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Screening for oropharyngeal dysphagia in adult patients with neuromuscular diseases using the Sydney Swallow Questionnaire
- Source :
- Muscle & nerve, Vol. 64, no.3, p. 277-284 (2021)
- Publication Year :
- 2021
-
Abstract
- Introduction/aims Oropharyngeal dysphagia is common in patients with neuromuscular diseases (NMDs). Its early recognition is vital for proper management. We tested a large cohort of adult NMD patients for oropharyngeal dysphagia using the Sydney Swallow Questionnaire (SSQ). We also looked for possible differences in characteristics of oropharyngeal dysphagia in various NMD groups and diseases. Finally, we compared results of this screening with those from their corresponding medical records for eventual "clinical history" of dysphagia. Methods We asked patients to fill in the SSQ during follow-up outpatient visits at our neuromuscular reference center. A total score above the cutoff score of 118.5 out of 1700 was indicative of oropharyngeal dysphagia. Results Of the 304 adult patients assessed for eligibility, 201 NMD patients (96 women and 105 men, aged 49.0 ± 16.2 years) were included and tested in this study. Oropharyngeal dysphagia was detected in 45% of all the NMD patients when using the SSQ, whereas only 12% had a positive medical record for dysphagia. The median SSQ scores for patients with myotonic syndromes (including myotonic dystrophy type 1), with amyotrophic lateral sclerosis, and with facioscapulohumeral dystrophy were above the cutoff score. The SSQ scores obtained revealed distinct oropharyngeal dysphagia characteristics in the different NMD groups and diseases. Discussion The SSQ tests positively for oropharyngeal dysphagia in a higher proportion of NMD patients compared with their medical records. The distinct oropharyngeal dysphagia characteristics we revealed in different NMD groups and diseases may help to elaborate adapted clinical approaches in the management of oropharyngeal dysphagia.
- Subjects :
- 0301 basic medicine
Adult
Male
medicine.medical_specialty
Physiology
neuromuscular diseases
030105 genetics & heredity
Myotonic dystrophy
Severity of Illness Index
03 medical and health sciences
Cellular and Molecular Neuroscience
0302 clinical medicine
Physiology (medical)
Internal medicine
Surveys and Questionnaires
medicine
otorhinolaryngologic diseases
Humans
Mass Screening
In patient
Amyotrophic lateral sclerosis
Adult patients
business.industry
Medical record
screening
Sydney Swallow Questionnaire
Neuromuscular Diseases
Middle Aged
medicine.disease
Sydney swallow questionnaire
Dysphagia
oropharyngeal dysphagia
Deglutition
Female
Neurology (clinical)
medicine.symptom
business
Deglutition Disorders
030217 neurology & neurosurgery
Oropharyngeal dysphagia
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Muscle & nerve, Vol. 64, no.3, p. 277-284 (2021)
- Accession number :
- edsair.doi.dedup.....6ecc095dbbc63fbabac183840085373d