Chronic obstructive pulmonary disease: swallowing analysis in hospitalized patients

Abstract

tients with chronic obstructive pulmonary disease and to verify if there is any association between the severity of dysphagia and the risk of aspiration with sociodemographic aspects, clinical characteristics, stomatognathic system and swallowing dynamics. Methods: descriptive observational study using the retrospective type of electronic data collection. We evaluated 27 medical records of patients with chronic obstructive pulmonary disease admitted to a public hospital in Minas Gerais in the period from July 2012 to July 2015 and with swallowing assessment. To verify the presence of dysphagia and the risk of bronchoaspiration the protocol The Mann Assessment of Swallowing Ability was used. Statistically significant associations were those whose p-value was ≤ 0.05 and 95% confidence interval. Results: Between the 27 patients evaluated by the speech-language pathology team, 41.7% had dysphagia, with light severity being the majority (82%) and 19% had a risk of bronchoaspiration. There was no predominance of any phase of altered swallowing. There was an association between the presence of dysphagia and patient cooperation, and the risk of aspiration with oral transit time. Conclusion: The results showed a relationship between dysphagia and aspiration risk in hospitalized patients with chronic obstructive pulmonary disease, suggesting the need to investigate the dynamics of swallowing during hospitalization.