75
views
1
recommends
+1 Recommend
1 collections
    0
    shares

      Clinical Interventions in Aging (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on prevention and treatment of diseases in people over 65 years of age. Sign up for email alerts here.

      36,334 Monthly downloads/views I 3.829 Impact Factor I 7.4 CiteScore I 1.83 Source Normalized Impact per Paper (SNIP) I 1.044 Scimago Journal & Country Rank (SJR)

      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      European Society for Swallowing Disorders – European Union Geriatric Medicine Society white paper: oropharyngeal dysphagia as a geriatric syndrome

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          This position document has been developed by the Dysphagia Working Group, a committee of members from the European Society for Swallowing Disorders and the European Union Geriatric Medicine Society, and invited experts. It consists of 12 sections that cover all aspects of clinical management of oropharyngeal dysphagia (OD) related to geriatric medicine and discusses prevalence, quality of life, and legal and ethical issues, as well as health economics and social burden. OD constitutes impaired or uncomfortable transit of food or liquids from the oral cavity to the esophagus, and it is included in the World Health Organization’s classification of diseases. It can cause severe complications such as malnutrition, dehydration, respiratory infections, aspiration pneumonia, and increased readmissions, institutionalization, and morbimortality. OD is a prevalent and serious problem among all phenotypes of older patients as oropharyngeal swallow response is impaired in older people and can cause aspiration. Despite its prevalence and severity, OD is still underdiagnosed and untreated in many medical centers. There are several validated clinical and instrumental methods (videofluoroscopy and fiberoptic endoscopic evaluation of swallowing) to diagnose OD, and treatment is mainly based on compensatory measures, although new treatments to stimulate the oropharyngeal swallow response are under research. OD matches the definition of a geriatric syndrome as it is highly prevalent among older people, is caused by multiple factors, is associated with several comorbidities and poor prognosis, and needs a multidimensional approach to be treated. OD should be given more importance and attention and thus be included in all standard screening protocols, treated, and regularly monitored to prevent its main complications. More research is needed to develop and standardize new treatments and management protocols for older patients with OD, which is a challenging mission for our societies.

          Most cited references211

          • Record: found
          • Abstract: not found
          • Article: not found

          EXPERIMENTAL GINGIVITIS IN MAN.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Frailty: an emerging research and clinical paradigm--issues and controversies.

            Clinicians and researchers have shown increasing interest in frailty. Yet, there is still considerable uncertainty regarding the concept and its definition. In this article, we present perspectives on key issues and controversies discussed by scientists from 13 different countries, representing a diverse range of disciplines, at the 2006 Second International Working Meeting on Frailty and Aging. The following fundamental questions are discussed: What is the distinction, if any, between frailty and aging? What is its relationship with chronic disease? Is frailty a syndrome or a series of age-related impairments that predict adverse outcomes? What are the critical domains in its operational definition? Is frailty a useful concept? The implications of different models and approaches are examined. Although consensus has yet to be attained, work accomplished to date has opened exciting new horizons. The article concludes with suggested directions for future research.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              A penetration-aspiration scale.

              The development and use of an 8-point, equal-appearing interval scale to describe penetration and aspiration events are described. Scores are determined primarily by the depth to which material passes in the airway and by whether or not material entering the airway is expelled. Intra- and interjudge reliability have been established. Clinical and scientific uses of the scale are discussed.
                Bookmark

                Author and article information

                Journal
                Clin Interv Aging
                Clin Interv Aging
                Clinical Interventions in Aging
                Clinical Interventions in Aging
                Dove Medical Press
                1176-9092
                1178-1998
                2016
                07 October 2016
                : 11
                : 1403-1428
                Affiliations
                [1 ]Department of Otorhinolaryngology – Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands
                [2 ]Gastrointestinal Physiology Laboratory, Department of Surgery, Hospital of Mataró, Autonomous University of Barcelona, Mataró
                [3 ]CIBERehd, Instituto de Salud Carlos III, Barcelona, Spain
                [4 ]Department of Neurology, Antwerp University Hospital, University of Antwerp, Born Bunge Institute, Edegem, Belgium
                [5 ]Department of Translational Medicine, Division of Medical Radiology, Skåne University Hospital, Malmö, Sweden
                [6 ]Clinique Bois-Bougy, Nyon, Switzerland
                [7 ]Department of Geriatrics and Physical Medicine, Bonifatius Hospital, Lingen, Germany
                [8 ]Long Term Care and Hospice, Ettelbruck, Luxembourg
                [9 ]Rehabilitation Unit, Department of Neuroscience, University of Padua, Padova, Italy
                [10 ]Department of Geriatric Medicine, Hospital Ramón y Cajal, Madrid, Spain
                [11 ]Clinical Gerontology, Princess Royal University Hospital, King’s College Hospital Foundation Trust, London, UK
                [12 ]College of Healthcare Sciences, James Cook University, Townsville, QLD, Australia
                [13 ]Department of Clinical Speech and Language Studies, Trinity College Dublin, Dublin, Ireland
                Author notes
                Correspondence: Omar Ortega, Gastrointestinal Physiology Laboratory, Department of Surgery, Hospital de Mataró, Universitat Autònoma de Barcelona, Carretera de, Cirera s/n 08304, Mataró, Spain, Email oortega@ 123456csdm.cat
                Article
                cia-11-1403
                10.2147/CIA.S107750
                5063605
                27785002
                a709b611-447c-4c7d-a8ef-669866092997
                © 2016 Baijens et al. This work is published and licensed by Dove Medical Press Limited

                The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                History
                Categories
                Review

                Health & Social care
                swallowing disorders,malnutrition,aged,frail elderly,quality of life,healthy aging,sarcopenia

                Comments

                Comment on this article