Factors associated with oropharyngeal dysphagia in individuals with cardiovascular disease and COVID-19.
| Title: | Factors associated with oropharyngeal dysphagia in individuals with cardiovascular disease and COVID-19. |
|---|---|
| Authors: | Almeida TM; Instituto Dante Pazzanese de Cardiologia - São Paulo (SP), Brasil.; Fernandes RG; Instituto Dante Pazzanese de Cardiologia - São Paulo (SP), Brasil.; Binhardi VDR; Instituto Dante Pazzanese de Cardiologia - São Paulo (SP), Brasil.; França JID; Instituto Dante Pazzanese de Cardiologia - São Paulo (SP), Brasil.; Magnoni D; Instituto Dante Pazzanese de Cardiologia - São Paulo (SP), Brasil.; Silva RGD; Universidade Estadual Paulista - UNESP - Marilia (SP), Brasil. |
| Source: | CoDAS [Codas] 2024 Aug 19; Vol. 36 (5), pp. e20220112. Date of Electronic Publication: 2024 Aug 19 (Print Publication: 2024). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Sociedade Brasileira de Fonoaudiologia Country of Publication: Brazil NLM ID: 101623246 Publication Model: eCollection Cited Medium: Internet ISSN: 2317-1782 (Electronic) Linking ISSN: 23171782 NLM ISO Abbreviation: Codas Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: São Paulo : Sociedade Brasileira de Fonoaudiologia |
| MeSH Terms: | COVID-19*/complications ; Deglutition Disorders*/etiology ; Cardiovascular Diseases*/complications; Humans ; Cross-Sectional Studies ; Male ; Female ; Risk Factors ; Middle Aged ; Aged ; SARS-CoV-2 ; Intensive Care Units ; Adult ; Intubation, Intratracheal ; Aged, 80 and over ; Hospitalization |
| Abstract: | Purpose: Oropharyngeal dysphagia (OD) is one of the possible outcomes in patients hospitalized with COVID-19 and also in the population hospitalized for the treatment of cardiovascular disease. Thus, knowing the predictive risk factors for OD may help with referral and early intervention. This study aimed to verify the association of different factors with OD in hospitalized individuals with cardiovascular disease and COVID-19.; Methods: Cross-sectional clinical study approved by the Research Ethics Committee (4,521,771). Clinical evaluation of swallowing was carried out in 72 adult patients with cardiovascular disease and COVID-19 hospitalized from April to September 2020. Individuals under 18 years of age and without previous cardiovascular disease were excluded. The presence of general clinical and/or neurological complications, pronation, stay in the intensive care unit (ICU), orotracheal intubation (OTI), tracheostomy tube, oxygen support and age were considered as predictive risk factors for oropharyngeal dysphagia. Fisher's exact test, Mann Whitney test and logistic regression model were used for analysis.; Results: General clinical complications (p=0.001), pronation (p=0.003), ICU stay (p=0.043), in addition to the need for oxygen supplementation (p=0.023) and age (p= 0 .037) were statistically significant factors associated. The pronation (0.013) and age (0.038) were independently associated with dysphagia. OTI (p=0.208), tracheostomy (p=0.707) and the presence of previous cerebrovascular accidents (p=0.493) were not statistically significant.; Conclusion: In this study, age and prone position were factors independently associated with oropharyngeal dysphagia, complications such as the need for oxygen supplementation, in addition to the need for ICU admission, were also associated factors in the population. |
| References: | N Engl J Med. 2013 Jun 6;368(23):2159-68. (PMID: 23688302); OTO Open. 2020 Jun 8;4(2):2473974X20934770. (PMID: 32551409); Anesthesiology. 2013 Aug;119(2):389-97. (PMID: 23584384); Lancet. 2020 Mar 28;395(10229):1054-1062. (PMID: 32171076); J Laryngol Otol. 2020 Nov 10;:1-6. (PMID: 33168109); Eur J Phys Rehabil Med. 2020 Dec;56(6):853-857. (PMID: 32940446); Braz J Otorhinolaryngol. 2018 Nov - Dec;84(6):722-728. (PMID: 28951127); Dysphagia. 2020 Aug;35(4):549-557. (PMID: 32468193); Eur J Neurol. 2020 Sep;27(9):e46-e47. (PMID: 32460415); Rev Lat Am Enfermagem. 2021 Jan 08;29:e3397. (PMID: 33439949); Ann Rehabil Med. 2011 Aug;35(4):470-6. (PMID: 22506161); Clinics (Sao Paulo). 2020 Jun 12;75:e2021. (PMID: 32555948); Arq Bras Cardiol. 2020 Oct;115(4):701-707. (PMID: 33111872); J Cachexia Sarcopenia Muscle. 2020 Dec;11(6):1399-1412. (PMID: 32893974); Lancet Infect Dis. 2020 May;20(5):533-534. (PMID: 32087114); Dysphagia. 1999 Winter;14(1):44-51. (PMID: 9828274); Int J Infect Dis. 2016 Aug;49:129-33. (PMID: 27352628); Chest. 2010 Mar;137(3):665-73. (PMID: 20202948); Crit Care Med. 2017 Dec;45(12):2061-2069. (PMID: 29023260); Ann Am Thorac Soc. 2017 Mar;14(3):376-383. (PMID: 27983872); Crit Care. 2019 Mar 28;23(1):103. (PMID: 30922363); J Appl Oral Sci. 2020;28:e20190489. (PMID: 32401939); Nat Rev Cardiol. 2020 May;17(5):259-260. (PMID: 32139904) |
| Entry Date(s): | Date Created: 20240821 Date Completed: 20240821 Latest Revision: 20240824 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11340871 |
| DOI: | 10.1590/2317-1782/20242022112en |
| PMID: | 39166598 |
| Database: | MEDLINE |
Journal Article