Validação clínica do questionário RaDI para rastreamento de disfagia orofaríngea em idosos
Clinical validation of the RaDI oropharyngeal dysphagia screening tool in older adults
Raphael Marinho Carvalho; Rafael Maciel de Andrade Lima; Igor Silva de Castro Lima; Luiza Araújo; Nathália de Oliveira Alves; Hipólito Magalhães; Lidiane Maria de Brito Macedo Ferreira
Resumo
Objetivo: Identificar e verificar a acurácia do rastreamento da disfagia orofaríngea em idosos internados ou em acompanhamento ambulatorial hospitalar, bem como associar a presença de disfagia às principais comorbidades dessa população. Método: Trata-se de um estudo transversal, com participação de idosos internados nas enfermarias ou que buscavam consultas ambulatoriais de um Hospital Público de Referência na Região Nordeste do Brasil. Foi aplicado o questionário Rastreamento de Disfagia em Idosos (RaDI), além da realização de videoendoscopia da deglutição (VED) em um subgrupo de pacientes. Resultados: O instrumento identificou um número relevante de idosos com sinais sugestivos de disfagia orofaríngea, além de mostrar associação consistente com o exame de referência utilizado e associação com comorbidades neurológicas, pulmonares e cardiológicas. Conclusão: O RaDI é uma ferramenta prática e útil para o rastreamento de disfagia em idosos, apresentando concordância clínica relevante com a VED e potencial para aplicação em contextos hospitalares e ambulatoriais.
Palavras-chave
Abstract
Purpose: To identify and verify the accuracy of oropharyngeal dysphagia screening in older patients hospitalized or undergoing outpatient follow-up, and to associate the presence of dysphagia with the main comorbidities in this population. Methods: This is a cross-sectional study with older patients hospitalized in wards or seeking outpatient consultations at a public referral hospital in Northeastern Brazil. The study applied the Oropharyngeal Dysphagia Screening in Older Adults (RaDI), as well as fiberoptic endoscopic evaluation of swallowing (FEES) in a subgroup of patients. Results: The instrument identified a significant number of older patients with signs suggestive of oropharyngeal dysphagia and showed a consistent association with the reference examination used and an association with neurological, pulmonary, and cardiological comorbidities. Conclusion: RaDI is a practical and useful tool for dysphagia screening in older people, showing relevant clinical agreement with FEES and potential for application in hospital and outpatient settings.
Keywords
Referências
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Submetido em:
05/09/2025
Aceito em:
04/02/2026
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