Using the International Dysphagia Diet Standardization Initiative (IDDSI) to assess patients with oropharyngeal dysphagia
A narrative review
DOI:
https://doi.org/10.23925/2176-2724.2024v36i3e65697Keywords:
Swallowing disorders, Dysphagia, Patient safety, Diet ModificationAbstract
Introduction: The International Dysphagia Diet Standardization Initiative (IDDSI) is an important tool for standardizing food and liquid textures for individuals with dysphagia. Method: This narrative review aimed to identify the use of IDDSI to standardize textures for swallowing assessment, helping understand its relevance in clinical practice and research. A search was conducted in January 2024 in the databases of the Medical Literature Analysis and Retrieval System Online, Scopus, Web of Science, Cochrane Library, Scientific Electronic Library Online, Latin American and Caribbean Health Sciences Literature, and Google Scholar. Results: Altogether, 560 articles were found; 384 (duplicates) and 144 abstracts were excluded due to the inclusion criteria. Hence, 32 articles were selected for full reading, and 23 were admitted. There was an increase (700%) in the number of publications (2018-2023), with the participation of countries such as Brazil, USA, China, and Canada. The analysis included 14 studies with adults/older people and one with children. There was a preference for using levels 0 to 4, with swallowing safety in levels ≥ 2. Assessments used IDDSI as a marker of clinical evolution and in dietary recommendations. Final Considerations: There was increased research using the IDDSI in swallowing assessments, and various countries used the tool. Few studies approached children. There was a preference for using liquids, but the level and volume were not always reported. The IDSSI method for achieving adequate and reproducible textures was more effective than the NDD. There is still a need for studies with homogeneous populations and methods.
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Copyright (c) 2024 Thais Oliveira da Silva, Ana Maria Furkim, Patrícia Haas, Diane de Lima Oliveira
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