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1- master of science student
2- Assistant Professor of Speech & Language Pathology
3- Professor in Management of Rehabilitation Department
Abstract:   (1491 Views)
Objective and Background:
Dysphagia is a common disease and growing concern in various groups of patients, such as neurology and head and neck surgery. Symptoms of this disorder include difficulty in placing the food in the mouth; the inability to control food or saliva in the mouth; coughing up before, during or after swallowing; periodic choking, drooling and weight loss. Usually these patients experience significant social and psychological burdens associated with their symptoms, including anxiety or avoidance of eating food with others which ultimately leads to complications such as malnutrition, dehydration, aspiration pneumonia, choking and also a decrease in the quality of life of the patient and turns the patient into an isolated person. Despite the high prevalence of dysphagia and its serious complications, which is a major cause of mortality in these patients, it is often overlooked in clinical evaluation of patients. Since dysphagia screening and prevention is an important step towards ensuring patient safety, improving the quality of care, reducing mortality and improving the quality of life in different patients groups, This issue should be addressed in hospitals and related clinics. Nowadays, with the use of prevalence studies can prevent from the complications caused by dysphagia disorder in different aspects of the patient's life. Also health care providers and therapists, using information from these studies, can identify these patients and provide them with appropriate health care services. Therefore, the aim of this study was to investigate the frequency and predictors of oropharyngeal dysphagia in neurology and head and neck surgery patients.
Methods
This cross-sectional study was a descriptive-analytic study of 500 admitted patients in Hamadan and Dysphagia clinic of Iran rehabilitation sciences faculty. All patients participating in this study were selected by Non- probability Sampling. In this study, MMSE screening test was performed to ensure that there was no linguistic and cognitive impairment. This test was designed in 1974 than in 2010 its Persian version was presented. And its sensitivity and specificity were 98% and 100%, respectively. In general, the maximum score of this test is 30; as a person's score of 23 and above, he does not suffer from linguistic and cognitive impairment. Also, GUSS screening test, which is an expert-oriented tool, was used to confirm the presence or absence of dysphagia. This test consists of two parts of direct and indirect assessment, and the higher the score obtained from each section means better performance. In this study, independent t-test and chi-square test were used to assess the demographic variables of age and sex as well as logistic regression analysis to determine dysphagia predictors. It should be noted that the findings of the study were analyzed using SPSS software at a significant level of 0.05.
Results
 The results of this study showed that 40 (17.39%) of all patients were suffering from dysphagia which there was a significant difference between the mean scores of their GUSS test and those without dysphagia (p<0/001). However, there was no significant difference between the mean age of patients with dysphagia and those without dysphagia (P =0/457). Also, there was no significant difference between the patients with dysphagia in terms of gender (P=0/090). In addition, logistic regression analysis showed that gender (95% CI 0/9-4/1; OR = 2/02) and etiology (95% CI 0/06-0/5; OR = 0/19) were predictors of dysphagia in this group of patients.
Conclusion
 Dysphagia disorder is common in patients with neurology and head and neck surgery. Also, etiology and gender are the predictors of dysphagia in them.
Key words: Deglutition Disorder, GUSS, Prevalence
     
Type of Study: Original Research Article | Subject: Rehabilitation
Received: 2019/01/23 | Accepted: 2019/02/3

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