Leticia Sampaio de Oliveira
◽
Jonan Emi Valencia Cardenas
◽
Claudia Tiemi Mituuti
◽
Raquel Rodrigues Rosa
◽
Eduardo Carvalho de Andrade
◽
...
Abstract
Objective To verify the association between oropharyngeal dysphagia and quality of life in elderly individuals, at the late stage of stroke.Methods Retrospective cross-sectional study, whose results were obtained by analysis of the databank of a project that analyzed 30 elderly individuals affected by stroke in the late stage. All were submitted to clinical and instrumental evaluation (fiberoptic endoscopic) of swallowing, testing foods of solid, liquid and pudding textures. The degree of dysphagia was classified according to data from clinical examination and images of videoendoscopy examinations using the DOSS scale (Dysphagia Outcome and Severity Scale). The quality of life related to swallowing was analyzed by the SWAL-QOL protocol (Quality of Life in Swallowing Disorders), previously applied to the elderly individuals. Data were submitted to descriptive statistical an analysis and the Spearman correlation test.Results The clinical evaluation evidenced that most individuals presented mild oropharyngeal dysphagia, while the DOSS scale demonstrated swallowing with functional limitations. Mild impact or lack of impact was observed on the quality of life related to swallowing. There was positive correlation between burden, wish to feed, duration of feeding and mental state with the severity of oropharyngeal dysphagia, both by clinical and instrumental evaluations; and between the frequency of symptoms and severity of dysphagia by clinical evaluation (p<0.01).Conclusion There was association between the severity of oropharyngeal dysphagia and quality of life of elderly individuals in the late stage of stroke, demonstrating the importance of longitudinal follow-up of these individuals concerning the feeding aspects.
Clinical Evaluation of Strabismus in Elderly Individuals with Emphasis on the Differences between Sagging Eye Syndrome and Ocular Movement Nerve Paralysis
