Resumo

CABEZON A, Rodrigo et al. Functional endoscopic evaluation of swallowing among hospitalized patients. Rev. méd. Chile [online]. 2011, vol.139, n.8, pp.1025-1031. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872011000800007.

Background: Swallowing disorders are common in hospitalized patients. Functional endoscopic evaluation of swallowing (FEES) is a simple, safe and effective test for the diagnosis and monitoring of these disorders. Aim: To report the results of functional endoscopic swallowing evaluation. Material and Methods: Retrospective review of all records of functional swallowing evaluation procedures performed in a 6 months period. Results: A total of 327 evaluations were analyzed. Sixty seven percent were performed for the first time in a patient and 32.4% were follow-up evaluations. Mean age of patients was 73 ± 17 (SD) years and 56% were male. Twenty nine percent had prolonged orotracheal intubation (> 48 hours). Swallowing was evaluated as normal, mildly, moderately and severely altered in 8.2, 27, 27 and 38% of cases, respectively. Age (> 50 years) and orotracheal intubation were the most important predictors of severity (p = 0,01). Oral feeding was achieved during hospital stay in 78 and 55 % of patients with moderate or severe swallowing disorders, respectively, after a delay of 8.7 and 14.3 days, respectively. Having a severe swallowing disorder during the first evaluation, increased fourfold the risk of gastrostomy. Conclusions: Most hospitalized patients with swallowing disorders achieve oral feeding before leaving hospital. Safe oral feeding is delayed as swallowing disorder is of greater severity.

Palavras-chave : Deglutition disorders; dysphagia; Intubation; gastrointestinal.

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