Yıl: 2019 Cilt: 22 Sayı: 3 Sayfa Aralığı: 353 - 360 Metin Dili: İngilizce İndeks Tarihi: 22-05-2020

SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC

Öz:
Introduction: Advancing age may cause deterioration of the cartilaginous and myoelasticstructures of the larynx, leading to dysphagia. This study aimed to assess dysphagia andswallowing-related quality of life in elderly individuals presenting to the ENT outpatient clinicwith no dysphagia complaint.Materials and Method: Among 1829 patients who visited the ENT outpatient clinicbetween February 2017 and September 2018, 745(379 females, 366 males; mean age74.27±6.32 years) volunteered to participate. These individuals had no swallowing problemsor any disease that could affect swallowing, drug use, neurological disorder or history of headand neck surgery. The patients were assessed using swallowing-related quality of life scale andEating Assessment Tool-10.Results: According to the Eating Assessment Tool-10 scores, 550 patients(mean age72.00±4.45 years) had normal swallowing and 195(mean age 80.68±6.44 years) had dysphagia.There was a significant difference regarding age and swallowing-related quality of life scalescores were statistically significant between the normal swallowing and dysphagia groups.Regarding diagnosis at admission, no significant intergroup differences were observed. Onassessing the distribution of both scale scores according to the age groups (65–69, 70–79,80–89, and 90–99 years), significant differences were observed among all groups. There was asignificant correlation between increased scores and increasing age.Conclusion: Dysphagia is a common problem in older individuals. However, mostpatients with dysphagia do not visit physicians for this problem. It should be rememberedthat swallowing problems are often diagnosed when patients present to outpatient clinics forother complaints.
Anahtar Kelime:

Konular: Cerrahi

YAŞLI BIREYLERDE YUTMA: KBB POLIKLINIĞINDE SESSIZ DISFAJI RISK DEĞERLENDIRMESI

Öz:
Giriş: İlerleyen yaş larinksin kıkırdak ve miyoelastik yapılarının bozulmasına ve disfajiye neden olabilir. Bu çalışma, KBB polikliniğine başvuran disfaji şikayeti olmayan yaşlı bireylerde yutma güçlüğü ve yutma ile ilişkili yaşam kalitesini değerlendirmeyi amaçlamıştır. Gereç ve Yöntem: Şubat 2017-Eylül 2018 tarihleri arasında KBB polikliniğine başvuran 1829 hasta arasından 745’i (379 kadın, 366 erkek; ort. Yaş 74.27±6.32 yıl) çalışmaya gönüllü oldu. Bu kişilerde yutma problemi veya yutmayı etkileyebilecek herhangi bir hastalık, ilaç kullanımı, nörolojik bozukluk veya baş boyun bölgesine ameliyat öyküsü mevcut değildi Hastalar, yutma ile ilişkili yaşam kalitesi ölçeği ve Yeme Değerlendirme Aracı-10 kullanılarak değerlendirildi. Bulgular: Yeme Değerlendirme Aracı-10 puanlarına göre 550 hasta (ort. Yaş 72.00±4.45 yıl) normal yutma, 195 hastada (ort. Yaş 80.68±6.44 yıl) disfaji vardı. Yaş ve yutma ile ilişkili yaşam kalitesi ölçek puanları açısından normal yutma ve yutma güçlüğü grupları arasında istatistiksel olarak anlamlı fark saptandı. Başvuru sırasındaki tanı açısından gruplar arasında anlamlı bir fark gözlenmedi. Her iki ölçek puanının da yaş gruplarına göre dağılımını değerlendirirken (65-69, 70-79, 80-89 ve 90-99 yaş), tüm gruplar arasında anlamlı farklılıklar gözlendi. Skorların artması ile yaşın artması arasında anlamlı bir ilişki vardı. Sonuç: Disfaji yaşlı bireylerde sık görülen bir sorundur. Ancak, disfajili hastaların çoğu bu sorun için hekimleri ziyaret etmemektedir. Başka şikayetlerle polikliniğe başvuran hastalarda yutma sorunlarının sıklıkla teşhis edildiği akılda tutulmalıdır
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ALİCURA TOKGÖZ S, SAYLAM G, KARACA UMAY E, keseroglu k, OCAL B, KORKMAZ M (2019). SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. , 353 - 360.
Chicago ALİCURA TOKGÖZ Sibel,SAYLAM Güleser,KARACA UMAY Ebru,keseroglu kemal,OCAL BULENT,KORKMAZ Mehmet Hakan SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. (2019): 353 - 360.
MLA ALİCURA TOKGÖZ Sibel,SAYLAM Güleser,KARACA UMAY Ebru,keseroglu kemal,OCAL BULENT,KORKMAZ Mehmet Hakan SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. , 2019, ss.353 - 360.
AMA ALİCURA TOKGÖZ S,SAYLAM G,KARACA UMAY E,keseroglu k,OCAL B,KORKMAZ M SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. . 2019; 353 - 360.
Vancouver ALİCURA TOKGÖZ S,SAYLAM G,KARACA UMAY E,keseroglu k,OCAL B,KORKMAZ M SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. . 2019; 353 - 360.
IEEE ALİCURA TOKGÖZ S,SAYLAM G,KARACA UMAY E,keseroglu k,OCAL B,KORKMAZ M "SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC." , ss.353 - 360, 2019.
ISNAD ALİCURA TOKGÖZ, Sibel vd. "SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC". (2019), 353-360.
APA ALİCURA TOKGÖZ S, SAYLAM G, KARACA UMAY E, keseroglu k, OCAL B, KORKMAZ M (2019). SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. Türk Geriatri Dergisi, 22(3), 353 - 360.
Chicago ALİCURA TOKGÖZ Sibel,SAYLAM Güleser,KARACA UMAY Ebru,keseroglu kemal,OCAL BULENT,KORKMAZ Mehmet Hakan SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. Türk Geriatri Dergisi 22, no.3 (2019): 353 - 360.
MLA ALİCURA TOKGÖZ Sibel,SAYLAM Güleser,KARACA UMAY Ebru,keseroglu kemal,OCAL BULENT,KORKMAZ Mehmet Hakan SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. Türk Geriatri Dergisi, vol.22, no.3, 2019, ss.353 - 360.
AMA ALİCURA TOKGÖZ S,SAYLAM G,KARACA UMAY E,keseroglu k,OCAL B,KORKMAZ M SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. Türk Geriatri Dergisi. 2019; 22(3): 353 - 360.
Vancouver ALİCURA TOKGÖZ S,SAYLAM G,KARACA UMAY E,keseroglu k,OCAL B,KORKMAZ M SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC. Türk Geriatri Dergisi. 2019; 22(3): 353 - 360.
IEEE ALİCURA TOKGÖZ S,SAYLAM G,KARACA UMAY E,keseroglu k,OCAL B,KORKMAZ M "SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC." Türk Geriatri Dergisi, 22, ss.353 - 360, 2019.
ISNAD ALİCURA TOKGÖZ, Sibel vd. "SWALLOWING IN ELDERLY INDIVIDUALS: SILENT DYSPHAGIA RISK ASSESSMENT IN THE ENT OUTPATIENT CLINIC". Türk Geriatri Dergisi 22/3 (2019), 353-360.