Publication details

Title
Malnutrition as a complication of oropharyngeal dysphagia in specific clinical situations.
Authors
Carrion,S.;Roca,M.;Ortega,O.;Arreola,V.;Clave,P.
Publication Year
2013
Abstract
Introduction: Malnutrition is one of the major complications of oropharyngeal dysphagia (OD) but little is known about the characteristics of malnutrition in specific clinical settings. Aim: To compare the nutritional and hydration status of elderly patients with chronic OD and patients with OD and acute complications (pneumonia). Materials and Methods: 3 groups of elderly patients (>70 years) with OD according to the volume viscosity swallow test (V-VST) were studied with an elderly control group without OD (Group D). Group A, with history of aspiration pneumonia (AP); Group (less-than or equal to), without AP history and Group C with acute pneumonia. Screening for malnutrition was performed with the Mini Nutritional Assessment test (MNA(registered trademark)) and assessment with anthropometric characteristics and body composition with bioimpedance (BIA 101). Biochemical markers of malnutrition were also collected. Results: 59 patients were studied, 15 patients in each group (Group C, n = 14). The group of patient with acute pneumonia presented: (a) higher rates of malnutrition according to the MNA (21.4 %) (Group A, 13.3 %; Group (less-than or equal to), 6.7 %; Group D, 0 % (p>0.05); (b) lower albumin and cholesterol levels (p<0.001) and higher PCR (p<0.001); (c) lower BMI (25.4 kg/m2) (p = 0.01); (d) a reduction in basal metabolism (p = 0.04), in muscle mass (p = 0.06) and in fat mass (p = 0.05) and (e) a reduction in intracellular water (p = 0.04). Discussion: Patients with OD are at risk for malnutrition, which is increased in acute conditions such as pneumonia. Screening for malnutrition should be performed on all patients with OD, particularly during an acute infection.
Journals
Dysphagia.
Volume
28
Issue
2
Startpage
294
Endpage
[Abstract, Oral Presentation 05.03, 2nd Congress of the European Society for Swallowing Disorders (ESSD), Barcelona, Spain, Oct 25-27, 2012]
Booktitle
Editors
City
Publisher
Issnisbn
0179-051X; 1432-0460
Reflist
0
Doi
doi:10.1007/s00455-013-9455-z
Pmid
Keywords
biochemical marker;albumin;water;cholesterol;dysphagia;malnutrition;society;human;patient;aged;screening;lobar pneumonia;pneumonia;aspiration pneumonia;nutritional assessment;body composition;control group;infection;swallow (bird);acute disease;risk;visco????
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