Prevalence of oropharyngeal dysphagia in stroke after cardiac surgery
Prevalência de disfagia orofaríngea no acidente vascular cerebral após cirurgia cardíaca
Tatiana Magalhães de Almeida; Paula Cristina Cola; Daniel Magnoni; João Ítalo Dias França; Roberta Gonçalves da Silva
Abstract
Purpose: to determine the prevalence of oropharyngeal dysphagia in patients undergoing cardiac surgery and who developed stroke in Public Referral Hospital.
Methods: a descriptive, retrospective clinical study conducted by collecting data from clinical evaluation of oropharyngeal swallowing protocols in the period november 2010 to november 2011 the 25 protocols for clinical evaluation of oropharyngeal dysphagia were included individuals who did cardiac surgery and who developed postoperative stroke during the study period, and were assisted by the Speech Pathology team. Clinical swallowing assessment was based on clinical tool and swallowing classified as normal and mild, moderate and severe dysphagia.
Results: 25 (100%) patients, 24 (96%) had dysphagia in clinical evaluation and 1 (4%) did not show. (95% [IC]: 79,6- 99,9). It was found that 41.66% had severe dysphagia, dysphagia 33.66% moderate and 25% mild dysphagia.
Conclusion: high prevalence of oropharyngeal dysphagia in patients with stroke after cardiac surgery.
Keywords
Resumo
Objetivo: determinar a prevalência de disfagia orofaríngea em indivíduos submetidos à cirurgia cardíaca e que evoluíram com Acidente Vascular Cerebral em Hospital Público de Referência.
Métodos: estudo clínico descritivo, retrospectivo, realizado por meio da coleta de dados de protocolos de avaliação clínica da deglutição orofaríngea, no período de novembro de 2010 á novembro de 2011. Foram incluídos os 25 protocolos de avaliação clínica para disfagia orofaríngea de indivíduos que fizeram cirurgia cardíaca e evoluíram com Acidente Vascular Cerebral no pós-operatório, durante o período estudado, e que foram assistidos pela equipe de Fonoaudiologia. A avaliação clinica da deglutição foi baseada em instrumento clinico e a deglutição classificada como normal, disfagia leve, moderada e grave.
Resultados: dos 25 (100%) indivíduos, 24 (96%) apresentaram algum grau de disfagia orofaríngea na avaliação clínica. (95% [IC]: 79,6- 99,9). Constatou-se que 41,66% apresentaram disfagia grave, 33,66% disfagia moderada e 25% disfagia leve.
Conclusão: é alta a prevalência de disfagia orofaríngea em indivíduos com Acidente Vascular Cerebral após cirurgia cardíaca.
Palavras-chave
Referências
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Submetido em:
19/12/2014
Aceito em:
15/05/2015
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