1
|
Wang X, Wright Z, Wang J, Roy S, Fass R, Song G. Elucidating the Link: Chronic Obstructive Pulmonary Disease and the Complex Interplay of Gastroesophageal Reflux Disease and Reflux-Related Complications. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1270. [PMID: 37512081 PMCID: PMC10384576 DOI: 10.3390/medicina59071270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 06/17/2023] [Accepted: 07/04/2023] [Indexed: 07/30/2023]
Abstract
Background and Objective: Presenting chronic obstructive pulmonary disease (COPD) patients frequently report concurrent symptoms of gastroesophageal reflux disease (GERD). Few studies have shown a correlation between GERD and COPD. We aimed to examine the correlation between GERD and COPD as well as secondary related reflux complications, such as esophageal stricture, esophageal cancer, and Barrett's esophagus. Methods: This population-based analysis included 7,159,694 patients. Patients diagnosed with GERD with and without COPD were compared to those without GERD. The enrollment of COPD included centrilobular and panlobular emphysema and chronic bronchitis. Risk factors of COPD or GERD were used for adjustment. Bivariate analyses were performed using the chi-squared test or Fisher exact test (2-tailed) for categorical variables as appropriate to assess the differences in the groups. Results: Our results showed that COPD patients had a significantly higher incidence of GERD compared to those without COPD (27.8% vs. 14.1%, p < 0.01). After adjustment of demographics and risk factors, COPD patients had a 1.407 times higher risk of developing non-erosive esophagitis (p < 0.01), 1.165 higher risk of erosive esophagitis (p < 0.01), 1.399 times higher risk of esophageal stricture (p < 0.01), 1.354 times higher risk of Barrett's esophagus without dysplasia (p < 0.01), 1.327 times higher risk of Barrett's esophagus with dysplasia, as well as 1.235 times higher risk of esophageal cancer than those without COPD. Conclusions: Based on the evidence from this study, there are sufficient data to provide convincing evidence of an association between COPD and GERD and its secondary reflux-related complications.
Collapse
Affiliation(s)
- Xiaoliang Wang
- Internal Medicine Residency Program, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV 25701, USA
| | - Zachary Wright
- Joan C. Edwards School of Medicine, Marshall University, Huntington, WV 25701, USA
| | - Jiayan Wang
- Internal Medicine Residency Program, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV 25701, USA
| | - Stephen Roy
- Internal Medicine Residency Program, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV 25701, USA
| | - Ronnie Fass
- Department of Gastroenterology and Hepatology, Metrohealth Medical Center, Case Western Reserve University, Cleveland, OH 44106, USA
| | - Gengqing Song
- Department of Gastroenterology and Hepatology, Metrohealth Medical Center, Case Western Reserve University, Cleveland, OH 44106, USA
| |
Collapse
|
2
|
Oku Y. Swallowing disorder - a possible therapeutic target for preventing COPD exacerbations. Respir Physiol Neurobiol 2023; 313:104061. [PMID: 37059160 DOI: 10.1016/j.resp.2023.104061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 04/04/2023] [Accepted: 04/10/2023] [Indexed: 04/16/2023]
Abstract
Dysphagia is a common comorbidity of chronic obstructive pulmonary disease (COPD). In this review article, we show that swallowing disorder can be detected at its early stage as a manifestation of breathing-swallowing discoordination. Furthermore, we provide evidence that low-pressure continuous airway pressure (CPAP) and transcutaneous electrical sensory stimulation using interferential current (IFC-TESS) counteract swallowing disorders and may reduce exacerbations in patients with COPD. Our first prospective study showed that inspiration immediately before or after swallowing is associated with COPD exacerbation. However, the inspiration before swallowing (I-SW) pattern could be interpreted as an airway-protecting behavior. Indeed, the second prospective study showed that the I-SW pattern is more frequently observed in patients who did not experience exacerbations. As potential therapeutic candidates, CPAP normalizes the timing of swallowing, and IFC-TESS applied to the neck acutely facilitates swallowing and chronically improves nutrition and airway protection. Further studies are necessary to elucidate whether such interventions reduce exacerbations in patients with COPD.
Collapse
Affiliation(s)
- Yoshitaka Oku
- Division of Physiome, Department of Physiology, Hyogo Medical University, Nishinomiya, Hyogo 663-8501, Japan.
| |
Collapse
|
3
|
Li W, Gao M, Liu J, Zhang F, Yuan R, Su Q, Wang Y, Wang Y. The prevalence of oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Expert Rev Respir Med 2022; 16:567-574. [PMID: 35670185 DOI: 10.1080/17476348.2022.2086123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND Oropharyngeal dysphagia (OD) in chronic obstructive pulmonary disease (COPD) patients seriously influence the long-term prognosis of COPD patients. The aim of this study was to assess the prevalence and risk factors of OD in patients with COPD through a systematic review and meta-analysis of observational studies. METHODS We identified all observational studies on the prevalence of OD in COPD patients by searching PubMed, Embase, the Cochrane Library, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), China National Knowledge Infrastructure (CNKI), the China Biomedical Literature Service System (CBM), the Wanfang Database, and the WeiPu (VIP) databases from database establishment to 1 December 2020. RESULTS Results of the meta-analysis showed that the prevalence of OD in COPD patients was 32.7% (95%CI=30.1, 35.4, I2=91.5%). Dyspnea, gastroesophageal reflux disease(GERD), xerostomia, sputum bacteria, poor physical capacity, poor quality of life, and high CRP level are the risk factors for OD in COPD patients. CONCLUSION : The prevalence of OD in COPD patients is high. There were some differences in OD among COPD patients with different sex, ages, continents, evaluation methods, patient source and COPD exacerbation.
Collapse
Affiliation(s)
- Wenyan Li
- School of Nursing, Lanzhou University, Lanzhou, Gansu, China.,West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Mingjing Gao
- Department of Anesthesia Surgery, the First Affiliated Hospital of Lanzhou University, Lanzhou, Gansu, China
| | - Jin Liu
- School of Nursing, Lanzhou University, Lanzhou, Gansu, China
| | - Fengwa Zhang
- First Department of Gynecology, Gansu Provincial People's Hospital, Lanzhou, Gansu, China
| | - Rongjing Yuan
- School of Nursing, Lanzhou University, Lanzhou, Gansu, China
| | - Qingling Su
- First Department of Gynecology, the First Affiliated Hospital of Lanzhou University, Lanzhou, Gansu, China
| | - Yetong Wang
- School of Nursing, Lanzhou University, Lanzhou, Gansu, China
| | - Yanhong Wang
- School of Nursing, Lanzhou University, Lanzhou, Gansu, China
| |
Collapse
|
4
|
Lin TF, Shune S. Chronic Obstructive Pulmonary Disease and Dysphagia: A Synergistic Review. Geriatrics (Basel) 2020; 5:geriatrics5030045. [PMID: 32847110 PMCID: PMC7554843 DOI: 10.3390/geriatrics5030045] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 08/17/2020] [Accepted: 08/22/2020] [Indexed: 01/21/2023] Open
Abstract
Chronic obstructive pulmonary disease (COPD) is a leading global cause of death and disability. The literature has previously established clear physiological characteristics of COPD-related dysphagia (swallowing difficulties). However, COPD and dysphagia are both also intimately tied to breathing and contribute to a cascade of secondary physio-psycho-emotional sequalae, such as COPD exacerbation, anxiety, depression, increased economic burden, social isolation, and decreased quality of life. Further, the collective impact of these comorbidities may magnify disease impact, resulting in a downward spiral of well-being. Thus, the clinical relevance of COPD’s and dysphagia’s frequently occurring and overlapping sequelae cannot be overlooked, as the disease-related burden of both disorders is deeply rooted in the presence of concomitant physiological and psycho-emotional consequences. The current review explores the complex network of interactions between COPD, dysphagia, and their outcomes, framing this relationship within a mind-body-breath framework. Ultimately, we propose a model that more comprehensively captures the constellation of interrelated disease characteristics and consequences, highlighting a need for researchers and healthcare providers to consider disease impact more broadly in order to maximize treatment outcomes.
Collapse
|
5
|
Oku Y. Coordination of Swallowing and Breathing: How Is the Respiratory Control System Connected to the Swallowing System? STRUCTURE-FUNCTION RELATIONSHIPS IN VARIOUS RESPIRATORY SYSTEMS 2020. [DOI: 10.1007/978-981-15-5596-1_3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
|
6
|
Teramoto S, Komiya K. Predictive Roles of the Repetitive Saliva Swallowing Test (RSST) in Aspiration Pneumonia and Other Respiratory Diseases: Does the RSST Have a Predictive Role in Aspiration Pneumonia and Other Respiratory Diseases? RESPIRATORY DISEASE SERIES: DIAGNOSTIC TOOLS AND DISEASE MANAGEMENTS 2020. [PMCID: PMC7298539 DOI: 10.1007/978-981-15-4506-1_13] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Patients with dysphagia do not always present with subjective symptoms. However, asymptomatic dysphagia can also cause clinical issues, especially in those with respiratory conditions. Therefore, adequate screening is an essential beginning to their care. The repetitive saliva swallowing test (RSST) is one of the safest screening methods for dysphagia; it can be easily performed by nonprofessionals in any setting. There is evidence of its predictive values in aspiration pneumonia, chronic obstructive pulmonary disease (COPD), artificial ventilation, and other conditions. Additionaly, it has recently been found to be a strong predictor of the risk of future COPD exacerbation. The cost-effectiveness, harmlessness, and simplicity make it an optimal screening method for the large population of patients with respiratory conditions, although different cutoff values may be useful in different populations. It also takes into account multiple aspects of the swallowing ability, such as respiration, musculature, cognition, and general well-being.
Collapse
Affiliation(s)
- Shinji Teramoto
- Department of Respiratory Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan
| | - Kosaku Komiya
- Respiratory Medicine & Infectious Diseases, Oita University Faculty of Medicine, Yufu, Oita Japan
| |
Collapse
|
7
|
Yoshimatsu Y, Tobino K, Sueyasu T, Nishizawa S, Ko Y, Yasuda M, Ide H, Tsuruno K, Miyajima H. Repetitive Saliva Swallowing Test Predicts COPD Exacerbation. Int J Chron Obstruct Pulmon Dis 2019; 14:2777-2785. [PMID: 31824143 PMCID: PMC6900275 DOI: 10.2147/copd.s226268] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Accepted: 11/11/2019] [Indexed: 12/12/2022] Open
Abstract
Introduction Predicting phenotypes at risk of chronic obstructive pulmonary disease (COPD) exacerbation is extremely important. Dysphagia is becoming recognized as one of these phenotypes. A convenient method of screening for dysphagia and COPD exacerbation risk is desired. The repetitive saliva swallowing test (RSST) is one of the least invasive dysphagia screening methods. We previously reported the possible relation between the RSST result and COPD exacerbation in a retrospective study. Based on this, we performed a prospective study to evaluate the efficacy of RSST as a predictor of COPD exacerbation and to determine its optimal cut-off value for COPD. Methods Seventy patients with COPD were recruited. Patients underwent the following dysphagia screening tests: the 10-item Eating Assessment Tool, Frequency Scale for the Symptoms of Gastroesophageal Reflux Disease, RSST, water swallowing test, and simple swallow provocation test. After one year, they were classified into two groups according to the presence of COPD exacerbation during the follow-up period. Results Twenty-seven patients had one or more exacerbations in the past year. During the follow-up period, 28 patients had one or more exacerbations (E group), and 42 had none (non-E group). There were no significant differences between the groups except for the presence of past exacerbations and the results of the RSST, when the cut-off value was set at 2, 3, 4, or 5 swallows. The number of swallows in the RSST was significantly lower in the E group than in the Non-E group. A cut-off value of 5 was the most effective. The time to first exacerbation was significantly longer in those with an RSST value of >5. The RSST was more reliable for differentiating the E group and non-E group than the presence of exacerbation in the past year (hazard ratios: 13.78 and 2.70, respectively). Conclusion An RSST cut-off value of 5 may be a strong predictor of COPD exacerbation.
Collapse
Affiliation(s)
- Yuki Yoshimatsu
- Department of Respiratory Medicine, Iizuka Hospital, Fukuoka 820-8505, Japan
| | - Kazunori Tobino
- Department of Respiratory Medicine, Iizuka Hospital, Fukuoka 820-8505, Japan.,Department of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo 113-8431, Japan
| | - Takuto Sueyasu
- Department of Respiratory Medicine, Iizuka Hospital, Fukuoka 820-8505, Japan
| | - Saori Nishizawa
- Department of Respiratory Medicine, Iizuka Hospital, Fukuoka 820-8505, Japan
| | - Yuki Ko
- Department of Respiratory Medicine, Iizuka Hospital, Fukuoka 820-8505, Japan
| | - Mina Yasuda
- Department of Respiratory Medicine, Iizuka Hospital, Fukuoka 820-8505, Japan
| | - Hiromi Ide
- Department of Respiratory Medicine, Iizuka Hospital, Fukuoka 820-8505, Japan
| | - Kosuke Tsuruno
- Department of Respiratory Medicine, Iizuka Hospital, Fukuoka 820-8505, Japan
| | - Hiroyuki Miyajima
- Department of Respiratory Medicine, Iizuka Hospital, Fukuoka 820-8505, Japan
| |
Collapse
|
8
|
Liu N, Li Y, Chen P, Wu Z, Hou P, Zheng Z, Chen R. Effects of exercise-induced dyspnoea on the aspiration rate among patients with acute exacerbation of chronic obstructive pulmonary disease. CLINICAL RESPIRATORY JOURNAL 2019; 13:446-452. [PMID: 30965389 DOI: 10.1111/crj.13030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Revised: 03/01/2019] [Accepted: 03/31/2019] [Indexed: 11/27/2022]
Abstract
PURPOSE To use radionuclide imaging to investigate silent aspiration among patients recovering from an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). We also evaluated the effects of exercise-induced dyspnoea on silent aspiration in COPD patients. PATIENTS AND METHODS Recovering AECOPD patients admitted to the First Affiliated Hospital of Guangzhou Medical University between December 2013 and December 2015 were selected for the radionuclide aspiration test along with healthy volunteers of similar age. Aspiration-negative AECOPD patients were randomized into two subgroups. Patients in group A performed symptom-limited incremental cycle exercise test. Patients in group B were resting on the exercise bicycles. Aspiration-negative healthy volunteers performed symptom-limited incremental cycle exercise test (group C). Three groups performed a radionuclide aspiration test 30 min after exercise. RESULTS The silent aspiration rates among recovering AECOPD patients and healthy volunteers were 44.19% (57/129) and 0 (0/18) (P = 0.00). The aspiration rates in groups A and B were 33.33% (10/30) and 23.33% (7/30), (P = 0.39) and groups A and C were 33.33% (10/30) and 0% (0/12), (P = 0.04). CONCLUSION Recovering AECOPD patients had significantly higher silent aspiration rates than healthy volunteers of similar age. The evidence is not strong enough to support the patients with exercise-induced dyspnoea-increased aspiration rate.
Collapse
Affiliation(s)
- Ni Liu
- State Key Laboratory of Respiratory Diseases, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Youxia Li
- State Key Laboratory of Respiratory Diseases, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Ping Chen
- Department of Nuclear Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Zhida Wu
- Shunde First Municipal People's Hospital, Foshan, China
| | - Peng Hou
- Department of Nuclear Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Zeguang Zheng
- State Key Laboratory of Respiratory Diseases, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Rongchang Chen
- State Key Laboratory of Respiratory Diseases, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| |
Collapse
|
9
|
Yoshimatsu Y, Tobino K, Sueyasu T, Nishizawa S, Goto Y, Murakami K, Munechika M, Yoshimine K, Miyajima H. Repetitive saliva swallowing test and water swallowing test may identify a COPD phenotype at high risk of exacerbation. CLINICAL RESPIRATORY JOURNAL 2019; 13:321-327. [DOI: 10.1111/crj.13014] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 01/16/2019] [Accepted: 02/24/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Yuki Yoshimatsu
- Department of Respiratory Medicine Iizuka Hospital Fukuoka Japan
| | - Kazunori Tobino
- Department of Respiratory Medicine Iizuka Hospital Fukuoka Japan
- Department of Respiratory Medicine Juntendo University Graduate School of Medicine Tokyo Japan
| | - Takuto Sueyasu
- Department of Respiratory Medicine Iizuka Hospital Fukuoka Japan
| | - Saori Nishizawa
- Department of Respiratory Medicine Iizuka Hospital Fukuoka Japan
| | - Yuki Goto
- Department of Respiratory Medicine Iizuka Hospital Fukuoka Japan
| | - Kojin Murakami
- Department of Respiratory Medicine Iizuka Hospital Fukuoka Japan
| | - Miyuki Munechika
- Department of Respiratory Medicine Iizuka Hospital Fukuoka Japan
| | - Kohei Yoshimine
- Department of Respiratory Medicine Iizuka Hospital Fukuoka Japan
| | | |
Collapse
|
10
|
Hou P, Deng H, Wu Z, Liu H, Liu N, Zheng Z, Chen P. Detection of salivary aspiration using radionuclide salivagram SPECT/CT in patients with COPD exacerbation: a preliminary study. J Thorac Dis 2016; 8:2730-2737. [PMID: 27867548 DOI: 10.21037/jtd.2016.09.63] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND The aim of this prospective study was to assess the utility of radionuclide salivagram for detecting salivary aspiration in AECOPD patients and to evaluate the adding value of SPECT/CT to planar imaging. METHODS 52 consecutive AECOPD patients underwent radionuclide salivagram SPECT/CT and water swallow test between April 2012 and March 2014. All images were interpreted independently by two experienced nuclear medicine physicians. Final diagnosis was made by consensus of two readers. The radionuclide salivagram and water swallow test results were compared using kappa values. The relationship between radionuclide salivagram results and exacerbation frequency was evaluated with the Person χ2 test. RESULTS Salivary aspiration was diagnosed by radionuclide salivagram in 17 of 52 patients. Aspiration into the right main bronchus and branch was seen in 8 patients, bilateral main bronchi in 6 patients, and left lung field in 3 patients. SPECT/CT provided more accurate information on the extent and location of salivary aspiration, in 11 cases, SPECT/CT demonstrated aspiration of pulmonary segment bronchus and the following areas. Moreover, SPECT/CT revealed salivary aspiration corresponding to aspiration pneumonia in 8 cases. There was general agreement between the radionuclide salivagram and water swallow test results (Kappa =0.712; 95% CI, 0.504-0.920; P<0.001). The incidence of frequent exacerbations was greater among subjects with positive salivagram than among those with negative salivagram results (RR =3.43; 95% CI, 1.90-6.19; P<0.001). CONCLUSIONS Radionuclide salivagram is an objective method for detecting salivary aspiration in AECOPD patients. Moreover, SPECT/CT can identify more precise location of salivary aspiration and suggest a possible role for saliva in the pathophysiology of aspiration pneumonia.
Collapse
Affiliation(s)
- Peng Hou
- Department of Nuclear Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China
| | - Huaifu Deng
- Department of Nuclear Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China
| | - Zhida Wu
- Department of Respiratory Diseases, The First People's Hospital of Shunde, Shunde 528300, China
| | - Haiping Liu
- Department of Nuclear Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China
| | - Ni Liu
- State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Disease, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China
| | - Zeguang Zheng
- State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Disease, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China
| | - Ping Chen
- Department of Nuclear Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China
| |
Collapse
|
11
|
Steidl E, Ribeiro CS, Gonçalves BF, Fernandes N, Antunes V, Mancopes R. Relationship between Dysphagia and Exacerbations in Chronic Obstructive Pulmonary Disease: A Literature Review. Int Arch Otorhinolaryngol 2014; 19:74-9. [PMID: 25992155 PMCID: PMC4392502 DOI: 10.1055/s-0034-1376430] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2013] [Accepted: 04/01/2014] [Indexed: 12/31/2022] Open
Abstract
Introduction The literature presents studies correlating chronic obstructive pulmonary disease to dysphagia and suggesting that the aspiration laryngeal phenomenon related to changes in the pharyngeal phase contributes significantly to the exacerbation of symptoms of lung disease. Objectives This study aimed to conduct a literature review to identify the relation between dysphagia and exacerbations of chronic obstructive pulmonary disease. Data Synthesis We found 21 studies and included 19 in this review. The few studies that related to the subject agreed that the presence of dysphagia, due to lack of coordination between swallowing and breathing, may be one of the triggering factors of chronic obstructive pulmonary disease exacerbation. Conclusions The review noted that there is a relationship between dysphagia and exacerbations of chronic obstructive pulmonary disease, identified by studies demonstrating that the difficulties associated with swallowing may lead to exacerbation of the disease. There was difficulty in comparing studies by their methodological differences. More research is needed to clarify the relationship between dysphagia and exacerbations of chronic obstructive pulmonary disease, making it possible to develop multiprofessional treatment strategies for these patients, catered to specific needs due to the systemic manifestations of the disease.
Collapse
Affiliation(s)
- Eduardo Steidl
- Post-Graduation Student, Department of Speech Therapy, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | - Carla Simone Ribeiro
- Department of Physiotherapy, Centro Universitário Franciscano, Santa Maria, RS, Brazil
| | - Bruna Franciele Gonçalves
- Post-Graduation Student, Department of Speech Therapy, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | - Natália Fernandes
- Department of Speech Therapy, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | - Vívian Antunes
- Department of Physiotherapy, Centro Universitário Franciscano, Santa Maria, RS, Brazil
| | - Renata Mancopes
- Department of Speech Therapy, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| |
Collapse
|