European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper : oropharyngeal dysphagia as a geriatric syndrome
Baijens, Laura W. J. (Department of Otorhinolaryngology. Head and Neck Surgery, Maastricht University Medical Center)
Clavé i Civit, Pere (Hospital de Mataró. Consorci Sanitari del Maresme)
Cras, Patrick (University Hospital Antwerp (Bèlgica))
Ekberg, Olle (Skåne University Hospital (Suècia))
Forster, Alexandre (Clinique Bois-Bougy, Nyon, Switzerland)
Kolb, Gerald F. (Department of Geriatrics and Physical Medicine, Bonifatius Hospital, Lingen, Germany)
Leners, Jean-Claude (Long Term Care and Hospice, Ettelbruck, Luxembourg)
Masiero, Stefano (Rehabilitation Unit, Department of Neuroscience, Università di Padova)
Mateos-Nozal, Jesús (Hospital Universitario Ramón y Cajal (Madrid))
Ortega, Omar (Hospital de Mataró. Consorci Sanitari del Maresme)
Smithard, David G. (King's College Hospital NHS Foundation Trust)
Speyer, Renée (College of Healthcare Sciences, James Cook University, Townsville, QLD, Australia)
Walshe, Margaret (Department of Clinical Speech and Language Studies, Trinity College Dublin, Dublin, Ireland)
Universitat Autònoma de Barcelona

Data:	2016
Resum:	This position document has been developed by the Dysphagia Working Group, a committee of members from the European Society for Swallowing Disorders and the European Union Geriatric Medicine Society, and invited experts. It consists of 12 sections that cover all aspects of clinical management of oropharyngeal dysphagia (OD) related to geriatric medicine and discusses prevalence, quality of life, and legal and ethical issues, as well as health economics and social burden. OD constitutes impaired or uncomfortable transit of food or liquids from the oral cavity to the esophagus, and it is included in the World Health Organization's classification of diseases. It can cause severe complications such as malnutrition, dehydration, respiratory infections, aspiration pneumonia, and increased readmissions, institutionalization, and morbimortality. OD is a prevalent and serious problem among all phenotypes of older patients as oropharyngeal swallow response is impaired in older people and can cause aspiration. Despite its prevalence and severity, OD is still underdiagnosed and untreated in many medical centers. There are several validated clinical and instrumental methods (videofluoroscopy and fiberoptic endoscopic evaluation of swallowing) to diagnose OD, and treatment is mainly based on compensatory measures, although new treatments to stimulate the oropharyngeal swallow response are under research. OD matches the definition of a geriatric syndrome as it is highly prevalent among older people, is caused by multiple factors, is associated with several comorbidities and poor prognosis, and needs a multidimensional approach to be treated. OD should be given more importance and attention and thus be included in all standard screening protocols, treated, and regularly monitored to prevent its main complications. More research is needed to develop and standardize new treatments and management protocols for older patients with OD, which is a challenging mission for our societies.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; Versió publicada
Matèria:	Swallowing disorders ; Malnutrition ; Aged ; Frail elderly ; Quality of life ; Healthy aging ; Sarcopenia
Publicat a:	Clinical Interventions in Aging, Vol. 11 (october 2016) , p. 1403-1428, ISSN 1178-1998

DOI: 10.2147/CIA.S107750
PMID: 27785002

26 p, 566.7 KB

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