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
Viñas, Paula (Hospital de Mataró. Consorci Sanitari del Maresme)
Bolivar-Prados, Mireia (Hospital de Mataró. Consorci Sanitari del Maresme)
Tomsen, Noemí (Hospital de Mataró. Consorci Sanitari del Maresme)
Costa, Alicia (Hospital de Mataró. Consorci Sanitari del Maresme)
Marin, Sergio (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Riera, Stephanie A. (Hospital de Mataró. Consorci Sanitari del Maresme)
Barcons, Núria (Medical Affairs, Nestlé Health Science, Switzerland)
Clavé i Civit, Pere (Hospital de Mataró. Consorci Sanitari del Maresme)

Fecha:	2022
Resumen:	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.
Nota:	Altres ajuts: Generalitat de Catalunya (intensification grant of Alicia Costa; SLT017/20/000220); Territorial Competitiveness Specialization Project (PECT) of MataroMaresme (PRE/161/2019); European Regional Developments Funds of Catalonia Operational Programme FEDER 2014-2020
Derechos:	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, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Deglutition ; Deglutition disorders ; Dysphagia ; Hydration ; Hydropenia ; Dehydration ; Nutritional status ; Aspiration ; Thickened fluids ; Thickeners
Publicado en:	Nutrients, Vol. 14, Num. 12 (june 2022) , ISSN 2072-6643

DOI: 10.3390/nu14122497
PMID: 35745228

20 p, 1.3 MB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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