Predictors of Penetration-Aspiration in Parkinson’s Disease Patients With Dysphagia
- Methods: The data of 89 PD patients with dysphagia who underwent routinely conducted videofluoroscopic studies of swallowing (VFSS) were included in this retrospective study. The occurrence of penetration-aspiration was defined as scores >= 3 on the Penetration-Aspiration Scale (PAS). Four commonly reported signs of dysphagia in PD patients were evaluated as possible predictors. Furthermore, the relationships between the occurrence of penetration-aspiration and liquid bolus volume as well as clinical severity of PD (modified Hoehn and Yahr scale) were examined. Results: Logistic regression showed that a delayed initiation of the pharyngeal swallow (odds ratio [OR] = 7.47, P = .008) and a reduced hyolaryngeal excursion (OR = 5.13, P = .012) were predictors of penetration-aspiration. Moreover, there was a strong, positive correlation between increasing liquid bolus volume and penetration-aspiration (gamma = 0.71, P < .001). No correlation was found between severity of PD and penetration-aspiration (gamma = 0.077, P = .783). Conclusion:Methods: The data of 89 PD patients with dysphagia who underwent routinely conducted videofluoroscopic studies of swallowing (VFSS) were included in this retrospective study. The occurrence of penetration-aspiration was defined as scores >= 3 on the Penetration-Aspiration Scale (PAS). Four commonly reported signs of dysphagia in PD patients were evaluated as possible predictors. Furthermore, the relationships between the occurrence of penetration-aspiration and liquid bolus volume as well as clinical severity of PD (modified Hoehn and Yahr scale) were examined. Results: Logistic regression showed that a delayed initiation of the pharyngeal swallow (odds ratio [OR] = 7.47, P = .008) and a reduced hyolaryngeal excursion (OR = 5.13, P = .012) were predictors of penetration-aspiration. Moreover, there was a strong, positive correlation between increasing liquid bolus volume and penetration-aspiration (gamma = 0.71, P < .001). No correlation was found between severity of PD and penetration-aspiration (gamma = 0.077, P = .783). Conclusion: Results of the present study allow for a better understanding of penetration-aspiration risk in PD patients. They are useful for treatment planning in order to improve safe oral intake and adequate nutrition.…
Author details: | Maren GaeckleORCiD, Frank Domahs, Angelika Kartmann, Bernd Tomandl, Ulrike FrankORCiDGND |
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DOI: | https://doi.org/10.1177/0003489419841398 |
ISSN: | 0003-4894 |
ISSN: | 1943-572X |
Pubmed ID: | https://pubmed.ncbi.nlm.nih.gov/30939890 |
Title of parent work (English): | Annals of Otology, Rhinology and Laryngology |
Subtitle (English): | a retrospective analysis |
Publisher: | Sage Publ. |
Place of publishing: | Thousand Oaks |
Publication type: | Article |
Language: | English |
Year of first publication: | 2019 |
Publication year: | 2019 |
Release date: | 2020/12/07 |
Tag: | pneumonia; videofluoroscopy |
Volume: | 128 |
Issue: | 8 |
Number of pages: | 8 |
First page: | 728 |
Last Page: | 735 |
Organizational units: | Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Linguistik |
DDC classification: | 4 Sprache / 41 Linguistik / 410 Linguistik |
Institution name at the time of the publication: | Humanwissenschaftliche Fakultät / Institut für Linguistik / Allgemeine Sprachwissenschaft |