A high percentage of patients suffered symptoms also after recovery from the Coronavirus Disease—2019 (COVID-19) infection. It is not well clear what are the specific long-term sequelae (complications and symptoms). During the acute phase the patients may develop a multi-organ system pathology including aerodigestive tract. As the pathophysiology of COVID-19 emerges, the aim of our study was to describe the prevalence of oropharyngeal dysphagia after COVID-19 disease. From March to July 2020 we enrolled patients recovered from SARS-CoV-2 infection who had been previously hospitalized for the disease. They were screened for dysphagia by mean of the Eating Assessment Tool-10 (EAT-10). The cases with EAT-10 score > 3 were graded for the aspiration risk by applying the Gugging Swallowing Screen (GUSS) and were submitted to the Swal-QoL questionnaire. The cases with a GUSS score > 19 were subjected to FEES. 8/117 (7%) patients had positive screening result. 4/8 (50%) revealed an abnormal health related quality of life in oropharyngeal dysphagia with a mean Swal-QoL score of 69.73. The most affected domain was the “time of meals” (mean score 65) following by the “sleep” (mean score 66) and “eating desire” (mean score 72). 1/8 cases showed increased risk for aspiration and did not showed endoscopic signs of oropharyngeal dysphagia. Our results showed that the prevalence of upper dysphagia after hospitalization for SARS-CoV-2 is not anecdotal and that probably this long-lasting sequela has a psychogenic etiology.

Marchese, M. R., Ausili Cefaro, C., Mari, G., Proietti, I., Carfì, A., Tosato, M., Longobardi, Y., D’alatri, L., Oropharyngeal Dysphagia After Hospitalization for COVID-19 Disease: Our Screening Results, <<DYSPHAGIA>>, 2021; (Giugno): 1-7 [http://hdl.handle.net/10807/194145]

Oropharyngeal Dysphagia After Hospitalization for COVID-19 Disease: Our Screening Results

Maria Raffaella Marchese
Primo
;
Carolina Ausili Cefaro
Secondo
;
Mari Giorgia;Proietti Ilaria;Carfì Angelo;Tosato Matteo;Longobardi Ylenia
Penultimo
;
D’Alatri Lucia
Ultimo
2021

Abstract

A high percentage of patients suffered symptoms also after recovery from the Coronavirus Disease—2019 (COVID-19) infection. It is not well clear what are the specific long-term sequelae (complications and symptoms). During the acute phase the patients may develop a multi-organ system pathology including aerodigestive tract. As the pathophysiology of COVID-19 emerges, the aim of our study was to describe the prevalence of oropharyngeal dysphagia after COVID-19 disease. From March to July 2020 we enrolled patients recovered from SARS-CoV-2 infection who had been previously hospitalized for the disease. They were screened for dysphagia by mean of the Eating Assessment Tool-10 (EAT-10). The cases with EAT-10 score > 3 were graded for the aspiration risk by applying the Gugging Swallowing Screen (GUSS) and were submitted to the Swal-QoL questionnaire. The cases with a GUSS score > 19 were subjected to FEES. 8/117 (7%) patients had positive screening result. 4/8 (50%) revealed an abnormal health related quality of life in oropharyngeal dysphagia with a mean Swal-QoL score of 69.73. The most affected domain was the “time of meals” (mean score 65) following by the “sleep” (mean score 66) and “eating desire” (mean score 72). 1/8 cases showed increased risk for aspiration and did not showed endoscopic signs of oropharyngeal dysphagia. Our results showed that the prevalence of upper dysphagia after hospitalization for SARS-CoV-2 is not anecdotal and that probably this long-lasting sequela has a psychogenic etiology.
Inglese
Marchese, M. R., Ausili Cefaro, C., Mari, G., Proietti, I., Carfì, A., Tosato, M., Longobardi, Y., D’alatri, L., Oropharyngeal Dysphagia After Hospitalization for COVID-19 Disease: Our Screening Results, <>, 2021; (Giugno): 1-7 [http://hdl.handle.net/10807/194145]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/194145
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