Spronk. L.E.J. (2018) Prevalence and characterization of dysphagia in hospitalized patients. thesis, Medicine.
Full text available on request.Abstract
Dysphagia has been defined as a difficulty swallowing and has potentially severe complications. Information on the prevalence of dysphagia in a generalized hospitalized population is lacking, as well as information on the recognition of dysphagia by nursing staff and the swallow characteristics of patients with and without dysphagia. The Eating Assessment Tool (EAT-10) and the Volume-Viscosity water Swallow Test (V-VST) were utilized to assess the prevalence of dysphagia in a generalized hospitalized population (N=147). Presence of dysphagia was defined as having either an EAT-10 score of 2 or higher or having a positive V-VST. Nursing staff recognition of dysphagia was assessed. In addition, the swallow characteristics were assessed using submandibular surface electromyographic (SEMG) values of the participants. The prevalence of dysphagia in the hospitalized patients was 25.2%. Admission to the pulmonology ward was associated with increased occurrence of dysphagia. Nursing staff recognition of the presence of dysphagia was low with a sensitivity of 5.4%. Concerning the swallow characteristics, patients without dysphagia demonstrate an improvement in swallowing actions, demonstrated by an increase in the SEMG peak level of the swallowing actions over the course of an exercise, whereas patients with dysphagia do not demonstrate this effect. Training should be conducted for nursing staff to improve awareness and recognition of dysphagia and thus prevent dysphagia complications. Dysphagia is a large burden on the hospitalized population and further research should be conducted into the specifics.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Faculty supervisor: and Munster, Dr. B. van |
| Supervisor name: | Daily supervisor: and Kröner, Dr. A. and Gelre Ziekenhuizen Apeldoorn |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:04 |
| Last Modified: | 25 Jun 2020 11:04 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2450 |
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