Oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease: a systematic review
Disfagia orofaringea em pacientes com doença pulmonar obstrutiva crônica: revisão sistemática
Lisa O'Kane; Michael Groher
Abstract
Background: oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease.
Purpose: patients with Chronic Obstructive Pulmonary Disease (COPD) can be vulnerable to respiratory incompetence that may lead to swallowing impairment. A systematic review was conducted to investigate the relationship between Chronic Obstructive Pulmonary Disease and oropharyngeal dysphagia. Forty-seven articles were retrieved relating to Chronic Obstructive Pulmonary Disease and dysphagia. Each article was graded using evidence-based methodology. Only 7 articles out of the 47 addressed oropharyngeal swallowing disorders in patients with Chronic Obstructive Pulmonary Disease. This review found few studies that documented the relationship between oropharyngeal swallowing disorders and Chronic Obstructive Pulmonary Disease. There were no randomized control trials.
Conclusion: although the evidence is not strong, it appears that patients with Chronic Obstructive Pulmonary Disease are prone to oropharyngeal dysphagia during exacerbations. Future studies are needed to document the prevalence of oropharyngeal dysphagia in homogeneous groups of patients with Chronic Obstructive Pulmonary Disease, and to assess the relationship between respiration and swallowing using simultaneous measures of swallowing biomechanics and respiratory function. These investigations will lead to a better understanding of the characteristics and risk factors of developing oropharyngeal dysphagia in patients with Chronic Obstructive Pulmonary Disease.
Keywords
Resumo
Tema: disfagia orofaringea em pacientes com doença pulmonar obstrutiva crônica.
Objetivo: pacientes com Doença Pulmonar Obstrutiva Crônica (DPOC) podem ser vulneráveis à insuficiência respiratória que pode levar ao distúrbio de deglutição. Uma análise sistemática foi conduzida para investigar a relação entre a doença pulmonar obstrutiva crônica e a disfagia orofaringea. Quarenta e sete artigos foram encontrados relativos à doença pulmonar obstrutiva crônica e disfagia. Cada artigo foi classificado utilizando metodologia baseada em evidências. Apenas 07 artigos dos 47 abordaram distúrbios de deglutição orofaringea em pacientes com doença pulmonar obstrutiva crônica. Esta revisão encontrou poucos estudos que documentaram a relação entre os transtornos de deglutição orofaringea e a doença pulmonar obstrutiva crônica. Não foram realizadas triagens de controle randomizadas.
Conclusão: embora a prova não seja conclusiva, parece que os pacientes com doença pulmonar obstrutiva crônica são propensas à disfagia orofaringea durante exacerbações. Futuros estudos são necessários para documentar a prevalência de disfagia orofaringea em grupos homogêneos de pacientes com doença pulmonar obstrutiva crônica, e para avaliar a relação entre respiração e deglutição, utilizando medidas simultâneas de biomecânica de deglutição e função respiratória. Estas investigações conduzirão a uma melhor compreensão das características e fatores de risco do desenvolvimento de disfagia orofaringea em pacientes com doença pulmonar obstrutiva crônica.
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Referencias
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Submitted date:
10/12/2008
Accepted date:
26/01/2009
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