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http://www.codas.periodikos.com.br/article/doipath/10.1590/2317-1782/20202019036
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Artigo Original

Relationship between dysphagia risk and health status in patients with chronic obstructive pulmonary disease

Relação entre o risco de disfagia e o estado de saúde de indivíduos com a doença pulmonar obstrutiva crônica

Daniele Prestes; Diego Fernando Dorneles Bilheri; Juliana Rosa Nascimento; Natiele Camponogara Righi; Camila Baldissera; André Felipe Santos da Silva; Renata Mancopes; Adriane Schmidt Pasqualoto

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Abstract

Purpose: To verify the relationship between the risk of dysphagia and health status in patients with Chronic Obstructive Pulmonary Disease (COPD). Method: Cross-sectional study with convenience sample. Twentythree individuals with a diagnosis of COPD according to GOLD 2019 criteria. The individuals participated in a pulmonary rehabilitation program, clinically stable (without exacerbations of at least 30 days) and in optimized drug treatment were included. The study analyzed anthropometric measures (BMI), peak expiratory flow (PEF), mental status (MEEM), eating assessment tool (EAT-10), and health status (COPD Assessment Test -CAT). The mean age was 60.39 ± 9.90 years, 11 individuals were female and eutrophic. Results: We observed a positive and moderate association (r = 0.57, p = 0.004) between the CAT and EAT-10 scores in the sample studied. Conclusion: The results demonstrated relationship between the risk of dysphagia and the health status in individuals with COPD.

Keywords

Pulmonary Disease; Chronic Obstructive; Deglutition Disorders; Dysphagia; Health Status; Patient Care Team

Resumo

Objetivo: Verificar a relação entre o risco de disfagia e o estado de saúde de indivíduos com Doença Pulmonar Obstrutiva Crônica (DPOC). Método: Estudo transversal, com amostra de conveniência. Foram incluídos 23 indivíduos com diagnóstico de DPOC, de acordo com os critérios de GOLD (2019). São participantes de um programa de reabilitação pulmonar, clinicamente estáveis (sem exacerbações dos sintomas, no mínimo, de 30 dias) e em tratamento medicamentoso otimizado. Foram avaliadas as medidas antropométricas (IMC), o pico de fluxo expiratório (PFE), o estado mental (MEEM), o risco de disfagia (Eating Assessment Tool -EAT-10) e o estado de saúde (COPD Assessment Test -CAT). A média de idade dos participantes foi de 60,39 ± 9,90 anos, dos quais 11 eram do sexo feminino e eutróficos. Resultados: Foram encontradas associações positiva e moderada (r=0,57; p=0,004) entre o escore obtido pelo CAT e EAT-10 de indivíduos com DPOC. Conclusão: Os resultados demonstraram relação entre o risco de disfagia e o estado de saúde nos indivíduos com DPOC

Palavras-chave

Doença Pulmonar; Obstrutiva Crônica; Transtornos de Deglutição; Disfagia; Nível de Saúde; Equipe de Assistência ao Paciente

Referências

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Submetido em:
16/02/2019

Aceito em:
13/09/2019

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