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Medicina interna de México
Print version ISSN 0186-4866
Abstract
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. https://doi.org/10.24245/mim.v34i3.1815.
BACKGROUND
Neurological diseases patients are susceptible to dysphagia, frequently not diagnosed.
OBJECTIVE
To determine the presence of dysphagia in patients attending for neurological pathology of extern consult and its relation with malnutrition.
MATERIAL AND METHOD
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.
RESULTS
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).
CONCLUSIONS
There is high prevalence of undiagnosed dysphagia and it’s associated with greater risk of malnutrition.
Keywords : Dysphagia; Malnutrition; Diabetes mellitus.
