Association between functionality assessment scales and the severity of dysphagia post-stroke

Passos, Karen de Oliveira dos; Cardoso, Maria Cristina de Almeida Freitas; Scheeren, Betina

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • CoDAS 29 (1) • 2017 • https://doi.org/10.1590/2317-1782/20172016111 copy

Association between functionality assessment scales and the severity of dysphagia post-stroke

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Purpose

The aim of this study was to investigate the association between the results of functionality scales and dysphagia severity determined from videofluoroscopy swallowing study (VSS) in post-stroke patients.

Methods

A retrospective study of 109 VSS analysis of post-stroke patients. From the exams was collected information on the diagnosis of dysphagia severity and evaluated regarding the swallowing functionality in an independent way by two evaluators.

Results

A high number of discrete dysphagia was observed. In one third of dysphagic patients it was noticed the presence of tracheal aspiration. There was a significant association between the scores of Functional Oral Intake Scale and Dysphagia Outcome and Severity Scale in post-stroke patients which means when the swallowing is highly compromised, the level of intake by mouth will be smaller according to the evaluators’ analysis (p < 0.001).

Conclusion

There is an association between the scales and it can be used as evaluative benchmarks and in the management of clinical Speech Pathology intervention.

Keywords
Deglutition; Deglutition Disorders; Stroke; Fluoroscopy; Scales

	Frequency	%
GENDER MALE	56	51.38
FEMALE	53	48.62
ASPIRATION
NO	73	66.97
YES	36	33.03
AGE
30-39	3	2.75
40-49	9	8.26
50-59	13	11.93
60-69	26	23.85
70-79	34	31.19
≥80	24	22.02
^* * FOIS: Functional Oral Intake Scale FOIS EVALUATOR 1
1	9	8.26
2	12	11.01
3	10	9.17
4	6	5.50
5	22	20.18
6	50	45.87
^* * FOIS: Functional Oral Intake Scale FOIS EVALUATOR 2
1	7	6.42
2	6	5.50
3	13	11.93
4	14	12.84
5	40	36.70
6	29	26.61

^* * FOIS: Functional Oral Intake Scale; FOIS	^ DOSS: Dysphagia Outcome and Severity Scale DOSS
Frequency	1	2	3	4	5	6	Total
1	5 83.33	0 0.00	2 14.29	2 10.00	0 0.00	0 0.00	9
2	1 16.67	3 75.00	4 28.57	2 10.00	2 5.00	0 0.00	12
3	0 0.00	1 25.00	5 35.71	2 10.00	2 5.00	0 0.00	10
4	0 0.00	0 0.00	2 14.29	2 10.00	2 5.00	0 0.00	6
5	0 0.00	0 0.00	1 7.14	11 55.00	9 22.50	1 4.00	22
6	0 0.00	0 0.00	0 0.00	1 5.00	25 62.50	24 96.00	50
Total	6	4	14	20	40	25	109

^* * FOIS: Functional Oral Intake Scale; FOIS	^ DOSS: Dysphagia Outcome and Severity Scale DOSS
Frequency	1	2	3	4	5	6	Total
1	6 100.00	0 0.00	1 7.14	0 0.00	0 0.00	0 0.00	7
2	0 0.00	3 75.00	3 21.43	0 0.00	0 0.000	0 0.00	6
3	0 0.00	1 25.00	8 57.14	4 20.00	0 0.00	0 0.00	13
4	0 0.00	0 0.00	2 14.29	4 45.00	3 7.50	0 0.00	14
5	0 0.00	0 0.00	0 0.00	7 35.00	33 82.50	0 0.00	40
6	0 0.00	0 0.00	0 0.00	0 0.00	4 10.00	25 100.00	29
Total	6	4	14	20	40	25	109

FOIS	FOIS
Frequency percentage	1	2	3	4	5	6	Total
1	5 4.59	0 0.00	2 1.83	2 1.83	0 0.00	0 0.00	9 8.26
2	1 0.92	4 3.67	5 4.59	2 1.83	0 0.00	0 0.00	12 11.01
3	1 0.92	2 1.83	4 3.67	2 1.83	1 0.92	0 0.00	10 9.17
4	0 0.00	0 0.00	1 0.92	3 2.75	2 1.83	0 0.00	6 5.50
5	0 0.00	0 0.00	1 0.92	5 4.59	14 12.84	2 1.83	22 20.18
6	0 0.00	0 0.00	0 0.00	0 0.00	23 21.10	27 24.77	50 45.87
Total	7 6.42	6 5.50	13 11.93	14 12.84	40 36.70	29 26.61	109 100.00

Sociedade Brasileira de Fonoaudiologia Al. Jaú, 684, 7º andar, 01420-002 São Paulo - SP Brasil, Tel./Fax 55 11 - 3873-4211 - São Paulo - SP - Brazil
E-mail: revista@codas.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Conflict of interests: nothing to declare.