Document Detail


Prevalence and nature of dysphagia in VA patients with COPD referred for videofluoroscopic swallow examination.
MedLine Citation:
PMID:  10834828     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This retrospective study investigated the prevalence and nature of dysphagia in 78 male outpatients whose primary diagnosis was chronic obstructive pulmonary disease (COPD) and who were referred for modified barium swallow studies at the Veterans Affairs Medical Center (VAMC) in Tucson, Arizona, 1992-1995. Nearly 85% of these patients evidenced some degree of dysphagia, and laryngeal penetrations or aspirations were observed in 44 of them. Agreement between VAMC swallow assessments and those of a three-judge panel of certified speech-language pathologists supported the reliability and validity of the information extracted from VAMC records. The high percentage of silent laryngeal penetrations and aspirations observed in this sample suggests that COPD patient's respiratory status should be considered as well as overt symptoms of a swallowing disorder, such as coughing, in making referrals for video-fluoroscopic swallow studies for such patients.
Authors:
M D Good-Fratturelli; R F Curlee; J L Holle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of communication disorders     Volume:  33     ISSN:  0021-9924     ISO Abbreviation:  J Commun Disord     Publication Date:    2000 Mar-Apr
Date Detail:
Created Date:  2000-08-30     Completed Date:  2000-08-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0260316     Medline TA:  J Commun Disord     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  93-110     Citation Subset:  IM    
Affiliation:
University of Arizona, Tucson Veterans Affairs Medical Center, 85721-0071, USA.
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MeSH Terms
Descriptor/Qualifier:
Cough / etiology
Deglutition Disorders* / complications,  diagnosis,  epidemiology
Female
Humans
Lung Diseases, Obstructive / complications*
Male
Observer Variation
Photofluorography / methods*
Prevalence
Reproducibility of Results
Retrospective Studies
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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