Abstract
Users of cocaine and/or crack may present symptoms of dysphagia due to changes in anatomical structures caused by the use of these substances. The objective of this study was to investigate the presence of symptoms suggestive of dysphagia in users of cocaine and/or crack seeking treatment, as well as to investigate the quality of life of these individuals related to their swallowing condition. A cross-sectional study from September 2015 to December 2016, with 121 users of cocaine and/or crack, was conducted. 59 of them called a telemarketing service and 61 sought treatment at the Centro de Atenção Psicossocial Álcool e Drogas in Porto Alegre (Psychosocial Alcohol and Drug Center). Users were screened and asked to fill the Eating Assessment Tool questionnaire. Users who presented themselves at the center were submitted to the Tool Volume-Viscosity Swallow Test. Users with symptoms of dysphagia responded to the Quality of Life in Swallowing questionnaire. Of all the interviewees, 22.3% (n = 27) reported symptoms suggestive of dysphagia and 2% of the individuals, submitted to swallowing test, presented cough in the liquid consistency. The scores showed a negative impact on quality of life, mainly related to fatigue, sleep, feeding duration, and fear of eating. Significant numbers of users of cocaine and/or crack referred to symptoms suggestive of dysphagia and significant impairments in quality of life, which require specific care in feeding this population in order to assist in their rehabilitation.
Similar content being viewed by others
Change history
06 September 2019
The original version of this article unfortunately contained a mistake. The spelling of the Sheila Taminini de Almeida name was incorrect.
06 September 2019
The original version of this article unfortunately contained a mistake. The spelling of the Sheila Taminini de Almeida name was incorrect.
06 September 2019
The original version of this article unfortunately contained a mistake. The spelling of the Sheila Taminini de Almeida name was incorrect.
References
United Office on Drugs and Crime. World drug report 2016. https://www.unodc.org/doc/wdr2016/WORLD_DRUG_REPORT_2016_web.pdf/. Accessed 08 Mar 2017.
Aroesty DJ, Crockett DM, Stanley RB. Pneumomediastinum and cervical emphysema from the inhalation of “free based” cocaine: report of three cases. Otolaryngol Head Neck Surg. 1986;94(3):372–4.
Rofes L, Arreola V, Mukherjee R, Clavè P. Sensitivity and specificity of the Eating Assessment Tool and the Volume-Viscosity Swallow Test for clinical evaluation of oropharyngeal dysphagia. Neurogastroenterol Motil. 2014;26(9):1256–65.
Furkim AM, Santini CRQS. Disfagias Orofaríngeas. Barueri: Pró-Fono; 2008.
Timmerman AA, Speyer R, Heijnen BJ, Klijn-Zwijnenberg IR. Psychometric characteristics of health-related quality-of-life questionnaires in oropharyngeal dysphagia. Dysphagia. 2014;29(2):183–98.
Garcia-Peris P, Paron L, Velasco C, de la Cuerda C, Camblor M, Breton I, Herencia H, Verdaguer J, Navarro C, Clave P. Longterm prevalence of oropharyngeal dysphagia in head and neck cancer patients: impact on quality of life. Clin Nutr. 2007;26:710–7.
Buchholz DW. Oropharyngeal dysphagia due to iatrogenic neurological dysfunction. Dysphagia. 1995;10(4):248–54.
Stoschus B, Allescher HD. Drug-induced dysphagia. Dysphagia. 1993;8(2):154–9.
Meleca RJ, Burgio DL, Carr RM, Lolachi CM. Mucosal injuries of the upper aerodigestive tract after smoking crack or freebase cocaine. Laryngoscope. 1997;107(5):571–702.
World Health Organization. BMI classification. http://apps.who.int/bmi/index.jsp?introPage=intro_3.html/. Accessed 18 Mar 2019.
Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, et al. Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol. 2008;117(12):919–24.
Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr. 2008;27(6):806–15.
McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, et al. The SWAL–QOL and SWAL–CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia. 2002;17(2):97–114.
Gonçalves MIR, Reimaili CB, Behlau M. Equivalência cultural da versão brasileira do Eating Assessment Tool—EAT-10. CoDAS. 2013;25(6):601–4.
Portas JG. Validação para a língua portuguesa-brasileira dos questionários: qualidade de vida em disfagia (SWAL-QOL) e satisfação do paciente e qualidade do cuidado no tratamento da disfagia (SWAL-CARE) [dissertação]. São Paulo: Fundação Antônio Prudente; 2009. 1993;8(2):154–9.
Nassif Filho ACN, Bettega SG, Lunedo S, Maestri JE, Gortz F. Repercussões otorrinolaringológicas do abuso de cocaína e/ou crack em dependentes de drogas. Rev Ass Med Brasil. 1999;45(3):237–41.
Lwanga SK, Lemeshow S. Sample size determination in health studies: a practical manual. Geneva: World Health Organization; 1991.
Colletti G, Autelitano L, Chiapasco M, Biglioli F, Giovanditto F, Mandalà M, et al. Comprehensive surgical management of cocaine-induced midline destructive lesions. J Oral Maxillofac Surg. 2014;72(7):1395.
Silvestre FJ, Salort-Llorca C, Mínguez-Serra MP, Silvestre-Rangil J. Cocaine-related oronasal communication and hard palate destruction. J Invest Clin Dent. 2012;3(2):157–60.
Moreira TC, Gadenz C, Figueiró LR, Capobianco DM, Cunha K, Ferigolo M, Barros HMT, Cassol M. Uso de substâncias psicoativas, alterações vocais e qualidade de vida em usuários de drogas lícitas e ilícitas. Rev CEFAC. 2015;17(2):374–84.
Carrara de-Angelis E, Bandeira AKC. Qualidade de vida em deglutição. In: Jotz GP, Carrara de-Angelis E, Barros APB, editors. Tratado de deglutição e disfagia: no adulto e na criança. Rio de Janeiro: Revinter; 2010. p. 364–8.
Compton WM, Thomas YF, Stinson FS, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2007;64(5):566–76.
Hecksher D, Hesse M. Women and substance use disorders. Mens Sana Monogr. 2009;7(1):50–62.
Brasil, Secretaria Nacional de Política sobre Drogas. Perfil dos usuários de crack e/ou similares no Brasil. Rio de Janeiro; 2013. http://www.icict.fiocruz.br/sites/www.icict.fiocruz.br/files/livreto_epidemiologico_17set.pdf/. Accessed 08 Mar 2017.
Sofuoglo M, Dudish-Poulsen S, Poling J, Mooney M, Hatsukami DK. The effect of individual cocaine withdrawal symptoms on outcomes in cocaine users. Addict Behav. 2005;30:1125–34.
Etchepare M, Dotto ER, Domingues KA, Colpo E. Perfil de adolescentes usuários de crack e suas consequências metabólicas. Rev AMRIGS. 2011;55(2):140–6.
Dickson SL, Egecioglu E, Landgren S, Skibicka KP, Engel JA, Jerlhang E. The role of the central ghrelin system in reward from food and chemical drugs. Mol Cell Endocrinol. 2011;340:80–7.
Chaves TV, Sanchez ZM, Ribeiro LA, Nappo AS. Fissura por crack: comportamentos e estratégias de controle de usuários e ex-usuários. Rev Saúde Pública. 2011;45(6):1168–75.
Balbinot AD, Alves GSL, Junior AFA, Araújo RBA. Perfil antropométrico de dependentes de crack hospitalizados para desintoxicação. Rev HCPA. 2011;31(3):311–7.
Saeland M, Haugen M, Eriksen FL, Wandel M, Smehaugen A, Böhmer T, et al. High sugar consumption and poor nutrient intake among drug addicts in Oslo, Norway. Br J Nutr. 2012;105:618–24.
Marchesan IQ, Zorzi JL, Gomes ICD. Tópicos em Fonoaudiologia. São Paulo: Lovise; 1997/1998. vol. 4.
Ginsberg GG, Lipman TO. Endoscopic diagnosis of thermal injury to the laryngopharynx after crack cocaine ingestion. Gastrointest Endosc. 1993;39(6):838–9.
Ludwig WG, Hoffner RJ. Upper airway burn from crack cocaine pipe screen ingestion. Am J Emerg Med. 1999;17(1):108–9.
Mayo-Smith MF, Spinale J. Thermal epiglottitis in adults: a new complication of illicit drug use. J Emerg Med. 1997;15(4):483–5.
Riccio JC, Abbott J. A simple sore throat? Retropharyngeal emphysema secondary to free-basing cocaine. J Emerg Med. 1990;8(6):709–12.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflicts of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The original version of this article was revised: The spelling of the Sheila Tamanini de Almeida name was corrected.
Rights and permissions
About this article
Cite this article
Mayer Silva da Cunha, K., de Campos Moreira, T., Tamanini de Almeida, S. et al. Symptoms Suggestive of Dysphagia and the Quality of Life in Cocaine and/or Crack Users. Dysphagia 35, 121–128 (2020). https://doi.org/10.1007/s00455-019-10013-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00455-019-10013-0