The Functional Dysphagia Scale Is a Useful Tool for Predicting Aspiration Pneumonia in Patients With Parkinson Disease.
10.5535/arm.2016.40.3.440
- Author:
Jong Hwa LEE
1
;
Kyeong Woo LEE
;
Sang Beom KIM
;
Sook Joung LEE
;
Sang Myung CHUN
;
Sung Moon JUNG
Author Information
1. Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan, Korea. zzugul36@naver.com
- Publication Type:Original Article
- Keywords:
Parkinson disease;
Dysphagia;
Swallowing disorders;
Fluoroscopy
- MeSH:
Activities of Daily Living;
Deglutition;
Deglutition Disorders*;
England;
Fluoroscopy;
Humans;
Logistic Models;
Parkinson Disease*;
Pneumonia;
Pneumonia, Aspiration*;
Prospective Studies
- From:Annals of Rehabilitation Medicine
2016;40(3):440-446
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To describe the correlation between the functional dysphagia scale and aspiration pneumonia and which characteristics influence the occurrence of aspiration pneumonia in patients with idiopathic Parkinson disease. METHODS: Fifty-three patients with idiopathic Parkinson disease were prospectively evaluated in this study. Disease severity and functional status were measured by modified Hoehn and Yahr (H&Y) staging, Schwab and England activities of daily living (S-E ADL) scale and Korean version of Mini-Mental State Examination (K-MMSE). Swallowing function was evaluated by the functional dysphagia scale (FDS) and the penetration-aspiration scale (PAS) based on a videofluoroscopic swallowing study. The patients were followed up for 3 months and divided into two groups according to the occurrence of aspiration pneumonia. The correlation between the variables and aspiration pneumonia was analyzed. RESULTS: Eight patients of the 53 patients were allocated to the aspiration pneumonia group and 45 patients to the non-aspiration pneumonia group. The patients in the aspiration pneumonia group had significantly higher H&Y staging, and scored lower on S-E ADL scale and K-MMSE. The patients in the aspiration pneumonia group had significantly higher scores on FDS and PAS. A multiple logistic regression analysis showed that the S-E ADL scale and the FDS were associated with the occurrence of aspiration pneumonia in the patients with Parkinson disease. CONCLUSION: Given that the FDS can quantitatively assess the functional problems associated with dysphagia, it can be clinically effective in predicting the occurrence of aspiration pneumonia, and the FDS and the S-E ADL scale could be predictive variables for aspiration pneumonia in patients with Parkinson disease.
