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Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study

To date, no consensus exists on the complex clinical decision-making processes involved in oropharyngeal dysphagia, or swallowing disorders. This study aimed to develop an international consensus on a clinical decision tree for the disease trajectory of oropharyngeal dysphagia in adults, taking into...

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Autores principales: Speyer, Renée, Balaguer, Mathieu, Cugy, Emmanuelle, Devoucoux, Clémence, Morinière, Sylvain, Soriano, Gaëlle, Vérin, Eric, Woisard, Virginie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607151/
https://www.ncbi.nlm.nih.gov/pubmed/37892711
http://dx.doi.org/10.3390/jcm12206572
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author Speyer, Renée
Balaguer, Mathieu
Cugy, Emmanuelle
Devoucoux, Clémence
Morinière, Sylvain
Soriano, Gaëlle
Vérin, Eric
Woisard, Virginie
author_facet Speyer, Renée
Balaguer, Mathieu
Cugy, Emmanuelle
Devoucoux, Clémence
Morinière, Sylvain
Soriano, Gaëlle
Vérin, Eric
Woisard, Virginie
author_sort Speyer, Renée
collection PubMed
description To date, no consensus exists on the complex clinical decision-making processes involved in oropharyngeal dysphagia, or swallowing disorders. This study aimed to develop an international consensus on a clinical decision tree for the disease trajectory of oropharyngeal dysphagia in adults, taking into account physiological impairments of swallowing, risk factors for the development of complications from oropharyngeal dysphagia, and prognostic factors for treatment outcomes. Using the Delphi technique, consensus was achieved among dysphagia experts across 31 countries, resulting in a total of 10 physiological impairments, 23 risk factors and 21 prognostic factors identified as relevant factors in the clinical decision-making process. Factors most contributing to the severity of oropharyngeal dysphagia were ‘Aspiration’, ‘Incomplete ejection or failure to eject aspirated materials from the airways’, ‘Weak or absent cough’, ‘Choking’ and ‘Sensory deficits in the oropharynx’. To connect the existing theoretical framework to clinical practice, future research will develop the current findings by corroborating the domains based on relevant factors for clinical decision making and those that contribute to the severity of oropharyngeal dysphagia.
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spelling pubmed-106071512023-10-28 Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study Speyer, Renée Balaguer, Mathieu Cugy, Emmanuelle Devoucoux, Clémence Morinière, Sylvain Soriano, Gaëlle Vérin, Eric Woisard, Virginie J Clin Med Article To date, no consensus exists on the complex clinical decision-making processes involved in oropharyngeal dysphagia, or swallowing disorders. This study aimed to develop an international consensus on a clinical decision tree for the disease trajectory of oropharyngeal dysphagia in adults, taking into account physiological impairments of swallowing, risk factors for the development of complications from oropharyngeal dysphagia, and prognostic factors for treatment outcomes. Using the Delphi technique, consensus was achieved among dysphagia experts across 31 countries, resulting in a total of 10 physiological impairments, 23 risk factors and 21 prognostic factors identified as relevant factors in the clinical decision-making process. Factors most contributing to the severity of oropharyngeal dysphagia were ‘Aspiration’, ‘Incomplete ejection or failure to eject aspirated materials from the airways’, ‘Weak or absent cough’, ‘Choking’ and ‘Sensory deficits in the oropharynx’. To connect the existing theoretical framework to clinical practice, future research will develop the current findings by corroborating the domains based on relevant factors for clinical decision making and those that contribute to the severity of oropharyngeal dysphagia. MDPI 2023-10-17 /pmc/articles/PMC10607151/ /pubmed/37892711 http://dx.doi.org/10.3390/jcm12206572 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Speyer, Renée
Balaguer, Mathieu
Cugy, Emmanuelle
Devoucoux, Clémence
Morinière, Sylvain
Soriano, Gaëlle
Vérin, Eric
Woisard, Virginie
Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study
title Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study
title_full Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study
title_fullStr Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study
title_full_unstemmed Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study
title_short Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study
title_sort expert consensus on clinical decision making in the disease trajectory of oropharyngeal dysphagia in adults: an international delphi study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607151/
https://www.ncbi.nlm.nih.gov/pubmed/37892711
http://dx.doi.org/10.3390/jcm12206572
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