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Correlation between Forced Vital Capacity and the Severity of Frailty-Induced Dysphagia

Introduction: Frailty syndrome is a complex condition characterized by the gradual deterioration of an individual’s physical, mental, and social functions. Dysphagia is a dysfunction triggered by frailty. However, in patients with frailty syndrome, dysphagia is often undermined, and a proper evaluat...

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Autores principales: Lee, Byung Joo, Lee, Sang Cheol, Choi, Ho Yong, Chang, Min Cheol, Park, Donghwi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999658/
https://www.ncbi.nlm.nih.gov/pubmed/35407570
http://dx.doi.org/10.3390/jcm11071962
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author Lee, Byung Joo
Lee, Sang Cheol
Choi, Ho Yong
Chang, Min Cheol
Park, Donghwi
author_facet Lee, Byung Joo
Lee, Sang Cheol
Choi, Ho Yong
Chang, Min Cheol
Park, Donghwi
author_sort Lee, Byung Joo
collection PubMed
description Introduction: Frailty syndrome is a complex condition characterized by the gradual deterioration of an individual’s physical, mental, and social functions. Dysphagia is a dysfunction triggered by frailty. However, in patients with frailty syndrome, dysphagia is often undermined, and a proper evaluation is not performed. Therefore, we tried to identify the factors that can provide proper information regarding dysphagia in the frail population. Methods: Patients with dysphagia were divided into those with frailty-induced dysphagia and those with brain-lesion-induced dysphagia. Factors related to the participants’ pulmonary function test (PFT) results were evaluated. The severity of dysphagia was evaluated by determining modified videofluoroscopic dysphagia scale (mVDS) and penetration–aspiration scale (PAS) scores based on videofluoroscopic swallowing studies. Statistical analysis was performed to determine the correlation between PFT results and the parameters indicating dysphagia severity. Results: Multivariate logistic regression analysis revealed that forced vital capacity (FVC) was significantly correlated with mVDS scores in frailty-induced dysphagia (p < 0.05). However, no such significance was detected in brain-lesion-induced dysphagia (p ≥ 0.05). Conclusion: FVC was correlated with the severity of dysphagia (mVDS scores) in patients with frailty-induced dysphagia. Thus, serial FVC-based follow-up can be helpful for understanding patients’ dysphagia status. However, studies with a general population of patients with frailty-induced dysphagia are needed for definite generalization.
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spelling pubmed-89996582022-04-12 Correlation between Forced Vital Capacity and the Severity of Frailty-Induced Dysphagia Lee, Byung Joo Lee, Sang Cheol Choi, Ho Yong Chang, Min Cheol Park, Donghwi J Clin Med Article Introduction: Frailty syndrome is a complex condition characterized by the gradual deterioration of an individual’s physical, mental, and social functions. Dysphagia is a dysfunction triggered by frailty. However, in patients with frailty syndrome, dysphagia is often undermined, and a proper evaluation is not performed. Therefore, we tried to identify the factors that can provide proper information regarding dysphagia in the frail population. Methods: Patients with dysphagia were divided into those with frailty-induced dysphagia and those with brain-lesion-induced dysphagia. Factors related to the participants’ pulmonary function test (PFT) results were evaluated. The severity of dysphagia was evaluated by determining modified videofluoroscopic dysphagia scale (mVDS) and penetration–aspiration scale (PAS) scores based on videofluoroscopic swallowing studies. Statistical analysis was performed to determine the correlation between PFT results and the parameters indicating dysphagia severity. Results: Multivariate logistic regression analysis revealed that forced vital capacity (FVC) was significantly correlated with mVDS scores in frailty-induced dysphagia (p < 0.05). However, no such significance was detected in brain-lesion-induced dysphagia (p ≥ 0.05). Conclusion: FVC was correlated with the severity of dysphagia (mVDS scores) in patients with frailty-induced dysphagia. Thus, serial FVC-based follow-up can be helpful for understanding patients’ dysphagia status. However, studies with a general population of patients with frailty-induced dysphagia are needed for definite generalization. MDPI 2022-04-01 /pmc/articles/PMC8999658/ /pubmed/35407570 http://dx.doi.org/10.3390/jcm11071962 Text en © 2022 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
Lee, Byung Joo
Lee, Sang Cheol
Choi, Ho Yong
Chang, Min Cheol
Park, Donghwi
Correlation between Forced Vital Capacity and the Severity of Frailty-Induced Dysphagia
title Correlation between Forced Vital Capacity and the Severity of Frailty-Induced Dysphagia
title_full Correlation between Forced Vital Capacity and the Severity of Frailty-Induced Dysphagia
title_fullStr Correlation between Forced Vital Capacity and the Severity of Frailty-Induced Dysphagia
title_full_unstemmed Correlation between Forced Vital Capacity and the Severity of Frailty-Induced Dysphagia
title_short Correlation between Forced Vital Capacity and the Severity of Frailty-Induced Dysphagia
title_sort correlation between forced vital capacity and the severity of frailty-induced dysphagia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999658/
https://www.ncbi.nlm.nih.gov/pubmed/35407570
http://dx.doi.org/10.3390/jcm11071962
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