[en] Background: To investigate whether cognitive impairment in elderly patients could correlate with the severity of swallowing disorders detectable through the endoscopic fiber optic evaluation. Methods: Elderly patients (≥65 years) performing a swallowing evaluation were included and divided according to the Dysphagia outcome and severity scale (DOSS). Neurological evaluation and Mini-Mental test examination (MMET) were administered to detect cognitive impairment. Results: Significantly worse swallowing function was reported in the cognitive impairment group than the control one (40% vs 19%; P = .001). A different significant distribution of swallowing performance was detected according to the patient's MMET score (P < .001; P < .001; P = .01). At the ANOVA test among dependent variables assessed, only age>65 and MMET<10 were significantly correlated with swallowing function (F = 3.862, P = .028; F = 17.49, P = .000). Conclusions: The elderly patient has an increased risk for unrecognized swallowing disorders, with a prevalence of mild to moderate forms. Assessment of cognitive performance could facilitate the identification of swallowing disorders by providing a higher level of suspicion for silent aspiration in subjects with poor MMET scores.
Disciplines :
Otolaryngology
Author, co-author :
Maniaci, Antonino ; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia, " ENT Section, 60279University of Catania, Catania, Italy
Lechien, Jérome ; Université de Mons - UMONS > Faculté de Psychologie et des Sciences de l'Education > Service de Métrologie et Sciences du langage
La Mantia, Ignazio; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia, " ENT Section, 60279University of Catania, Catania, Italy
Iannella, Giannicola; Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, 18568Morgagni Pierantoni Hospital, Forlì, Italy ; Department of Sensory Organs, 9311Sapienza University of Rome, Rome, Italy
Ferlito, Salvatore; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia, " ENT Section, 60279University of Catania, Catania, Italy
Albanese, Gianluca; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia, " ENT Section, 60279University of Catania, Catania, Italy
Magliulo, Giuseppe ; Department of Sensory Organs, 9311Sapienza University of Rome, Rome, Italy
Pace, Annalisa; Department of Sensory Organs, 9311Sapienza University of Rome, Rome, Italy
Cammaroto, Giovanni; Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, 18568Morgagni Pierantoni Hospital, Forlì, Italy
Di Mauro, Paola; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia, " ENT Section, 60279University of Catania, Catania, Italy
Vicini, Claudio; Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, 18568Morgagni Pierantoni Hospital, Forlì, Italy ; Department ENT and Audiology, University of Ferrara, Ferrara, Italy
Cocuzza, Salvatore; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia, " ENT Section, 60279University of Catania, Catania, Italy
Language :
English
Title :
Cognitive Impairment and Mild to Moderate Dysphagia in Elderly Patients: A Retrospective Controlled Study.
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