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Prevalence of swallowing dysfunction screened in Swedish cohort of COPD patients
BACKGROUND: COPD is a common problem associated with morbidity and mortality. COPD may also affect the dynamics and coordination of functions such as swallowing. A misdirected swallow may, in turn, result in the bolus entering the airway. A growing body of evidence suggests that a subgroup of people...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5261551/ https://www.ncbi.nlm.nih.gov/pubmed/28176891 http://dx.doi.org/10.2147/COPD.S120207 |
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author | Gonzalez Lindh, Margareta Blom Johansson, Monica Jennische, Margareta Koyi, Hirsh |
author_facet | Gonzalez Lindh, Margareta Blom Johansson, Monica Jennische, Margareta Koyi, Hirsh |
author_sort | Gonzalez Lindh, Margareta |
collection | PubMed |
description | BACKGROUND: COPD is a common problem associated with morbidity and mortality. COPD may also affect the dynamics and coordination of functions such as swallowing. A misdirected swallow may, in turn, result in the bolus entering the airway. A growing body of evidence suggests that a subgroup of people with COPD is prone to oropharyngeal dysphagia. The aim of this study was to evaluate swallowing dysfunction in patients with stable COPD and to determine the relation between signs and symptoms of swallowing dysfunction and lung function (forced expiratory volume in 1 second percent predicted). METHODS: Fifty-one patients with COPD in a stable phase participated in a questionnaire survey, swallowing tests, and spirometry. A post-bronchodilator ratio of the forced expiratory volume in 1 second/best of forced vital capacity and vital capacity <0.7 was used to define COPD. Swallowing function was assessed by a questionnaire and two swallowing tests (water and cookie swallow tests). RESULTS: Sixty-five percent of the patients reported subjective signs and symptoms of swallowing dysfunction in the questionnaire and 49% showed measurable ones in the swallowing tests. For the combined subjective and objective findings, 78% had a coexisting swallowing dysfunction. No significant difference was found between male and female patients. CONCLUSION: Swallowing function is affected in COPD patients with moderate to severe airflow limitation, and the signs and symptoms of this swallowing dysfunction were subjective, objective, or both. |
format | Online Article Text |
id | pubmed-5261551 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-52615512017-02-07 Prevalence of swallowing dysfunction screened in Swedish cohort of COPD patients Gonzalez Lindh, Margareta Blom Johansson, Monica Jennische, Margareta Koyi, Hirsh Int J Chron Obstruct Pulmon Dis Original Research BACKGROUND: COPD is a common problem associated with morbidity and mortality. COPD may also affect the dynamics and coordination of functions such as swallowing. A misdirected swallow may, in turn, result in the bolus entering the airway. A growing body of evidence suggests that a subgroup of people with COPD is prone to oropharyngeal dysphagia. The aim of this study was to evaluate swallowing dysfunction in patients with stable COPD and to determine the relation between signs and symptoms of swallowing dysfunction and lung function (forced expiratory volume in 1 second percent predicted). METHODS: Fifty-one patients with COPD in a stable phase participated in a questionnaire survey, swallowing tests, and spirometry. A post-bronchodilator ratio of the forced expiratory volume in 1 second/best of forced vital capacity and vital capacity <0.7 was used to define COPD. Swallowing function was assessed by a questionnaire and two swallowing tests (water and cookie swallow tests). RESULTS: Sixty-five percent of the patients reported subjective signs and symptoms of swallowing dysfunction in the questionnaire and 49% showed measurable ones in the swallowing tests. For the combined subjective and objective findings, 78% had a coexisting swallowing dysfunction. No significant difference was found between male and female patients. CONCLUSION: Swallowing function is affected in COPD patients with moderate to severe airflow limitation, and the signs and symptoms of this swallowing dysfunction were subjective, objective, or both. Dove Medical Press 2017-01-17 /pmc/articles/PMC5261551/ /pubmed/28176891 http://dx.doi.org/10.2147/COPD.S120207 Text en © 2017 Gonzalez Lindh et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Gonzalez Lindh, Margareta Blom Johansson, Monica Jennische, Margareta Koyi, Hirsh Prevalence of swallowing dysfunction screened in Swedish cohort of COPD patients |
title | Prevalence of swallowing dysfunction screened in Swedish cohort of COPD patients |
title_full | Prevalence of swallowing dysfunction screened in Swedish cohort of COPD patients |
title_fullStr | Prevalence of swallowing dysfunction screened in Swedish cohort of COPD patients |
title_full_unstemmed | Prevalence of swallowing dysfunction screened in Swedish cohort of COPD patients |
title_short | Prevalence of swallowing dysfunction screened in Swedish cohort of COPD patients |
title_sort | prevalence of swallowing dysfunction screened in swedish cohort of copd patients |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5261551/ https://www.ncbi.nlm.nih.gov/pubmed/28176891 http://dx.doi.org/10.2147/COPD.S120207 |
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