence of aspiration or penetration, and use of compensatory head positioning. Results showed that the number of patients fed by parenteral or enteral tube (50/81 prior to treatment) dropped to 36/81 upon discharge from hospital. Those unable to take anything by mouth, from 55 dropped to 9. The number of patients with aspiration or penetration dropped, respectively, from 47 and 8 to 20 and 4. Postural changes were used in 15 cases. Data obtained indicate that oropharyngeal dysphagia rehabilitation outcomes are promising. Better understanding of the rheological characteristics of food and a stricter, more rigorous evaluation of the outcomes on activities and social participation are warranted.

Original languageEnglish
Pages (from-to)180-184
Number of pages5
JournalActa Otorhinolaryngologica Italica
Volume23
Issue number3
Publication statusPublished - Jun 2003

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Schindler, A., Grosso, E., Tiddia, C., Cavalot, A. L., Ricca, G., Ottaviani, F., & Schindler, O. (2003). Swallowing disorders: management data. Acta Otorhinolaryngologica Italica, 23(3), 180-184.