Clinical Medicine II. Posters
Németh, Mariann
Országos Orvosi Rehabilitációs Intézet Agysérültek Rehabilitációs Osztálya/ National Institute for Medical Rehabilitation Brain Injury Rehabilitation Unit, Budapest
06203257059
nemethmariannn@gmail.com
First Steps of Dysphagia Screening
Németh Mariann, National Institute for Medical Rehabilitation Brain Injury Rehabilitation Unit, Budapest
Dénes Zoltán dr., National Institute for Medical Rehabilitation Brain Injury Rehabilitation Unit, Budapest
Clinical Medicine II. Posters
Hungarian
Clinical Medicine
Neurosciences
Dysphagia means a sort of swallowing disorder, which can lead complications, such as malnutrition, dehydration, aspiration pneumonia or choking.
In addition to that, the above mentioned complications can lead longer length of stay in rehabilitation unit with unnecessary costs.
There can be several hidden causes related to dysphagia. The incidence rate is 93% in severe traumatic brain injury (TBI) population, and approximately 29-64% after stroke.
The main activity of the Brain Injury Rehabilitation Unit in the National Institute for Medical Rehabilitation is giving comprehensive rehabilitation program for patients suffered TBI or stroke.
The patients require complex rehabilitation program which involves diagnostic process and treatment in related with dysphagia. The first step in diagnosing dysphagia is the appropriate screening. The dysphagia screening can only be performed by qualified speech and language pathologist or trained health care professional. Dysphagia screening test has developed in our unit which can be applied during the daily routine. The aim of screening test is to explore the various risk factors which might show swallowing disorders and for taking a prediction for duration of dysphagia. A positive result based on this screener leads to further investigation with instrumental evaluation which is essential in order to choose the most effective therapy method.
In this long-term (10 months) study, 20 patients have been screened with swallowing disorders with respect of liquids according to the medical history. In regards to the existence of the swallowing difficulties, we found positive results in case of 5 patients (out of the 20 cases). All of these patients were sent to endoscopic swallowing assessment and have been diagnosed with dysphagia. The remainders with negative test results had no complications during oral fluid intake.
In conclusion, the screening test has predictive value for the existence and duration of dysphagia. It is a notable progress in regards to the patients’ quality of life and can facilitate the different type of rehabilitation interventions. Our study has some limitations and further examinations are needed.
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Poszter
Szabad
elfogadva
poszter
nem rendelkezett róla
4678
12:56
12:59
Németh Mariann, National Institute for Medical Rehabilitation Brain Injury Rehabilitation Unit, Budapest
Dénes Zoltán dr., National Institute for Medical Rehabilitation Brain Injury Rehabilitation Unit, Budapest