The Prevalence of Dysphagia among in-Patients in Educational Hospitals of Ahvaz in the Second Half of 2010

Document Type : Original Article

Author

Lecturer of Speech Therapy. Department of Speech Therapy, Faculty of Rehabilitation Sciences, Rehabilitation Musculoskeletal Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Background & Objective: Dysphagia refers to any disturbance in movement of food bolus from mouth to stomach that is due to neurological motor disorder of swallowing processes. Since, a speech and language pathologist is an active member of the medical team assessing and treating patients with dysphagia, knowledge of basic information about prevalence and etiology of dysphagia seems necessary for planning of rehabilitation programs.
Subjects & Methods: In this retrospective descriptive study, 1860 medical profiles of hospitalized patients of educational hospitals in the city of Ahvaz were randomly selected. By the use of NDPCS checklist, data regarding existence or nonexistence of dysphagia, etiology of dysphagia, prevalence of dysphagia in different age and sex, accompanying speech disorders, and prevalence of dysphagia in different wards of the studied hospitals were recorded and entered into SPSS software for analysis.
Results: 4.2% of total patients had dysphagia (4% male, 4.5% female). No significant difference was observed between sexes regarding prevalence of dysphagia (P>0.05). Neurologic diseases were the most frequent causes of dysphagia. Males aged between 0-10 years had the highest dysphagia rate. The highest and lowest dysphagia rates were observed in neurology ward and internal medicine ward of the studied hospitals.
Conclusion: The finding of this study suggest that speech therapists to pay more attention to age, common etiology and hospital wards with higher dysphagia rate and it is recommended to use early interventions for dysphagia.

Keywords


1-Rosenbek JC, Jones HN. Dysphagia in movement disorders. San Diego: Plural Pub; 2009. P. 3-12. (clinical dysphagia series;Vol 1).
2-Provencio-Arambula M, Provencio D, Hegde MN. Assessment of dysphagia in adults: resources and protocols in English and Spanish. San Diego: Plural Pub; 2007. p. 2-8.
3-Logemann JA. Evaluation and treatment of swallowing disorders. 2nd ed. Austin, Tex: PRO-ED; 1998.
4-Poorjavad M, Derakhshandeh F, Etemadifar M, Soleymani B. [Associated Factors with swallowing disorders in patients with multiple sclerosis]. J Isfahan Med Sch 2010;28(104):40-6. [In Persian]
5-Hartelius L, & Svensson P. Speech and swallowing symptoms associated with Pakinson’s disease and multiple sclerosis: a survey. Folia Phoniatr Logop 1994;46(1):9-17.
6-de Rijk MC, Tzourio C, Breteler MM, Dartigues JF, Amaducci L, Lopez-Pousa S, et al. Prevalence of parkinsonism and Parkinson’s disease in Europe: The EUROPARKINSON Collaborative study. European Community Concerted Action on the Epidemiology of Parkinson’s disease. J Neurol Neurosurg Psychiatry 1997;62(1):10-5.
7-Manikam R, Perman JA. Pediatric feeding disorders. J Clin Gastroenterol 2000;30(1):34-46.
8-Workinger MS. Cerebral palsy resource guide for speech-language pathologists. Trans Zamani P, Mousavi N. Tehran: Danjeh Pub; 2009. p. 72-80. [In Persian]
9-Perlam AL, Schulze-Delrieu K, editors. Deglutition and its disorders: anatomy, physiology, clinical diagnosis, and management. San Diego: Singular Pub. Group; 1997. P. 1-3.
10-Bloem BR, Lagaay AM, van Beek W, Haan J, Roos RA, Wintzen AR. Prevalence of subjective dysphagia in community residents aged over 87. BMJ 1990;300(6726):721-2.
11-Haynes WO, Pindzola RH. Diagnosis and evaluation in speech pathology. 6th ed. Boston: Pearson/Allyn and Bacon; 2004. P. 264-6.
12-Logemann JA. Update on clinical trials in Dysphagia. Dysphagia 2006;21(2):116-20.
13-American speech-language- hearing association. ASHA Supplement. Rockville, MD: ASHA, American Speech-Language-Hearing Association; 2002. p. 73-87.
14-Code C, Heron C. Services for aphasia, other acquired adult neurogenic communication and swallowing disorders in the United Kingdom, 2000. Disabil Rehabil 2003;25(21):1231-7.
15-Logemann JA, Veis S, Colangelo L. A screening procedure for oropharyngeal dysphagia. Dysphagia 1999;14(1):44-51.
16-Sokouti M, Montazeri V, Feyzi E. [Dysphagia after cancer of esophagus operation and its recure with endoscopic dilatation procedure ]. J Ardebil Med Sci 2009;9(2):150-6. [ In Persian]
17-Newman LA, Keckley C,  Petersen MC, Hamner A. Swallowing function and medical diagnoses in infants suspected of Dysphagia. Pediatrics 2001;108(6):E106.
18-Triadafilopoulos G, Hallstone A, Nelson-Abbott H, Bedinger K. Oropharyngeal and esophageal interrelationships in patients with nonobstructive dysphagia. Dig Dis Sci 1992;37(4):551-7.
19-Nagaoka K, Tanne K. Activities of the muscles involved in swallowing in patients with cleft lip and palate. Dysphagia 2007;22(2):140-4.