Deglutition Disorders
Conditions
Keywords
elderly, screening
Brief summary
The aim of this research was to examine the accuracy of translated Chinese version of Swallowing Dysphagia Questionnaire and to evaluate the prevalence of dysphagia and its clinical manifestation in patients over 65 years old.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* (1) age over 65 years old; (2) does not use enteral tube feeding; (3) no serious mental or cognitive conditions; no aphasia
Exclusion criteria
* (1) age under 65; (2) use enteral tube feeding; (3) subjects with serious mental or cognitive conditions or aphasia (4) Allergy to barium sulfate suspension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Swallowing Disturbance Questionnaire | At the baseline | Chinese version of Swallowing Dysphagia Questionnaire consists of 15 questions regarding oral and pharyngeal stage of dysphagia. Subjects are asked to fill out the questionnaire concerning current state and during the past year using a 4-point scale. |
| Videofluroscopy Swallowing Study (VFSS) | At the baseline | VFSS studies are conducted using 4 different consistencies: thin liquid, nectar-thick liquid, puree, and cookie. Subjects are asked to take 2 trials for each consistency to assess if any oral or pharyngeal dysphagia occurs. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical water test | At the baseline | Each subject takes 3 trials of 3cc-water using a dropper. Then sequential water drinking is assessed (about 60-70 ml). We assess: coughing, choking, voice changes. At least one symptom means dysphagia. |
| Mini-Mental State Examination (MMSE) | At the baseline | Mini-Mental State Examination was used to identify subjects' cognitive state.The following four cut-off levels should be employed to classify the severity of cognitive impairment: no cognitive impairment=24-30; mild cognitive impairment=19-23; moderate cognitive impairment=10-18; and severe cognitive impairment\<9. |