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ISSN 2007-6037 (Print)
Órgano Oficial de Difusión de la Asociación Mexicana de Comunicación, Audiología, Otoneurología y Foniatría, A.C.,

2016, Number 3

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Rev Mex AMCAOF 2016; 5 (3)

Concordance between fibroendoscopic and cervical auscultation in the evaluation of dysphagia in patients with Parkinson’s disease

Rubio-Grayeb ML, Villeda-Miranda A, Arch-Tirado E, Martínez-Wbaldo MC

Language: Spanish
References: 41
Page: 83-88
PDF size: 126.86 Kb.


ABSTRACT

Introduction: Parkinson’s disease is the second most frequent neurodegenerative disease, and its prevalence is increasing; in Mexico, 500,000 cases are estimated. Ninety percent of subjects with Parkinson’s disease in advanced stages develop dysphagia; their aspiration risk is not always perceived. Objective: To measure the correlation between two methods of screening. Material and methods: Comparative observational study in a voluntary sample of subjects with Parkinson’s disease referred to the service of Phoniatrics of the INR from February 2014 to October 2015. After signing an informed consent, they were evaluated with cervical auscultation (AC) and fiberoptic endoscopy (FEES), managing volumes of five, 10, 15 and 20 mL of pudding, nectar, liquids and biscuits (1/4 and 1/2). During the FEES, we identified food waste, penetration and suction, and in the AC, the perception of swallowing sounds with risk for aspiration; the association and agreement were measured. Results: Five people with Parkinson’s disease participated: three women and two men, aged 51-71 years, mean 63.8 ± 9.2. The alterations were more frequent at a higher volume and a lower viscosity in both studies; the correlation obtained a Kappa index of 0.71, interpreted as good. Conclusions: Both studies can be performed in the Phoniatrics service and allow identifying probable risk of penetration and aspiration, usually silent in this condition, thus preventing respiratory complications.


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