CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20242024046pt
CoDAS
Critical Review or Scope Review

Variabilidade dos desfechos quantitativos nas avaliações instrumentais da deglutição em adultos: uma revisão de escopo

Variability in quantitative outcomes of instrumental swallowing assessments in adults: a scoping review

Jayne de Freitas Bandeira; Desiré Dominique Diniz de Magalhães; Leandro Pernambuco

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Resumo

RESUMO: Objetivo: Mapear as evidências científicas sobre a variabilidade dos parâmetros quantitativos extraídos por exames instrumentais de avaliação da deglutição em adultos, mediante o coeficiente de variação.

Estratégia de pesquisa: Foram seguidos os procedimentos metodológicos recomendados pelo Joanna Briggs Institute e a extensão para revisões de escopo do Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA-ScR).

Critérios de seleção: A busca foi realizada nas bases de dados Pubmed/Medline, Lilacs, Cochrane Library, Embase, Web of Science, Scopus e CINAHL, assim como no Google Scholar para consultar a literatura cinzenta.

Análise dos dados: Dois revisores cegos e independentes fizeram o rastreamento dos artigos por título e resumo. Posteriormente, os artigos foram lidos na íntegra e selecionados de acordo com os critérios de elegibilidade. Os dados foram extraídos de acordo com um instrumento padronizado.

Resultados: Foram encontrados 363 estudos, sendo 13 elegíveis. A maioria dos estudos teve amostra menor que 30 participantes e foi composta por indivíduos saudáveis. Os exames instrumentais utilizados foram diversos: videofluoroscopia, tomografia de impedância elétrica, sensores laríngeos, manometria de alta resolução e eletromiografia de superfície. Os estudos investigaram principalmente a variabilidade intraindividual e os valores do coeficiente de variação oscilaram entre baixa e alta variabilidade, pois os instrumentos, parâmetros e procedimentos de coleta foram heterogêneos e não padronizados.

Conclusão: A variabilidade intraindividual dos parâmetros quantitativos da deglutição obtidos por meio de exames instrumentais em adultos oscila entre baixa e alta conforme o exame, parâmetro testado, presença ou não de doença de base, consistência e volume do bolo alimentar.

Palavras-chave

Deglutição, Transtornos de Deglutição, Variação Biológica da População, Avaliação em Saúde, Diagnóstico, Técnicas e Procedimentos Diagnósticos

Abstract

Purpose  To map scientific evidence on the variability of quantitative parameters extracted by instrumental swallowing assessment tests in adults, using the coefficient of variation.

Research strategies  The methodological procedures recommended by the Joanna Briggs Institute and the extension for scoping reviews of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA-ScR) were followed.

Selection criteria  The search was carried out in the Pubmed/Medline, Lilacs, Cochrane Library, Embase, Web of Science, Scopus and CINAHL databases, as well as in Google Scholar to consult the gray literature.

Data analysis  Two blind and independent reviewers screened the articles by title and abstract. Subsequently, the articles were read in full and selected according to the eligibility criteria. Data were extracted according to a standardized instrument.

Results  363 studies were found, 13 of which were eligible. Most studies had a sample size of less than 30 participants and were made up of healthy individuals. The instrumental exams used were diverse: videofluoroscopy, electrical impedance tomography, laryngeal sensors, high-resolution manometry and surface electromyography. The studies searched for intra-individual variability and the coefficient of variation ranged from low to high variability, as the instruments, parameters and collection procedures were very heterogeneous and non-standardized.

Conclusion  Intra-individual variability of the quantitative outcomes of instrumental swallowing assessments in adults ranged from low to high according to the exam, outcome, presence or absence of underlying disease, consistency and volume of the bolus.

Keywords

 Swallowing; Swallowing Disorders; Biological Variation Population; Health Evaluation; Diagnosis; Diagnostic Techniques and Procedures

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Submitted date:
03/01/2024

Accepted date:
05/02/2024

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