Factors associated with oropharyngeal dysphagia in individuals with cardiovascular disease and COVID-19

Factors associated with oropharyngeal dysphagia in individuals with cardiovascular disease and COVID-19

Oropharyngeal dysphagia (OD) is one of the possible outcomes in patients hospitalized with COVID-19 and also in the population hospitalized for the treatment of cardiovascular disease. Thus, knowing the predictive risk factors for OD may help with referral and early intervention. This study aimed to...

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Bibliographic Details
Published in:CoDAS (São Paulo) Vol. 36; no. 5; p. e20220112
Main Authors: Almeida, Tatiana Magalhães de, Fernandes, Raquel Gama, Binhardi, Vitor Della Rovere, França, João Italo Dias, Magnoni, Daniel, Silva, Roberta Gonçalves da
Format: Journal Article
Language:English
Published: Brazil Sociedade Brasileira de Fonoaudiologia 01-01-2024
Subjects:
Adult
Aged
Aged, 80 and over
Aging
AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Cardiovascular Diseases
Cardiovascular Diseases - complications
Coronavirus Infections
COVID-19 - complications
Cross-Sectional Studies
Deglutition Disorders - etiology
Female
Hospitalization
Humans
Intensive Care Units
Intratracheal Intubation
Intubation, Intratracheal
Male
Middle Aged
Original
REHABILITATION
Risk Factors
SARS-CoV-2
Swallowing Disorders
Aging
Coronavirus Infections
Cardiovascular Diseases
Swallowing Disorders
Intratracheal Intubation
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Summary:Oropharyngeal dysphagia (OD) is one of the possible outcomes in patients hospitalized with COVID-19 and also in the population hospitalized for the treatment of cardiovascular disease. Thus, knowing the predictive risk factors for OD may help with referral and early intervention. This study aimed to verify the association of different factors with OD in hospitalized individuals with cardiovascular disease and COVID-19. Cross-sectional clinical study approved by the Research Ethics Committee (4,521,771). Clinical evaluation of swallowing was carried out in 72 adult patients with cardiovascular disease and COVID-19 hospitalized from April to September 2020. Individuals under 18 years of age and without previous cardiovascular disease were excluded. The presence of general clinical and/or neurological complications, pronation, stay in the intensive care unit (ICU), orotracheal intubation (OTI), tracheostomy tube, oxygen support and age were considered as predictive risk factors for oropharyngeal dysphagia. Fisher's exact test, Mann Whitney test and logistic regression model were used for analysis. General clinical complications (p=0.001), pronation (p=0.003), ICU stay (p=0.043), in addition to the need for oxygen supplementation (p=0.023) and age (p= 0 .037) were statistically significant factors associated. The pronation (0.013) and age (0.038) were independently associated with dysphagia. OTI (p=0.208), tracheostomy (p=0.707) and the presence of previous cerebrovascular accidents (p=0.493) were not statistically significant. In this study, age and prone position were factors independently associated with oropharyngeal dysphagia, complications such as the need for oxygen supplementation, in addition to the need for ICU admission, were also associated factors in the population.
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Conflict of interests: nothing to declare.
ISSN:2317-1782
2317-1782
DOI:10.1590/2317-1782/20242022112en