bachelorThesis
Alteraciones detectadas en la evaluación endoscópica de la deglución (fees) asociadas con neumonía en una cohorte de pacientes con disfagia
Fecha
2013Registro en:
Ku PK, Vlantis AC, Leung SF, Lee KY, Cheung DM, Abdullah VJ, et al. Laryngopharyngeal
sensory deficits and impaired pharyngeal motor function predict aspiration in patients
irradiated for nasopharyngeal carcinoma. Laryngoscope. 2010 Feb;120(2):223-8.
Rofes L, Arreola V, Almirall J, Cabre M, Campins L, Garcia-Peris P, et al. Diagnosis and
management of oropharyngeal Dysphagia and its nutritional and respiratory complications in
the elderly. Gastroenterol Res Pract. 2011;2011
Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest. 2003
Jul;124(1):328-36.
Schmidt J, Holas M, Halvorson K, Reding M. Videofluoroscopic evidence of aspiration
predicts pneumonia and death but not dehydration following stroke. Dysphagia. 1994
Winter;9(1):7-11
Aviv JE. Prospective, randomized outcome study of endoscopy versus modified barium
swallow in patients with dysphagia. Laryngoscope. 2000 Apr;110(4):563-74.
Croghan JE, Burke EM, Caplan S, Denman S. Pilot study of 12-month outcomes of nursing
home patients with aspiration on videofluoroscopy. Dysphagia. 1994;9(3):141-6.
Smithard DG, O'Neill PA, Park C, Morris J, Wyatt R, England R, et al. Complications and
Outcome After Acute Stroke: Does Dysphagia Matter? Stroke. 1996 July 1, 1996;27(7):1200-4.
Croghan JE, Burke EM, Caplan S, Denman S. Pilot study of 12-month outcomes of nursing
home patients with aspiration on videofluoroscopy. Dysphagia. 1994 Summer;9(3):141-6.
Ickenstein GW, Stein J, Ambrosi D, Goldstein R, Horn M, Bogdahn U. Predictors of survival
after severe dysphagic stroke. J Neurol. 2005 Dec;252(12):1510-6.
Low J, Wyles C, Wilkinson T, Sainsbury R. The effect of compliance on clinical outcomes for
patients with dysphagia on videofluoroscopy. Dysphagia. 2001 Spring;16(2):123-7.
Foley N, Teasell R, Salter K, Kruger E, Martino R. Dysphagia treatment post stroke: a
systematic review of randomised controlled trials. Age Ageing. 2008 May;37(3):258-64.
Wilson RD. Mortality and cost of pneumonia after stroke for different risk groups. J Stroke
Cerebrovasc Dis. 2012 Jan;21(1):61-7
Rubesin SE. Oral and pharyngeal dysphagia. Gastroenterol Clin North Am. 1995
Jun;24(2):331-52.
Kelly AM, Leslie P, Beale T, Payten C, Drinnan MJ. Fibreoptic endoscopic evaluation of
swallowing and videofluoroscopy: does examination type influence perception of pharyngeal
residue severity? Clin Otolaryngol. 2006 Oct;31(5):425-32.
Kelly AM, Drinnan MJ, Leslie P. Assessing Penetration and Aspiration: How Do
Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing Compare? The
Laryngoscope. 2007;117(10):1723-7.
Nazar M G, Ortega T A, Godoy M A, Godoy M JM, Fuentealba M I. Evaluación fibroscópica
de la deglución. Revista de otorrinolaringología y cirugía de cabeza y cuello. 2008;68:131-42.
Wu CH, Hsiao TY, Chen JC, Chang YC, Lee SY. Evaluation of swallowing safety with fiberoptic
endoscope: comparison with videofluoroscopic technique. Laryngoscope. 1997
Mar;107(3):396-401.
Kaye GM, Zorowitz RD, Baredes S. Role of flexible laryngoscopy in evaluating aspiration.
Ann Otol Rhinol Laryngol. 1997 Aug;106(8):705-9.
da Silva AP, Lubianca Neto JF, Santoro PP. Comparison between videofluoroscopy and
endoscopic evaluation of swallowing for the diagnosis of dysphagia in children. Otolaryngol
Head Neck Surg. 2010 Aug;143(2):204-9.
Tabaee A, Johnson PE, Gartner CJ, Kalwerisky K, Desloge RB, Stewart MG. Patientcontrolled
comparison of flexible endoscopic evaluation of swallowing with sensory testing
(FEESST) and videofluoroscopy. Laryngoscope. 2006 May;116(5):821-5.
Langmore SE. Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior?
Curr Opin Otolaryngol Head Neck Surg. 2003 Dec;11(6):485-9.
Holas MA, DePippo KL, Reding MJ. Aspiration and relative risk of medical complications
following stroke. Arch Neurol. 1994 Oct;51(10):1051-3.
Kidd D, Lawson J, Nesbitt R, MacMahon J. The natural history and clinical consequences of
aspiration in acute stroke. QJM. 1995 Jun;88(6):409-13.
Pikus L, Levine MS, Yang YX, Rubesin SE, Katzka DA, Laufer I, et al. Videofluoroscopic
studies of swallowing dysfunction and the relative risk of pneumonia. AJR Am J Roentgenol.
2003 Jun;180(6):1613-6.
Lim SH, Lieu PK, Phua SY, Seshadri R, Venketasubramanian N, Lee SH, et al. Accuracy of
bedside clinical methods compared with fiberoptic endoscopic examination of swallowing
(FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia. 2001
Winter;16(1):1-6.
Masiero S, Pierobon R, Previato C, Gomiero E. Pneumonia in stroke patients with
oropharyngeal dysphagia: a six-month follow-up study. Neurological Sciences. 2008;29(3):139-
45.
Almirall J, Morato I, Riera F, Verdaguer A, Priu R, Coll P, et al. Incidence of communityacquired
pneumonia and Chlamydia pneumoniae infection: a prospective multicentre study.
Eur Respir J. 1993 January 1, 1993;6(1):14-8.
Jokinen C, Heiskanen L, Juvonen H, Kallinen S, Karkola K, Korppi M, et al. Incidence of
Community-Acquired Pneumonia in the Population of Four Municipalities in Eastern Finland.
Am J Epidemiol. 1993 May 1, 1993;137(9):977-88.
Weir K, McMahon S, Barry L, Ware R, Masters IB, Chang AB. Oropharyngeal aspiration and
pneumonia in children. Pediatr Pulmonol. 2007 Nov;42(11):1024-31.
Johnson ER, McKenzie SW, Sievers A. Aspiration pneumonia in stroke. Arch Phys Med
Rehabil. 1993 Sep;74(9):973-6.
Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, et al. Infectious
Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults. Clinical Infectious Diseases.
2007;44(S2):S27-S72.
ATS/IDSA. Guidelines for the Management of Adults with Hospital-acquired, Ventilatorassociated, and Healthcare-associated Pneumonia. Am J Respir Crit Care Med. 2005 February
15, 2005;171(4):388-416.
Fabregas N, Ewig S, Torres A, El-Ebiary M, Ramirez J, de La Bellacasa JP, et al. Clinical
diagnosis of ventilator associated pneumonia revisited: comparative validation using
immediate post-mortem lung biopsies. Thorax. 1999 Oct;54(10):867-73.
Hallett JS, Jacobs RL. Recurrent acute bronchitis: the association with undiagnosed
bronchial asthma. Ann Allergy. 1985 Oct;55(4):568-70.
Snow V, Mottur-Pilson C, Gonzales R. Principles of appropriate antibiotic use for treatment
of acute bronchitis in adults. Ann Intern Med. 2001 Mar 20;134(6):518-20.
Gonzales R, Sande MA. Uncomplicated Acute Bronchitis. Annals of Internal Medicine. 2000
December 19, 2000;133(12):981-91.
Horna-Castiñeiras J, Fernández-Bermejo E, Raboso García-Baquero E. Capítulo 13.
Valoración y manejo clínico del paciente con disfagia. FMC Formación médica continuada en
atención primaria. 2008;15(Curso):78-91.
Clavé P, Arreola V, Velasco M, Quer M, Castellví JM, Almirall J, et al. Diagnóstico y
tratamiento de la disfagia orofaríngea funcional. Aspectos de interés para el cirujano digestivo.
Cir Esp. 2007;82(2):62-76
Velasco M, Arreola V, Clavé P, Puiggrós C. Abordaje clínico de la disfagia orofaríngea:
diagnóstico y tratamiento. Nutr Clin Med. 2007;1(3):174-202
Terré Boliart R. Disfagia orofaríngea secundaria a daño cerebral: diagnóstico, evolución,
factores pronósticos y tratamiento con toxina botulínica. Barcelona: Universitat Autonoma de
Barcelona; 2009.
Farr BM, Bartlett CLR, Wadsworth J, Miller DL. Risk factors for community-acquired
pneumonia diagnosed upon hospital admission. Respiratory Medicine. 2000;94(10):954-63.
Farr BM, Woodhead MA, Macfarlane JT, Bartlett CLR, McCracken JS, Wadsworth J, et al.
Risk factors for community-acquired pneumonia diagnosed by general practitioners in the
community. Respiratory Medicine. 2000;94(5):422-7.
Finlayson O, Kapral M, Hall R, Asllani E, Selchen D, Saposnik G. Risk factors, inpatient care,
and outcomes of pneumonia after ischemic stroke. Neurology. 2011 Oct 4;77(14):1338-45.
Almirall J, González CA, Balanzó X, Bolíbar I. Proportion of Community-Acquired Pneumonia
Cases Attributable to Tobacco Smoking*. Chest. 1999 August 1, 1999;116(2):375-9.
James MT, Quan H, Tonelli M, Manns BJ, Faris P, Laupland KB, et al. CKD and risk of
hospitalization and death with pneumonia. Am J Kidney Dis. 2009 Jul;54(1):24-32.
Rodriguez LA, Ruigomez A, Wallander MA, Johansson S. Acid-suppressive drugs and
community-acquired pneumonia. Epidemiology. 2009 Nov;20(6):800-6.
van der Maarel-Wierink CD, Vanobbergen JNO, Bronkhorst EM, Schols JMGA, de Baat C.
Risk Factors for Aspiration Pneumonia in Frail Older People: A Systematic Literature Review.
Journal of the American Medical Directors Association. 2011;12(5):344-54
Joo MJ, Au DH, Fitzgibbon ML, Lee TA. Inhaled corticosteroids and risk of pneumonia in
newly diagnosed COPD. Respiratory Medicine. 2010;104(2):246-52
Trifiro G, Gambassi G, Sen EF, Caputi AP, Bagnardi V, Brea J, et al. Association of
community-acquired pneumonia with antipsychotic drug use in elderly patients: a nested casecontrol study. Ann Intern Med. 2010 Apr 6;152(7):418-25, W139-40.
Samokhvalov A, Irving H, Rehm J. Alcohol consumption as a risk factor for pneumonia: a
systematic review and meta-analysis. Epidemiology and Infection. United Kingdom,
Cambridge: Cambridge University Press; 2010. p. 1789-95
Health Development Agency, University of Wales College of Medicine. Manual for the Fast
Alcohol Screening Test (FAST). London, England: NHS; 2002.
Giraldo LF, Miranda X, Barros C, Hernandez M, Martinez N, Leon MX, et al. Respiratory
Complications in a Cohort of Patients at Risk for Oropharyngeal Dysphagia. Chest. 2008
October;134(4):p11004.
Takahashi N, Kikutani T, Tamura F, Groher M, Kuboki T. Videoendoscopic assessment of
swallowing function to predict the future incidence of pneumonia of the elderly. J Oral Rehabil.
2012 Jun;39(6):429-37
Horner J, Buoyer FG, Alberts MJ, Helms MJ. Dysphagia following brain-stem stroke. Clinical
correlates and outcome. Arch Neurol. 1991 Nov;48(11):1170-3.
Nayak VK, Bhattacharyya N, Kotz T, Shapiro J. Patterns of swallowing failure following
medialization in unilateral vocal fold immobility. Laryngoscope. 2002 Oct;112(10):1840-4.
Wu CH, Hsiao TY, Ko JY, Hsu MM. Dysphagia after radiotherapy: endoscopic examination of
swallowing in patients with nasopharyngeal carcinoma. Ann Otol Rhinol Laryngol. 2000
Mar;109(3):320-5.
Grimes DA, Schulz KF. Bias and causal associations in observational research. Lancet. 2002
Jan 19;359(9302):248-52.
Gonzalez R, Bevilacqua JA. Disfagia en el paciente neurologico. Rev Hosp Clín Univ Chile.
2009;20:252-62.
Terre R. Disfagia orofaringea secundaria a daño cerebral: diagnostico, evolucion, factores
pronosticos y tratamiento con toxina botulinica [PhD Thesis]. Barcelona: Universitat Autonoma
de Barcelona; 2009.
255539
TE05972
Autor
Giraldo Cardona, Luis Fernando
Institución
Resumen
La disfagia representa una disfunción en la eficiencia y/o seguridad de las funciones relacionadas con el transporte del bolo alimentico desde la boca hasta estómago. Por lo general se presenta en pacientes con alteraciones neurológicas. La evaluación de la deglución se realiza mediante nasofibrolaringoscopia (FEES); Su principal complicación es la neumonía aspirativa, sin embargo no hay evidencia sobre el riesgo de esta asociada con los principales hallazgos de la FEES, por tal motivo realizamos un estudio de cohorte con 148 pacientes en riesgo de disfagia a los cuales se les realizo la FEES con diferentes consistencias. Nuestra investigación evidencio un incremento del riesgo de neumonía ante la presencia de aspiración, penetración, residuos con cualquier consistencia de alimentos en la FEES.