5d51b28fe18b581a636f78892b7f9083 pmc_9228104.pdf 6c3e47009994f8504a4bf3a92664ebedf1b6b3bc pmc_9228104.pdf 9cf9a76127c6092c75c570a81af52bd9916a1841794d280791c0df818121c878 pmc_9228104.pdf Title: The Hydration Status of Adult Patients with Oropharyngeal Dysphagia and the Effect of Thickened Fluid Therapy on Fluid Intake and Hydration: Results of Two Parallel Systematic and Scoping Reviews Subject: Background: The effect of oropharyngeal dysphagia (OD) and thickened fluid (TF) therapy on hydration status has not been well defined in the literature. We aimed to assess the hydration status in patients with OD and the effect TF therapy has on it. Methods: Two literature reviews following PRISMA methodology (each one including a systematic and a scoping review) were performed: (R1) hydration status in adult patients with OD; (R2) effect of TF therapy on fluid intake and dehydration. Narrative and descriptive methods summarized both reviews. Quality assessment was assessed by Joanna Briggs Institute tools and GRADE. Results: (R1) Five out of twenty-two studies using analytical parameters or bioimpedance showed poorer hydration status among OD and 19–100% prevalence of dehydration; (R2) two high quality studies (total of 724 participants) showed positive effects of TF on hydration status. Among the articles included, nine out of ten studies that evaluated fluid intake reported a reduced TF intake below basal water requirements. Conclusions: Dehydration is a highly prevalent complication in OD. There is scientific evidence on the positive effect of TF therapy on the hydration status of patients with OD. However, strict monitoring of fluid volume intake is essential due to the low consumption of TF in these patients. Keywords: deglutition; deglutition disorders; dysphagia; hydration; hydropenia; dehydration; nutritional status; aspiration; thickened fluids; thickeners Author: Paula Viñas, Mireia Bolivar-Prados, Noemi Tomsen, Alicia Costa, Sergio Marin, Stephanie A. Riera, Núria Barcons and Pere Clavé Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Thu Jun 16 11:04:30 2022 CEST ModDate: Thu Jun 16 11:40:54 2022 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 20 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1352057 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- NBMIUS+VnURWPalladioL Type 1 Custom yes yes no 10 0 PVUPTI+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 GGUPLK+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 KTRCJL+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 MQFYIK+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 HGMNRX+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 46 0 UUHHNQ+CMSY10 Type 1 Builtin yes yes no 68 0 PHDHOF+Symbol Type 1C Custom yes yes yes 78 0 PHDGMH+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 83 0 PHDGMJ+PalatinoLinotype TrueType WinAnsi yes yes no 86 0 PHDGNL+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 89 0 PHDHOG+Arial CID TrueType Identity-H yes yes yes 92 0 PHDGMH+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 108 0 PHDGMJ+PalatinoLinotype TrueType WinAnsi yes yes no 111 0 PHDGNL+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 114 0 CKBPVA+EURM10 Type 1 Builtin yes yes no 156 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-06-12 02:44:58 CEST RepresentationInformation: pmc_9228104.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-05-30 02:37:59 CEST Size: 1352057 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 594 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Patient and Public Involvement Statement Destination: subsection.2.1 Item: Title: Search Strategy Destination: subsection.2.2 Item: Title: Eligibility Criteria and Selection Process Destination: subsection.2.3 Item: Title: Data Presentation and Summary Measures Destination: subsection.2.4 Item: Title: Quality Evaluation and Strength of the Evidence Destination: subsection.2.5 Item: Title: Results Destination: section.3 Children: Item: Title: Review 1 Hydration Status of Patients with Oropharyngeal Dysphagia Destination: subsection.3.1 Children: Item: Title: Systematic Review (SR-1) Destination: subsubsection.3.1.1 Item: Title: Scoping Review (ScR-1) Destination: subsubsection.3.1.2 Item: Title: Synthesis of the Studies’ Findings on the Hydration Status of Patients with OD Destination: subsubsection.3.1.3 Item: Title: Quality and Strength of Evidence across Studies Destination: subsubsection.3.1.4 Item: Title: Review 2 Effect of Thickened Fluid Therapy on Hydration Status Destination: subsection.3.2 Children: Item: Title: Systematic Review (SR-2) Destination: subsubsection.3.2.1 Item: Title: Scoping Review (ScR-2) Destination: subsubsection.3.2.2 Item: Title: Synthesis of the Studies’ Findings Destination: subsubsection.3.2.3 Item: Title: Quality and Strength of Evidence across Studies Destination: subsubsection.3.2.4 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.5 Info: Title: The Hydration Status of Adult Patients with Oropharyngeal Dysphagia and the Effect of Thickened Fluid Therapy on Fluid Intake and Hydration: Results of Two Parallel Systematic and Scoping Reviews Author: Paula Viñas, Mireia Bolivar-Prados, Noemi Tomsen, Alicia Costa, Sergio Marin, Stephanie A. Riera, Núria Barcons and Pere Clavé Subject: Background: The effect of oropharyngeal dysphagia (OD) and thickened fluid (TF) therapy on hydration status has not been well defined in the literature. We aimed to assess the hydration status in patients with OD and the effect TF therapy has on it. Methods: Two literature reviews following PRISMA methodology (each one including a systematic and a scoping review) were performed: (R1) hydration status in adult patients with OD; (R2) effect of TF therapy on fluid intake and dehydration. Narrative and descriptive methods summarized both reviews. Quality assessment was assessed by Joanna Briggs Institute tools and GRADE. Results: (R1) Five out of twenty-two studies using analytical parameters or bioimpedance showed poorer hydration status among OD and 19 100% prevalence of dehydration; (R2) two high quality studies (total of 724 participants) showed positive effects of TF on hydration status. Among the articles included, nine out of ten studies that evaluated fluid intake reported a reduced TF intake below basal water requirements. Conclusions: Dehydration is a highly prevalent complication in OD. There is scientific evidence on the positive effect of TF therapy on the hydration status of patients with OD. However, strict monitoring of fluid volume intake is essential due to the low consumption of TF in these patients. 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