Prevalence of Oropharyngeal Dysphagia in Adult Patients. Systematic Review and Meta-analysis
Abstract Introduction and objective: Oropharyngeal dysphagia is a highly prevalent clinical sumptom, characterized by difficulty in swallowing, presenting various etiological factors.Its treatment is carried out in a multidisciplinary manner, including various health sciences professionals. The aim of this study is to know the prevalence of oropharyngeal dysphagia in adult patients. Method: A bibliographic search of studies related to the prevalence of oropharyngeal dysphagia in adult patients was carried out. The screening and selection of studies was conducted, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) declaration guideline A statistical analysis of the variables considered relevant for the study was performed. Results: A total of 29 studies were selected. The total prevalence of dysphagia was presented with a probability of p = 0.39, within a confidence interval of (95% CI 0.303 – 0.476). Discussion: There is an association or correlation between dysphagia and various clinical states or pathologies of the patient. A direct relationship has been found between the prevalence of dysphagia and advanced age. Conclusions: Oropharyngeal dysphagia presented with a high prevalence according to the selected studies. Neurological diseases, malnutrition and pneumonia were the main comorbid conditions in patients with dysphagia. The nursing function was absent in most of the studies.
- Referencias
- Cómo citar
- Del mismo autor
- Métricas
Wirth R, Dziewas R, Beck AM, Clavé P, Hamdy S, Heppner HJ, et al. Oropharyngeal dysphagia in older persons – from pathophysiology to adequate intervention: A review and summary of an international expert meeting. Clin Interv Aging. 2016;11:189–208.
Lancaster J. Dysphagia: its nature assesment and management. Br J Community Nurs. 2015;20:28–32.
Baijens LWJ, Clavé P, Cras P, Ekberg O, Forster A, Kolb GF, et al. European society for swallowing disorders - European union geriatric medicine society white paper: Oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging. 2016;11:1403–28.
Smithard DG. Dysphagia: Prevalence, management and the community nurse. Community Pract. 2015;88(10):32–6.
Burgos R, Sarto B, Segurola H, Romagosa A, Puiggrós C, Vázquez C, et al. Traducción y validación de la versión en español de la escala EAT-10 (Eating Assessment Tool-10) para el despistaje de la disfagia. Nutr Hosp. 2012;27(6):2048–54.
Rofes L, Arreola V, Clavé P. Stepping Stones to Living Well with Dysphagia. Nestlé Nutr Inst Work Ser. 2012;72:33–42.
Andrade P, Santos C, Firmino H, Rosa C. The importance of dysphagia screening and nutritional assessment in hospitalized patients. Einstein (Sao Paulo). 2018;16(2):eAO4189.
Tufan A, Bahat G. Oropharyngeal dysphagia is a prevalent problem associated with mortality in hospitalized older adults. Eur Geriatr Med. 2016;7:206.
Melgaard D, Rodrigo-Domingo M, Mørch MM. The prevalence of oropharyngeal dysphagia in acute geriatric patients. Geriatr. 2018;3(2):9–13.
Hansen T, Nielsen RL, Houlind MB, Tavenier J, Rasmussen LJH, Jørgensen LM, et al. Dysphagia prevalence, time course, and association with probable sarcopenia, inactivity, malnutrition, and disease status in older patients admitted to an emergency department: A secondary analysis of cohort study data. Geriatr. 2021;6(2):1–14.
Takeuchi K, Aida J, Ito K, Furuta M, Yamashita Y, Osaka K. Nutritional status and dysphagia risk among community-dwelling frail older adults. J Nutr Health Aging. 2014;18(4):352–7.
González-Fernández M, Humbert I, Winegrad H, Cappola AR, Fried LP. Dysphagia in old-old women: Prevalence as determined by self-reportand the 3 oz. water swallowing test. J Am Geriatr Soc. 2014;62(4):716–20.
Adkins C, Takakura W, Spiegel B, Lu M, Vera-Llonch M, Williams J, et al. Prevalence and Characteristics of Dysphagia Based on a Population-Based Survey. Clin Gastroenterol Hepatol. 2020;18(9):1970–9.
Espinosa-Val M, Martín-Martínez A, Graupera M, Arias O, Elvira A, Cabré M, et al. Prevalence, Risk Factors, and Complications of Oropharyngeal Dysphagia in Older Patients with Dementia. Nutrients. 2020;12(3):863.
Igarashi K, Kikutani T, Tamura F. Survey of suspected dysphagia prevalence in home-dwelling older people using the 10-Item Eating Assessment Tool (EAT-10). PLoS One. 2019;14(1):1–13.
Batista AO, Nascimento WV, Cassiani RA, Silva ACV, Alves LMT, Alves DC, et al. Prevalence of non-obstructive dysphagia in patients with heartburn and regurgitation. Clinics. 2020;75(15):1–6.
Casanueva R, López F, Costales M, Ordas A, Villanueva E, Llorente JL, et al. The presence of dysphagia in patients with cerebellar ataxia, neuropathy and vestibular areflexia syndrome (CANVAS): a subjective and objective study. Eur Arch Oto-Rhino-Laryngology. 2021;278(7):2585–92.
Villamayor L, Boente R, Herrero L, De Miguel JC, Freire C. Prevalence of oropharyngeal dysphagia in an internal medicine unitand assessment of the utility of the eat (eating assessment tool) 10 test in the routine evaluation. Clin Nutr. 2016;35:199–200.
Inui A, Takahashi I, Kurauchi S, Soma Y, Oyama T, Tamura Y, et al. Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living. Clin Interv Aging. 2017;12:515–21.
Chaleekrua S, Janpol K, Wattanapan P. Swallowing Problems Among Community-Dwelling Elderly in Northeastern Thailand. J Prim Care Community Health. 2021;12:21501327211019596.
Eslick GD, Talley NJ. Dysphagia: Epidemiology, risk factors and impact on quality of life - A population-based study. Aliment Pharmacol Ther. 2008;27(10):971–9.
Turley R, Cohen S. Impact of voice and swallowing problems in the elderly. Otolaryngol - Head Neck Surg. 2009;140(1):33–6.
Cabre M, Serra-Prat M, Palomera E, Almirall J, Pallares R, Clavé P. Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia. Age Ageing. 2009;39(1):39–45.
Wakabayashi H, Matsushima M. Dysphagia assessed by the 10-item eating assessment tool is associated with nutritional status and activities of daily living in elderly individuals requiring long-term care. J Nutr Health Aging. 2016;20(1):22–7.
Byun SE, Kwon KB, Kim SH, Lim SJ. The prevalence, risk factors and prognostic implications of dysphagia in elderly patients undergoing hip fracture surgery in Korea. BMC Geriatr. 2019;19(1):1–7.
Chen S, Cui Y, Ding Y, Sun C, Xing Y, Zhou R, et al. Prevalence and risk factors of dysphagia among nursing home residents in eastern China: a cross-sectional study. BMC Geriatr. 2020;20(1):1–10.
Wolf U, Eckert S, Walter G, Wienke A, Bartel S, Plontke SK, et al. Prevalence of oropharyngeal dysphagia in geriatric patients and real-life associations with diseases and drugs. Sci Rep. 2021;11(1):1–14.
Solaro C, Cuccaro A, Gamberini G, Patti F, D’Amico E, Bergamaschi R, et al. Prevalence of dysphagia in a consecutive cohort of subjects with MS using fibre-optic endoscopy. Neurol Sci. 2020;41(5):1075–9.
Spronk PE, Spronk LEJ, Lut J, Gnacke E, Mijnes D, van Munster B, et al. Prevalence and characterization of dysphagia in hospitalized patients. Neurogastroenterol Motil. 2020;32(3):1–9.
Frowen J, Hughes R, Skeat J. The prevalence of patient-reported dysphagia and oral complications in cancer patients. Support Care Cancer. 2020;28(3):1141–50.
Wakabayashi H, Takahashi R, Murakami T. The Prevalence and Prognosis of Sarcopenic Dysphagia in Patients Who Require Dysphagia Rehabilitation. J Nutr Health Aging. 2019;23(1):84–8.
Ding X, Gao J, Xie C, Xiong B, Wu S, Cen Z, et al. Prevalence and clinical correlation of dysphagia in Parkinson disease: A study on Chinese patients. Eur J Clin Nutr. 2018;72(1):82–6.
Zhang H, Guo F, Tang M, Dai H, Sheng J, Chen L, et al. Association between Skeletal Muscle Strength and Dysphagia among Chinese Community-Dwelling Elderly Adults. J Nutr Health Aging. 2020;24(6):642–9.
Holmes SRM, Sabel AL, Gaudiani JL, Gudridge T, Brinton JT, Mehler PS. Prevalence and management of oropharyngeal dysphagia in patients with severe anorexia nervosa: A large retrospective review. Int J Eat Disord. 2016;49(2):161–8
Lancaster J. Dysphagia: its nature assesment and management. Br J Community Nurs. 2015;20:28–32.
Baijens LWJ, Clavé P, Cras P, Ekberg O, Forster A, Kolb GF, et al. European society for swallowing disorders - European union geriatric medicine society white paper: Oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging. 2016;11:1403–28.
Smithard DG. Dysphagia: Prevalence, management and the community nurse. Community Pract. 2015;88(10):32–6.
Burgos R, Sarto B, Segurola H, Romagosa A, Puiggrós C, Vázquez C, et al. Traducción y validación de la versión en español de la escala EAT-10 (Eating Assessment Tool-10) para el despistaje de la disfagia. Nutr Hosp. 2012;27(6):2048–54.
Rofes L, Arreola V, Clavé P. Stepping Stones to Living Well with Dysphagia. Nestlé Nutr Inst Work Ser. 2012;72:33–42.
Andrade P, Santos C, Firmino H, Rosa C. The importance of dysphagia screening and nutritional assessment in hospitalized patients. Einstein (Sao Paulo). 2018;16(2):eAO4189.
Tufan A, Bahat G. Oropharyngeal dysphagia is a prevalent problem associated with mortality in hospitalized older adults. Eur Geriatr Med. 2016;7:206.
Melgaard D, Rodrigo-Domingo M, Mørch MM. The prevalence of oropharyngeal dysphagia in acute geriatric patients. Geriatr. 2018;3(2):9–13.
Hansen T, Nielsen RL, Houlind MB, Tavenier J, Rasmussen LJH, Jørgensen LM, et al. Dysphagia prevalence, time course, and association with probable sarcopenia, inactivity, malnutrition, and disease status in older patients admitted to an emergency department: A secondary analysis of cohort study data. Geriatr. 2021;6(2):1–14.
Takeuchi K, Aida J, Ito K, Furuta M, Yamashita Y, Osaka K. Nutritional status and dysphagia risk among community-dwelling frail older adults. J Nutr Health Aging. 2014;18(4):352–7.
González-Fernández M, Humbert I, Winegrad H, Cappola AR, Fried LP. Dysphagia in old-old women: Prevalence as determined by self-reportand the 3 oz. water swallowing test. J Am Geriatr Soc. 2014;62(4):716–20.
Adkins C, Takakura W, Spiegel B, Lu M, Vera-Llonch M, Williams J, et al. Prevalence and Characteristics of Dysphagia Based on a Population-Based Survey. Clin Gastroenterol Hepatol. 2020;18(9):1970–9.
Espinosa-Val M, Martín-Martínez A, Graupera M, Arias O, Elvira A, Cabré M, et al. Prevalence, Risk Factors, and Complications of Oropharyngeal Dysphagia in Older Patients with Dementia. Nutrients. 2020;12(3):863.
Igarashi K, Kikutani T, Tamura F. Survey of suspected dysphagia prevalence in home-dwelling older people using the 10-Item Eating Assessment Tool (EAT-10). PLoS One. 2019;14(1):1–13.
Batista AO, Nascimento WV, Cassiani RA, Silva ACV, Alves LMT, Alves DC, et al. Prevalence of non-obstructive dysphagia in patients with heartburn and regurgitation. Clinics. 2020;75(15):1–6.
Casanueva R, López F, Costales M, Ordas A, Villanueva E, Llorente JL, et al. The presence of dysphagia in patients with cerebellar ataxia, neuropathy and vestibular areflexia syndrome (CANVAS): a subjective and objective study. Eur Arch Oto-Rhino-Laryngology. 2021;278(7):2585–92.
Villamayor L, Boente R, Herrero L, De Miguel JC, Freire C. Prevalence of oropharyngeal dysphagia in an internal medicine unitand assessment of the utility of the eat (eating assessment tool) 10 test in the routine evaluation. Clin Nutr. 2016;35:199–200.
Inui A, Takahashi I, Kurauchi S, Soma Y, Oyama T, Tamura Y, et al. Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living. Clin Interv Aging. 2017;12:515–21.
Chaleekrua S, Janpol K, Wattanapan P. Swallowing Problems Among Community-Dwelling Elderly in Northeastern Thailand. J Prim Care Community Health. 2021;12:21501327211019596.
Eslick GD, Talley NJ. Dysphagia: Epidemiology, risk factors and impact on quality of life - A population-based study. Aliment Pharmacol Ther. 2008;27(10):971–9.
Turley R, Cohen S. Impact of voice and swallowing problems in the elderly. Otolaryngol - Head Neck Surg. 2009;140(1):33–6.
Cabre M, Serra-Prat M, Palomera E, Almirall J, Pallares R, Clavé P. Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia. Age Ageing. 2009;39(1):39–45.
Wakabayashi H, Matsushima M. Dysphagia assessed by the 10-item eating assessment tool is associated with nutritional status and activities of daily living in elderly individuals requiring long-term care. J Nutr Health Aging. 2016;20(1):22–7.
Byun SE, Kwon KB, Kim SH, Lim SJ. The prevalence, risk factors and prognostic implications of dysphagia in elderly patients undergoing hip fracture surgery in Korea. BMC Geriatr. 2019;19(1):1–7.
Chen S, Cui Y, Ding Y, Sun C, Xing Y, Zhou R, et al. Prevalence and risk factors of dysphagia among nursing home residents in eastern China: a cross-sectional study. BMC Geriatr. 2020;20(1):1–10.
Wolf U, Eckert S, Walter G, Wienke A, Bartel S, Plontke SK, et al. Prevalence of oropharyngeal dysphagia in geriatric patients and real-life associations with diseases and drugs. Sci Rep. 2021;11(1):1–14.
Solaro C, Cuccaro A, Gamberini G, Patti F, D’Amico E, Bergamaschi R, et al. Prevalence of dysphagia in a consecutive cohort of subjects with MS using fibre-optic endoscopy. Neurol Sci. 2020;41(5):1075–9.
Spronk PE, Spronk LEJ, Lut J, Gnacke E, Mijnes D, van Munster B, et al. Prevalence and characterization of dysphagia in hospitalized patients. Neurogastroenterol Motil. 2020;32(3):1–9.
Frowen J, Hughes R, Skeat J. The prevalence of patient-reported dysphagia and oral complications in cancer patients. Support Care Cancer. 2020;28(3):1141–50.
Wakabayashi H, Takahashi R, Murakami T. The Prevalence and Prognosis of Sarcopenic Dysphagia in Patients Who Require Dysphagia Rehabilitation. J Nutr Health Aging. 2019;23(1):84–8.
Ding X, Gao J, Xie C, Xiong B, Wu S, Cen Z, et al. Prevalence and clinical correlation of dysphagia in Parkinson disease: A study on Chinese patients. Eur J Clin Nutr. 2018;72(1):82–6.
Zhang H, Guo F, Tang M, Dai H, Sheng J, Chen L, et al. Association between Skeletal Muscle Strength and Dysphagia among Chinese Community-Dwelling Elderly Adults. J Nutr Health Aging. 2020;24(6):642–9.
Holmes SRM, Sabel AL, Gaudiani JL, Gudridge T, Brinton JT, Mehler PS. Prevalence and management of oropharyngeal dysphagia in patients with severe anorexia nervosa: A large retrospective review. Int J Eat Disord. 2016;49(2):161–8
Calles-Sánchez, F., & Pardal-Refoyo, J. L. (2023). Prevalence of Oropharyngeal Dysphagia in Adult Patients. Systematic Review and Meta-analysis. Revista ORL, 14(2), e29490. https://doi.org/10.14201/orl.29490
Most read articles by the same author(s)
- Ángel Batuecas-Caletrío, José Ignacio Benito-Orejas, José Luis Pardal-Refoyo, Vestibular Rehabilitation Guide , Revista ORL: Vol. 11 No. 1 (2020)
- Ángel Batuecas-Caletrío, Santiago Santa Cruz Ruiz, José Luis Pardal-Refoyo, Atlas of Otoscopy for Students , Revista ORL: Vol. 13 No. S1 (2022): Atlas of Otoscopy for Students
- José Luis Pardal-Refoyo, Beatriz Pardal-Peláez, Annotations to structure a systematic review , Revista ORL: Vol. 11 No. 2 (2020)
- José Luis Pardal-Refoyo, Carlos Ochoa-Sangrador, Systematic reviews , Revista ORL: Vol. 8 No. 4 (2017)
- José Luis Pardal-Refoyo, Care guide in Otorhinolaryngology and head and neck surgery , Revista ORL: LIBROS / MONOGRAFÍAS
- Alba Bartolomé-Alonso, José Luis Pardal-Refoyo, Review on prevention and treatment of oral mucositis in head and neck cáncer , Revista ORL: Vol. 10 No. 4 (2019)
- José Luis Pardal-Refoyo, Ángel Batuecas-Caletrío, Review of instruments for evaluation of disability in vestibular pathology , Revista ORL: Vol. 9 No. 2 (2018)
- Sara León-Fernández, José Luis Pardal-Refoyo, Bibliographic research on nursing care in total laryngectomy , Revista ORL: Vol. 10 No. 2 (2019)
- Lucía Rodrigo-Gómez, José Luis Pardal-Refoyo, Ángel Batuecas-Caletrío, Prevalence of metastatic tumors in the thyroid gland. Systematic review and meta-analysis , Revista ORL: Vol. 12 No. 1 (2021)
- José Luis Pardal-Refoyo, Evidence and recommendation. Is intratympanic corticosteroid treatment of sudden hearing loss effective? , Revista ORL: Vol. 7 No. 2 (2016)
Downloads
Download data is not yet available.
+
−