CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20202019036
CoDAS
Artigo Original

Relationship between dysphagia risk and health status in patients with chronic obstructive pulmonary disease

Relação entre o risco de disfagia e o estado de saúde de indivíduos com a doença pulmonar obstrutiva crônica

Daniele Prestes; Diego Fernando Dorneles Bilheri; Juliana Rosa Nascimento; Natiele Camponogara Righi; Camila Baldissera; André Felipe Santos da Silva; Renata Mancopes; Adriane Schmidt Pasqualoto

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Abstract

Purpose: To verify the relationship between the risk of dysphagia and health status in patients with Chronic Obstructive Pulmonary Disease (COPD). Method: Cross-sectional study with convenience sample. Twentythree individuals with a diagnosis of COPD according to GOLD 2019 criteria. The individuals participated in a pulmonary rehabilitation program, clinically stable (without exacerbations of at least 30 days) and in optimized drug treatment were included. The study analyzed anthropometric measures (BMI), peak expiratory flow (PEF), mental status (MEEM), eating assessment tool (EAT-10), and health status (COPD Assessment Test -CAT). The mean age was 60.39 ± 9.90 years, 11 individuals were female and eutrophic. Results: We observed a positive and moderate association (r = 0.57, p = 0.004) between the CAT and EAT-10 scores in the sample studied. Conclusion: The results demonstrated relationship between the risk of dysphagia and the health status in individuals with COPD.

Keywords

Pulmonary Disease; Chronic Obstructive; Deglutition Disorders; Dysphagia; Health Status; Patient Care Team

Resumo

Objetivo: Verificar a relação entre o risco de disfagia e o estado de saúde de indivíduos com Doença Pulmonar Obstrutiva Crônica (DPOC). Método: Estudo transversal, com amostra de conveniência. Foram incluídos 23 indivíduos com diagnóstico de DPOC, de acordo com os critérios de GOLD (2019). São participantes de um programa de reabilitação pulmonar, clinicamente estáveis (sem exacerbações dos sintomas, no mínimo, de 30 dias) e em tratamento medicamentoso otimizado. Foram avaliadas as medidas antropométricas (IMC), o pico de fluxo expiratório (PFE), o estado mental (MEEM), o risco de disfagia (Eating Assessment Tool -EAT-10) e o estado de saúde (COPD Assessment Test -CAT). A média de idade dos participantes foi de 60,39 ± 9,90 anos, dos quais 11 eram do sexo feminino e eutróficos. Resultados: Foram encontradas associações positiva e moderada (r=0,57; p=0,004) entre o escore obtido pelo CAT e EAT-10 de indivíduos com DPOC. Conclusão: Os resultados demonstraram relação entre o risco de disfagia e o estado de saúde nos indivíduos com DPOC

Palavras-chave

Doença Pulmonar; Obstrutiva Crônica; Transtornos de Deglutição; Disfagia; Nível de Saúde; Equipe de Assistência ao Paciente

Referências

1 Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997; 349(9064):1498-1504. https://doi.org/10.1016/S0140-6736(96)07492-2. PMid:9167458 [ Links ]

2 GOLD. Global Initiative for Chronic Obstructive Lung Disease. Glob Initiat Chronic Obstr Lung Dis http://www.who.int/respiratory/copd/GOLD_WR_06.pdf (2019) [ Links ]

3 Terada K, Muro S, Ohara T, et al. Abnormal Swallowing Reflex and COPD Exacerbations. Chest 2010; 137(2):326-332. https://doi.org/10.1378/chest.09-0482. PMid:19783670 [ Links ]

4 Clayton NA, Carnaby-Mann GD, Peters MJ, et al. The effect of chronic obstructive pulmonary disease on laryngopharyngeal sensitivity. Ear Nose Throat J 2012; 91(9):370, 372, 374 passim. PMid:22996709 [ Links ]

5 Carucci LR, Turner MA. Dysphagia Revisited: Common and Unusual Causes. RadioGraphics 2015; 35(1):105-122. https://doi.org/10.1148/rg.351130150 [ Links ]

6 Bassi D, Furkim AM, Silva CA, et al. Identification of risk groups for oropharyngeal dysphagia in hospitalized patients in a university hospital. CoDAS 2014; 26(1):17-27. https://doi.org/10.1590/s2317-17822014000100004 [ Links ]

7 Hibberd J, Fraser J, Chapman C, et al. Can we use influencing factors to predict aspiration pneumonia in the United Kingdom? Multidiscip Respir Med 2013; 8(1):39. https://doi.org/10.1186/2049-6958-8-39. PMCID: PMC3686575. PMid:23758693 [ Links ]

8 Pereira CADC. Espirometria. J Pneumol; 28(Supl 3). [ Links ]

9 Brucki SMD, Nitrini R, Caramelli P, et al. Sugestões Para o Uso Do Mini-Exame Do Estado Mental No Brasil. Arq Neuropsiquiatr 2003; 61(B):777-781. https://doi.org/10.1590/S0004-282X2003000500014 [ Links ]

10 Schiano TD. A Physician's Guide to Nutrition in Chronic Disease Management for Older Adults. Nutr Clin Pract 2003; 18(1):101-101. https://doi.org/10.1177/0115426503018001101 [ Links ]

11 Silva GPF da, Morano MTAP, Viana CMS, et al. Portuguese-language version of the COPD Assessment Test: validation for use in Brazil. J Bras Pneumol 2013; 39(4):402-408. https://doi.org/10.1590/S1806-37132013000400002 [ Links ]

12 Jardim JR, Zillmer L. COPD Assessment Test: rapid and easily applied test that promotes patient self-management. J Bras Pneumol 2013; 39(4):399-401. https://doi.org/10.1590/S1806-37132013000400001. PMid:24068259 [ Links ]

13 Oliveira M de, Santos CLS, Oliveira CF de, et al. Efeitos da técnica expansiva e incentivador respiratório na força da musculatura respiratória em idosos institucionalizados. Fisioter mov 2013; :133-140. https://doi.org/10.1590/S0103-51502013000100015 [ Links ]

14 Kodgule RR, Singh V, Dhar R, et al. Reference values for peak expiratory flow in Indian adult population using a European Union scale peak flow meter. J Postgrad Med 2014; 60(2):123-9. https://doi.org/10.4103/0022-3859.132311. PMid:24823509 [ Links ]

15 Aggarwal AN, Gupta D, Jindal SK. The Relationship Between FEV1 and Peak Expiratory Flow in Patients With Airways Obstruction Is Poor. Chest 2006; 130(5):1454-1461. https://doi.org/10.1378/chest.130.5.1454. PMid:17099024 [ Links ]

16 Hegewald MJ, Lefor MJ, Jensen RL, et al. Peak Expiratory Flow Is Not a Quality Indicator for Spirometry: Peak Expiratory Flow Variability and FEV1 Are Poorly Correlated in an Elderly Population. Chest 2007; 131(5):1494-1499. https://doi.org/10.1378/chest.06-2707. PMid:17400677 [ Links ]

17 Jithoo A, Enright PL, Burney P, et al. Case-finding options for COPD: results from the Burden of Obstructive Lung Disease study. Eur Respir J 2013; 41(3):548-55. https://doi.org/10.1183/09031936.00132011. PMCID: PMC3529919. PMid:22743668 [ Links ]

18 Chaves R de D, Mangilli LD, Sassi FC, et al. Análise videofluoroscópica bidimensional perceptual da fase faríngea da deglutição em indivíduos acima de 50 anos. ABCD Arq Bras Cir Dig (São Paulo) 2013; 26(4):274-279. https://doi.org/10.1590/S0102-67202013000400005 [ Links ]

19 Zart P, Levy D, Bolzan G, et al. Cryostimulation improves recovery from oropharyngeal dysphagia after stroke. Int Arch Otorhinolaryngol 2014; 17(01):031-040. https://doi.org/10.7162/S1809-97772013000100006 [ Links ]

20 Regan J, Lawson S, De Aguiar V. The Eating Assessment Tool-10 Predicts Aspiration in Adults with Stable Chronic Obstructive Pulmonary Disease. Dysphagia 2017; 32(5):714-720. https://doi.org/10.1007/s00455-017-9822-2. PMid:28707015 [ Links ]

21 Jones PW, Harding G, Berry P, et al. Development and first validation of the COPD Assessment Test. Eur Respir J 2009; 34(3):648-54. https://doi.org/10.1183/09031936.00102509. PMid:19720809 [ Links ]

22 McKinstry A, Tranter M, Sweeney J. Outcomes of Dysphagia Intervention in a Pulmonary Rehabilitation Program. Dysphagia 2010; 25(2):104-111. https://doi.org/10.1007/s00455-009-9230-3. PMid:19618132 [ Links ]


Submetido em:
16/02/2019

Aceito em:
13/09/2019

5f35d4aa0e8825cb25587299 codas Articles

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