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2018 | OriginalPaper | Buchkapitel

5. Medizinische Folgen von Dysphagien

verfasst von : Mario Prosiegel, Susanne Weber

Erschienen in: Dysphagie

Verlag: Springer Berlin Heidelberg

Zusammenfassung

In drei Abschnitten dieses Kapitels wird auf wichtige medizinische Folgen von Dysphagien eingegangen, nämlich auf – besonders ältere Menschen bedrohende – Malnutrition und Dehydration sowie auf Aspirationspneumonie, die häufigste mittelbare Todesursache dysphagischer Personen. Neben Begriffsdefinitionen erfolgt jeweils eine detaillierte Beschreibung diagnostischer Möglichkeiten und wirksamer therapeutischer bzw. prophylaktischer Interventionen. Der letzte Abschnitt widmet sich Faktoren, die bislang noch nicht so gut untersucht sind; dabei werden insbesondere dysphagiebedingte Einschränkungen der Lebensqualität und Kosten für das Gesundheitssystem behandelt.
Literatur
Zurück zum Zitat Berger K, Weltermann B, Kolominsky-Rabas P et al. (1999) Untersuchung zur Reliabilität von Schlaganfallskalen – Die deutschen Versionen von NIHSS, ESS und Rankin Scale. Fortschr Neurol Psychiatr 67: 81–93CrossRefPubMed Berger K, Weltermann B, Kolominsky-Rabas P et al. (1999) Untersuchung zur Reliabilität von Schlaganfallskalen – Die deutschen Versionen von NIHSS, ESS und Rankin Scale. Fortschr Neurol Psychiatr 67: 81–93CrossRefPubMed
Zurück zum Zitat Bray BD, Smith CJ, Cloud GC, Enderby P, James M, Paley L, Tyrrell PJ, Wolfe CD, Rudd AG; SSNAP Collaboration (2017) The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia. J Neurol Neurosurg Psychiatry 88: 25–30CrossRefPubMed Bray BD, Smith CJ, Cloud GC, Enderby P, James M, Paley L, Tyrrell PJ, Wolfe CD, Rudd AG; SSNAP Collaboration (2017) The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia. J Neurol Neurosurg Psychiatry 88: 25–30CrossRefPubMed
Zurück zum Zitat Carnaby G, Hankey GJ, Pizzi J (2006) Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol 5: 31–37–CrossRefPubMed Carnaby G, Hankey GJ, Pizzi J (2006) Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol 5: 31–37–CrossRefPubMed
Zurück zum Zitat Dalhoff K, Ewig S; on behalf of the Guideline Development Group: Clinical Practice Guideline (2013) Adult patients with nosocomial pneumonia – epidemiology, diagnosis and treatment. Dtsch Arztebl Int 110: 634–640 Dalhoff K, Ewig S; on behalf of the Guideline Development Group: Clinical Practice Guideline (2013) Adult patients with nosocomial pneumonia – epidemiology, diagnosis and treatment. Dtsch Arztebl Int 110: 634–640
Zurück zum Zitat Daniels SK, McAdam CP, Brailey K, Foundas AL (1997) Clinical assessment of swallowing and prediction of dysphagia severity. Am J Speech Lang Pathol 6: 17–24CrossRef Daniels SK, McAdam CP, Brailey K, Foundas AL (1997) Clinical assessment of swallowing and prediction of dysphagia severity. Am J Speech Lang Pathol 6: 17–24CrossRef
Zurück zum Zitat Dávalos A, Ricart W, Gonzalez-Huix F, Soler S, Marrugat J, Molins A, Suñer R, Genís D (1996) Effect of malnutrition after acute stroke on clinical outcome. Stroke 27: 1028–1032CrossRefPubMed Dávalos A, Ricart W, Gonzalez-Huix F, Soler S, Marrugat J, Molins A, Suñer R, Genís D (1996) Effect of malnutrition after acute stroke on clinical outcome. Stroke 27: 1028–1032CrossRefPubMed
Zurück zum Zitat Doggett DL, Tappe KA, Mitchell MD, Chapell R, Coates V, Turkelson CM (2001) Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: an evidence-based comprehensive analysis of the literature. Dysphagia 16: 279–295CrossRefPubMed Doggett DL, Tappe KA, Mitchell MD, Chapell R, Coates V, Turkelson CM (2001) Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: an evidence-based comprehensive analysis of the literature. Dysphagia 16: 279–295CrossRefPubMed
Zurück zum Zitat Gariballa SE, Parker SG, Taub N, Castleden CM (1998) Influence of nutritional status on clinical outcome after acute stroke. Am J Clin Nutr 68: 275–281CrossRefPubMed Gariballa SE, Parker SG, Taub N, Castleden CM (1998) Influence of nutritional status on clinical outcome after acute stroke. Am J Clin Nutr 68: 275–281CrossRefPubMed
Zurück zum Zitat Guigoz Y, Lauque S, Vellas BJ (2002) Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 18: 737–757CrossRefPubMed Guigoz Y, Lauque S, Vellas BJ (2002) Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 18: 737–757CrossRefPubMed
Zurück zum Zitat Heuschmann PU, Kolominsky-Rabas PL, Misselwitz B, Hermanek P, Leffmann C, Janzen RW, Rother J, Buecker-Nott HJ, Berger K; for the German Stroke Registers Study Group (2004) Predictors of in-hospital mortality and attributable risks of death after ischemic stroke: the German Stroke Registers Study Group. Arch Intern Med 164: 1761–1768 Heuschmann PU, Kolominsky-Rabas PL, Misselwitz B, Hermanek P, Leffmann C, Janzen RW, Rother J, Buecker-Nott HJ, Berger K; for the German Stroke Registers Study Group (2004) Predictors of in-hospital mortality and attributable risks of death after ischemic stroke: the German Stroke Registers Study Group. Arch Intern Med 164: 1761–1768
Zurück zum Zitat Hodkinson HM (1972) Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing 1: 233–238CrossRefPubMed Hodkinson HM (1972) Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing 1: 233–238CrossRefPubMed
Zurück zum Zitat Hudson HM, Daubert CR, Mills RH (2000) The interdependency of protein-energy malnutrition, aging, and dysphagia. Dysphagia 15: 31–38CrossRefPubMed Hudson HM, Daubert CR, Mills RH (2000) The interdependency of protein-energy malnutrition, aging, and dysphagia. Dysphagia 15: 31–38CrossRefPubMed
Zurück zum Zitat Keage M, Delatycki M, Corben L, Vogel A (2015) A systematic review of self-reported swallowing assessments in progressive neurological disorders. Dysphagia 30: 27–46CrossRefPubMed Keage M, Delatycki M, Corben L, Vogel A (2015) A systematic review of self-reported swallowing assessments in progressive neurological disorders. Dysphagia 30: 27–46CrossRefPubMed
Zurück zum Zitat Kraus E, Rommel N, Stoll L, Oettinger A, Vogel A, Synofzik M (2018) Validation and psychometric properties of the German version of the SWAL-QOL. Dysphagia (in press) Kraus E, Rommel N, Stoll L, Oettinger A, Vogel A, Synofzik M (2018) Validation and psychometric properties of the German version of the SWAL-QOL. Dysphagia (in press)
Zurück zum Zitat LaCroix AZ, Lipson S, Miles TP, White L (1989) Prospective study of pneumonia hospitalizations and mortality of U.S. older people: the role of chronic conditions, health behaviors, and nutritional status. Public Health Rep 104: 350–360PubMedPubMedCentral LaCroix AZ, Lipson S, Miles TP, White L (1989) Prospective study of pneumonia hospitalizations and mortality of U.S. older people: the role of chronic conditions, health behaviors, and nutritional status. Public Health Rep 104: 350–360PubMedPubMedCentral
Zurück zum Zitat Langmore SE, Terpenning MS, Schork A, Chen Y, Murray JT, Lopatin D, Loesche WJ (1998) Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia 13: 69–81 Langmore SE, Terpenning MS, Schork A, Chen Y, Murray JT, Lopatin D, Loesche WJ (1998) Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia 13: 69–81
Zurück zum Zitat Leow LP, Huckabee ML, Anderson T, Beckert L (2010) The impact of dysphagia on quality of life in ageing and Parkinson’s disease as measured by the swallowing quality of Life (SWAL-QOL) questionnaire. Dysphagia 25: 216–220CrossRefPubMed Leow LP, Huckabee ML, Anderson T, Beckert L (2010) The impact of dysphagia on quality of life in ageing and Parkinson’s disease as measured by the swallowing quality of Life (SWAL-QOL) questionnaire. Dysphagia 25: 216–220CrossRefPubMed
Zurück zum Zitat Linstedt U, Berkau A, Meyer O et al. (2002) Ein kurzer mentaler Test zur Erfassung eines postoperativen Delirs. Anasthesiol Intensivmed Notfallmed Schmerzther 37: 205–208CrossRefPubMed Linstedt U, Berkau A, Meyer O et al. (2002) Ein kurzer mentaler Test zur Erfassung eines postoperativen Delirs. Anasthesiol Intensivmed Notfallmed Schmerzther 37: 205–208CrossRefPubMed
Zurück zum Zitat Löser C, Lübbens H, Mahlke R, Lankisch PG (2007) Der ungewollte Gewichtsverlust des alten Menschen. Dtsch Ärztebl 104: A3411–3420 Löser C, Lübbens H, Mahlke R, Lankisch PG (2007) Der ungewollte Gewichtsverlust des alten Menschen. Dtsch Ärztebl 104: A3411–3420
Zurück zum Zitat Marik PE (2001) Aspiration pneumonitis and aspiration pneumonia. New Engl J Med 344: 665–671CrossRefPubMed Marik PE (2001) Aspiration pneumonitis and aspiration pneumonia. New Engl J Med 344: 665–671CrossRefPubMed
Zurück zum Zitat Marik PE, Kaplan D (2003) Aspiration pneumonia and dysphagia in the elderly. Chest 124: 328–336CrossRefPubMed Marik PE, Kaplan D (2003) Aspiration pneumonia and dysphagia in the elderly. Chest 124: 328–336CrossRefPubMed
Zurück zum Zitat Marrie TJ (1990) Epidemiology of community-acquired pneumonia in the elderly. Semin Respir Infect 5: 260–268PubMed Marrie TJ (1990) Epidemiology of community-acquired pneumonia in the elderly. Semin Respir Infect 5: 260–268PubMed
Zurück zum Zitat McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, Bricker DE (2002) The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia 17: 97–114PubMed McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, Bricker DE (2002) The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia 17: 97–114PubMed
Zurück zum Zitat Newman AB, Yanez D, Harris T, Duxbury A, Enright PL, Fried LP; Cardiovascular Study Research Group (2001) Weight change in old age and its association with mortality. J Am Geriatr Soc 49: 1309–1318 Newman AB, Yanez D, Harris T, Duxbury A, Enright PL, Fried LP; Cardiovascular Study Research Group (2001) Weight change in old age and its association with mortality. J Am Geriatr Soc 49: 1309–1318
Zurück zum Zitat Niederman MS, McCombs JS, Unger AN, Kumar A, Popovian R (1998) The cost of treating community acquired pneumonia. Clin Ther 20: 820–237 Niederman MS, McCombs JS, Unger AN, Kumar A, Popovian R (1998) The cost of treating community acquired pneumonia. Clin Ther 20: 820–237
Zurück zum Zitat Pfeiffer RF (2003) Gastrointestinal dysfunction in Parkinson’s disease. Lancet Neurol 2: 107–116CrossRefPubMed Pfeiffer RF (2003) Gastrointestinal dysfunction in Parkinson’s disease. Lancet Neurol 2: 107–116CrossRefPubMed
Zurück zum Zitat Schumann B, Büßelberg N, Stanschus S, Willmes K, Andres F, Binkofski F (2012) Risikofaktoren für Pneumonie bei akuten Schlaganfallpatienten mit Dysphagie. Sprache, Stimme, Gehör 36 (Suppl 1): e20-e21 Schumann B, Büßelberg N, Stanschus S, Willmes K, Andres F, Binkofski F (2012) Risikofaktoren für Pneumonie bei akuten Schlaganfallpatienten mit Dysphagie. Sprache, Stimme, Gehör 36 (Suppl 1): e20-e21
Zurück zum Zitat Sellars C, Bowie L, Bagg J et al. (2007) Risk factors for chest infection in acute stroke: a prospective cohort study. Stroke 38: 2284–2291CrossRefPubMed Sellars C, Bowie L, Bagg J et al. (2007) Risk factors for chest infection in acute stroke: a prospective cohort study. Stroke 38: 2284–2291CrossRefPubMed
Zurück zum Zitat Smith CJ, Kishore AK, Vail A, Chamorro A, Garau J, Hopkins SJ, Di Napoli M, Kalra L, Langhorne P, Montaner J, Roffe C, Rudd AG, Tyrrell PJ, van de Beek D, Woodhead M, Meisel A (2015) Diagnosis of stroke-associated pneumonia: recommendations from the pneumonia in stroke consensus group. Stroke 46: 2335–2340CrossRefPubMed Smith CJ, Kishore AK, Vail A, Chamorro A, Garau J, Hopkins SJ, Di Napoli M, Kalra L, Langhorne P, Montaner J, Roffe C, Rudd AG, Tyrrell PJ, van de Beek D, Woodhead M, Meisel A (2015) Diagnosis of stroke-associated pneumonia: recommendations from the pneumonia in stroke consensus group. Stroke 46: 2335–2340CrossRefPubMed
Zurück zum Zitat Volkert D, Frauenrath C, Kruse W, Oster P, Schlierf G (1991) Mangelernährung im Alter – Resultate der Bethanien-Ernährungsstudie. Ther Umsch 48: 312–315PubMed Volkert D, Frauenrath C, Kruse W, Oster P, Schlierf G (1991) Mangelernährung im Alter – Resultate der Bethanien-Ernährungsstudie. Ther Umsch 48: 312–315PubMed
Zurück zum Zitat Wilson RD, Howe EC (2012) A cost-effectiveness analysis of screening methods for dysphagia after stroke. PM&R 4: 273–282CrossRef Wilson RD, Howe EC (2012) A cost-effectiveness analysis of screening methods for dysphagia after stroke. PM&R 4: 273–282CrossRef
Zurück zum Zitat Yoo SH, Kim JS, Kwon SU, Yun SC, Koh JY, Kang DW (2008) Undernutrition as a predictor of poor clinical outcomes in acute ischemic stroke patients. Arch Neurol 65: 39–43PubMed Yoo SH, Kim JS, Kwon SU, Yun SC, Koh JY, Kang DW (2008) Undernutrition as a predictor of poor clinical outcomes in acute ischemic stroke patients. Arch Neurol 65: 39–43PubMed
Metadaten
Titel
Medizinische Folgen von Dysphagien
verfasst von
Mario Prosiegel
Susanne Weber
Copyright-Jahr
2018
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-56132-4_5