Advanced

Deglutition in elderly patients with dementia: findings of videofluorographic evaluation and impact on staging and management

Feinberg, M J; Ekberg, Olle LU ; Segall, L and Tully, J (1992) In Radiology 183(3). p.811-814
Abstract
Oral and pharyngeal function in 131 institutionalized elderly patients with advanced dementia was evaluated by means of videofluoroscopic deglutition examination (VDE). Findings were normal in only nine (7%) patients. Oral-stage dysfunction was observed in 93 (71%) patients, pharyngeal dysfunction in 56 (43%), and pharyngoesophageal-segment abnormalities in 43 (33%). Multiple-stage dysfunction was noted in 55 (42%) patients. Major aspiration of contrast medium was present in 31 patients, and minor aspiration in 66. Evaluation of VDE findings prompted a change in clinical staging (degree of impairment) in 40 patients and substantial alteration in treatment planning in 28. At clinical bedside evaluation, the degree of bolus misdirection was... (More)
Oral and pharyngeal function in 131 institutionalized elderly patients with advanced dementia was evaluated by means of videofluoroscopic deglutition examination (VDE). Findings were normal in only nine (7%) patients. Oral-stage dysfunction was observed in 93 (71%) patients, pharyngeal dysfunction in 56 (43%), and pharyngoesophageal-segment abnormalities in 43 (33%). Multiple-stage dysfunction was noted in 55 (42%) patients. Major aspiration of contrast medium was present in 31 patients, and minor aspiration in 66. Evaluation of VDE findings prompted a change in clinical staging (degree of impairment) in 40 patients and substantial alteration in treatment planning in 28. At clinical bedside evaluation, the degree of bolus misdirection was overestimated in 19 patients with minor aspiration and underestimated in seven with major aspiration. Dementia is often associated with oral and pharyngeal impairment, and VDE can be important in diagnosis and treatment. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Radiology
volume
183
issue
3
pages
811 - 814
publisher
Radiological Society of North America
external identifiers
  • pmid:1584939
  • scopus:0026653025
ISSN
1527-1315
language
English
LU publication?
yes
id
6600f954-2450-4488-bd33-d8f85b5441cf (old id 1106506)
date added to LUP
2008-08-01 14:20:30
date last changed
2017-07-30 04:41:46
@article{6600f954-2450-4488-bd33-d8f85b5441cf,
  abstract     = {Oral and pharyngeal function in 131 institutionalized elderly patients with advanced dementia was evaluated by means of videofluoroscopic deglutition examination (VDE). Findings were normal in only nine (7%) patients. Oral-stage dysfunction was observed in 93 (71%) patients, pharyngeal dysfunction in 56 (43%), and pharyngoesophageal-segment abnormalities in 43 (33%). Multiple-stage dysfunction was noted in 55 (42%) patients. Major aspiration of contrast medium was present in 31 patients, and minor aspiration in 66. Evaluation of VDE findings prompted a change in clinical staging (degree of impairment) in 40 patients and substantial alteration in treatment planning in 28. At clinical bedside evaluation, the degree of bolus misdirection was overestimated in 19 patients with minor aspiration and underestimated in seven with major aspiration. Dementia is often associated with oral and pharyngeal impairment, and VDE can be important in diagnosis and treatment.},
  author       = {Feinberg, M J and Ekberg, Olle and Segall, L and Tully, J},
  issn         = {1527-1315},
  language     = {eng},
  number       = {3},
  pages        = {811--814},
  publisher    = {Radiological Society of North America},
  series       = {Radiology},
  title        = {Deglutition in elderly patients with dementia: findings of videofluorographic evaluation and impact on staging and management},
  volume       = {183},
  year         = {1992},
}