Swallowing dysfunction in patients hospitalised due to a COPD exacerbation

This cross-sectional study aimed to investigate the prevalence of self-reported and clinically screened swallowing dysfunction (dysphagia) in COPD patients with severe exacerbations and to identify any associated factors. Findings were then compared to a control group. Participants included 30 patie...

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Veröffentlicht in:ERJ OPEN RESEARCH 2021-04, Vol.7 (2), p.173
Hauptverfasser: Gonzalez Lindh, Margareta, Janson, Christer, Blom Johansson, Monica, Jonsson, Mimmi, Mälberg, Emma, Allansson, Elina, Holm, Cecilia, Jennische, Margareta, Koyi, Hirsch
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Sprache:eng
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Zusammenfassung:This cross-sectional study aimed to investigate the prevalence of self-reported and clinically screened swallowing dysfunction (dysphagia) in COPD patients with severe exacerbations and to identify any associated factors. Findings were then compared to a control group. Participants included 30 patients hospitalised due to a COPD exacerbation. The control group consisted of 30 adults hospitalised with acute cardiac symptoms. Data were derived from spirometry, the 150 mL timed water swallow test, a cookie swallow test and a dyspnoea questionnaire (modified Medical Research Council (mMRC)). Scores from the 10-item Eating Assessment Tool (EAT-10) were calculated to assess patient perception of swallowing dysfunction. Self-reported swallowing dysfunction and clinical signs thereof were more common in COPD patients than in the control group (67% 23% and 80% 37%, respectively; p≤0.001). Clinical signs of swallowing dysfunction in the group with acute exacerbation of COPD were associated with self-reported swallowing dysfunction (p=0.02) and xerostomia (p=0.04). Dyspnoea (mMRC ≥2) was more common among the COPD patients (90% 47%, p
ISSN:2312-0541
2312-0541
DOI:10.1183/23120541.00173-2021