Prevalence, incidence, and characteristics of dysphagia in those with unilateral vocal fold paralysis.
Prevalence, incidence, and characteristics of dysphagia in those with unilateral vocal fold paralysis.
复制标题
DOI：
10.1002/lary.28401
复制
发表时间：
2020-10
期刊：
影响因子：
--
通讯作者：
Barkmeier-Kraemer JM
中科院分区：
文献类型：
--
作者：
Schiedermayer B;Kendall KA;Stevens M;Ou Z;Presson AP;Barkmeier-Kraemer JM
本研究的目的是调查吞咽困难定义对单侧声带麻痹（UVP）患者吞咽困难的发生率和总体患病率的影响。回顾性病历审查。从2013年至2018年诊断为UVP的个人记录中收集数据，包括患者人口统计学、吞咽困难问卷总分、吞咽困难症状临床评价和吞咽工具评估结果。通过病因学计算吞咽困难的年发病率和总体患病率，作为吞咽困难的五种操作定义的计数和百分比。共有415名个体符合本研究的入选标准。根据所使用的吞咽困难定义，年患病率估计值范围为19%至55%。吞咽困难的最高患病率发生在由临床医生确定的症状或体征定义时（55%）。使用仪器评估期间记录的吞咽功能异常的定义发生吞咽困难的患病率最低（19%）。医源性UVP患者吞咽困难问卷评分异常的频率高于特发性UVP患者（校正P = 0.014）。中央UVP病因的仪器评估和抽吸记录率最高（33%）。平均而言，肺炎是罕见的（6%），无论UVP病因。高达55%的诊断为UVP的患者抱怨吞咽困难，但只有21%的吞咽困难症状严重到足以提示仪器评估。吞咽困难的发生率和严重程度取决于UVP病因分类以及吞咽困难定义。UVP的病因可能影响该人群中吞咽困难的风险和严重程度，需要进一步研究。
The purpose of this study was to investigate the impact of dysphagia definition on the incidence and overall prevalence of dysphagia in patients with unilateral vocal fold paralysis (UVP) stratified by etiology. Retrospective medical chart review. Data was collected from the records of individuals diagnosed with UVP from 2013 to 2018, including patient demographics, dysphagia questionnaire total scores, clinical evaluation dysphagia symptoms, and instrumental swallow assessment outcomes. The annual incidence and overall prevalence of dysphagia were calculated by etiology as counts and percentages across five operational definitions of dysphagia. A total of 415 individuals met inclusion criteria for the study. Annual prevalence estimates ranged from 19% to 55%, depending on the definition of dysphagia used. The highest prevalence of dysphagia occurred when defined by symptoms or signs identified by the clinician (55%). The lowest prevalence of dysphagia occurred using a definition of abnormal swallowing function documented during instrumental assessment (19%). Dysphagia questionnaire scores were more frequently abnormal in those with iatrogenic than idiopathic etiology of UVP (adjusted P = 0.014). Rate of instrumental assessment and documentation of aspiration was highest for central UVP etiology (33%). On average, pneumonia was rare (6%) irrespective of UVP etiology. Up to 55% of patients diagnosed with UVP complained of dysphagia, but only 21% had dysphagia symptoms severe enough to prompt instrumental assessment. Incidence and severity of dysphagia varied depending on UVP etiologic category as well as dysphagia definition. The etiology of UVP may impact dysphagia risk and severity in this population and warrants further investigation.
登录
查看更多内容
影响因子：
2.6
作者：
Heitmiller, RF;Tseng, E;Jones, B
通讯作者：
Jones, B
影响因子：
2.6
作者：
McCullough, GH;Wertz, RT;Ross, KB
通讯作者：
Ross, KB
影响因子：
2.6
作者：
Leder, Steven B.;Suiter, Debra M.;Judson, Benjamin L.
通讯作者：
Judson, Benjamin L.
影响因子：
1.4
作者：
Belafsky, Peter C.;Mouadeb, Debbie A.;Leonard, Rebecca J.
通讯作者：
Leonard, Rebecca J.
影响因子：
1.4
作者：
Bhattacharyya, N;Kotz, T;Shapiro, J
通讯作者：
Shapiro, J