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Medicina interna de México

Print version ISSN 0186-4866


PEREZ-CRUZ, Elizabeth et al. Assessment of dysphagia in neurological disease patients and its relation to risk factor for malnutrition. Med. interna Méx. [online]. 2018, vol.34, n.3, pp.359-365. ISSN 0186-4866.


Neurological diseases patients are susceptible to dysphagia, frequently not diagnosed.


To determine the presence of dysphagia in patients attending for neurological pathology of extern consult and its relation with malnutrition.


A prospective, cross-sectional study, performed from January to December 2016, that evaluated dysphagia symptoms, clinically phases of swallowing, and EAT-10 questionnaire validated to Spanish was applied. Risk factors were determined, as well as nutritional risk, Quetelet Index, Global Subjective Assessment, and demographics data.


Of the 55 patients, 54.5% were women; mean age was of 47.29 years. The prevalence of dysphagia was 49.1%; patients with risk malnutrition represented 25.5%. Dysphagia patients accounted for 33.3% and had a higher risk of malnutrition vs 17.9% without dysphagia (p < 0.001). The risk of dysphagia increased in women (OR 1.23, 95% CI 0.42-3.58, p = 0.45), diabetes mellitus (OR 2.95, 95 % CI 0.52-16.75, p = 0.19), patients with history of pneumonia (OR 2.12, 95% CI 1.59-2.81; p = 0.236) and chronic neurological disease (OR 1.65, 95% CI 0.49-5.53, p = 0.30).


There is high prevalence of undiagnosed dysphagia and it’s associated with greater risk of malnutrition.

Keywords : Dysphagia; Malnutrition; Diabetes mellitus.

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