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Pharyngeal residue and aspiration and the relationship with clinical/nutritional status of patients with oropharyngeal dysphagia submitted to videofluoroscopy

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The journal of nutrition, health & aging

Abstract

Objectives

The aim of this study was to investigate the association between the videofluoroscopic (VFS) signs of impaired efficacy (pharyngeal residue) and safety (aspiration) swallowing and the clinical/nutritional status of patients with suspect of dysphagia.

Design

A cross-sectional study was conducted with patients submitted to videofluoroscopy.

Setting and Participants

Data of 76 patients were analyzed between March 2011 and December 2014.

Measurements

The clinical history and VFS exams of patients ≥ 38 years were retrospectively analyzed.

Results

88% patients presented Oropharyngeal Dysphagia (OD), 44.7% presented laryngeal penetration and 32% presented aspiration. 78% patients presented pharyngeal residue. Aspiration was associated with Head Neck Cancer (HNC) [Prevalence Ratio (PR): 2.27, p = 0.028] and cardiovascular disease (PR 1.96, p = 0.027). Underweight [Body Mass Index < 18.5 kg/m2] was not associated with the presence of aspiration. Underweight patients with OD had a higher prevalence rate of pharyngeal residue than those normally nourished (100% vs. 78%) (PR 1.34, p = 0.011). Pharyngeal residue was associated with male sex (PR 1.32, p = 0.040), neurodegenerative disease (PR 1.57, p = 0.021), stroke (PR 1.62, p = 0.009), cerebral palsy (PR 1.76, p = 0.006) and HNC (PR 1.73, p = 0.002).

Conclusion

In the present study, neurologic diseases, HNC, male sex and underweight were associated to impaired swallowing efficacy. Underweight, independently of the other variables, was not associated with impaired swallowing safety.

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Author information

Authors and Affiliations

  1. Post-Graduate Program in Nutrition, Federal University of Santa Catarina, Santa Catarina, Brazil

    D. L. Oliveira, M. B. de Freitas & J. de A. Gonçalves

  2. Department of Nutrition, Post-Graduate Program in Nutrition, Federal University of Santa Catarina, Santa Catarina, Brazil

    Emilia Addison Machado Moreira

  3. Speech Language Pathology and Audiology Program, Federal University of Santa Catarina, Santa Catarina, Brazil

    A. M. Furkim

  4. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Hospital de Mataró, Universitat Autònoma de Barcelona, Mataro, Spain

    P. Clavé

  5. Departamento de Nutrição, Universidade Federal de Santa Catarina UFSC, Campus Universitário, Trindade, s/n, Florianópolis, Santa Catarina, Brazil, Zip Code: 88.040-970

    Emilia Addison Machado Moreira

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  1. D. L. Oliveira
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  2. Emilia Addison Machado Moreira
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  3. M. B. de Freitas
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Correspondence to Emilia Addison Machado Moreira.

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Oliveira, D.L., Moreira, E.A.M., de Freitas, M.B. et al. Pharyngeal residue and aspiration and the relationship with clinical/nutritional status of patients with oropharyngeal dysphagia submitted to videofluoroscopy. J Nutr Health Aging 21, 336–341 (2017). https://doi.org/10.1007/s12603-016-0754-6

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  • DOI: https://doi.org/10.1007/s12603-016-0754-6

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