Objetivo: Identificar, comparar e correlacionar a autopercepção da deglutição, os sintomas vocais e a possibilidade de disfagia nos pacientes em Cuidados Paliativos (CP). Método: Estudo observacional, transversal e analítico, aprovado pelo CEP (nº 6.039.141), com amostra por conveniência, entre abril/2023 e maio/2024 e dados clínicos coletados dos prontuários. Foram incluídos pacientes internados, no setor de CP, independente de sexo e maiores de 18 anos, e excluídos pacientes sem condições clínicas e/ou interesse de participar. Após a assinatura do termo de consentimento, responderam aos protocolos EAT-10, ESV e RaDI-H. Resultados: Participaram 50 pacientes com prevalência do sexo masculino (58%), acima de 60 anos (64%), diagnóstico de câncer (66%) e via oral de alimentação (74%). Observou-se dados de sarcopenia (46%) e dispneia (52%). Houve 80% de autopercepção negativa da deglutição. No escore total da ESV, 58% pontuaram acima da nota de corte, com maior impacto no domínio limitação (44%). Houve possibilidade de disfagia em 62% dos pacientes, diferença significativa entre pacientes com e sem sarcopenia para autopercepção da deglutição, domínio limitação, escore total da ESV e possibilidade de disfagia. Houve diferença significativa entre pacientes com e sem relato de dispneia nos três protocolos, exceto o domínio emocional da ESV. Houve correlação positiva entre os protocolos. Conclusão: Nestes pacientes em CP houve autopercepção negativa da deglutição, autorreferência de sintomas vocais e possibilidade de disfagia com correlação positiva entre os três protocolos. Houve diferença significativa entre autopercepção da deglutição, sintomas vocais e possibilidade de disfagia com maior impacto em pacientes com sarcopenia e dispneia.

Purpose: To identify, compare, and correlate self-perception of swallowing, vocal symptoms, and the possibility of dysphagia in patients under Palliative Care (PC). Methods: Observational, cross-sectional, and analytical study, approved by the Research Ethics Committee (nº 6.039.141), with a convenience sample collected between April/2023 and May/2024. Clinical data were obtained from medical records. Included were hospitalized patients in the PC unit, of both sexes, aged over 18 years. Exclusion criteria were lack of clinical conditions and/or willingness to participate. After signing the informed consent form, patients completed the EAT-10, VoiSS, and RaDI-H protocols. Results: A total of 50 patients participated, with a prevalence of males (58%), over 60 years of age (64%), cancer diagnosis (66%), and oral feeding route (74%). Sarcopenia (46%) and dyspnea (52%) were observed. Negative self-perception of swallowing was found in 80% of patients. On the total VoiSS score, 58% scored above the cutoff, with the greatest impact on the limitation domain (44%). Dysphagia was possible in 62% of patients. There was a significant difference between patients with and without sarcopenia regarding self-perception of swallowing, limitation domain, total VoiSS score, and possibility of dysphagia. Significant differences were also found between patients with and without dyspnea reports in all three protocols, except for the emotional domain of the VoiSS. Positive correlations were observed among the protocols. Conclusion: In these PC patients, there was negative self-perception of swallowing, self-reported vocal symptoms, and possibility of dysphagia, with positive correlation among the three protocols. Significant differences were found in self-perception of swallowing, vocal symptoms, and possibility of dysphagia, with greater impact in patients with sarcopenia and dyspnea