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Titolo:
Epidemiological aspects
Autore:
Finiels, H; Strubel, D; Jacquot, JM;
Indirizzi:
CHU Nimes, Ctr Serre Cavalier, Serv Gerontol & Prevent Vieillissement, F-30029 Nimes 4, France CHU Nimes Nimes France 4 Prevent Vieillissement, F-30029 Nimes 4, France CHU Nimes, Hop Caremeau, Dept Med Phys & Readaptat, Unite Readaptat Geriatr, F-30029 Nimes, France CHU Nimes Nimes France F-30029 Readaptat Geriatr, F-30029 Nimes, France
Titolo Testata:
PRESSE MEDICALE
fascicolo: 33, volume: 30, anno: 2001,
pagine: 1623 - 1634
SICI:
0755-4982(20011110)30:33<1623:EA>2.0.ZU;2-U
Fonte:
ISI
Lingua:
FRE
Soggetto:
PROGRESSIVE SUPRANUCLEAR PALSY; ASPIRATION FOLLOWING STROKE; UPPER ESOPHAGEAL SPHINCTER; INCLUSION-BODY MYOSITIS; PARKINSONS-DISEASE; ELDERLY PATIENTS; SWALLOWING DISORDERS; DYSPHAGIC PATIENTS; RISK-FACTORS; OROPHARYNGEAL DYSPHAGIA;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
193
Recensione:
Indirizzi per estratti:
Indirizzo: Strubel, D CHU Nimes, Ctr Serre Cavalier, Serv Gerontol & Prevent Vieillissement, 5 Rue Hoche, F-30029 Nimes 4, France CHU Nimes 5 Rue Hoche Nimes France 4 , F-30029 Nimes 4, France
Citazione:
H. Finiels et al., "Epidemiological aspects", PRESSE MED, 30(33), 2001, pp. 1623-1634

Abstract

The prevalence The exact prevalence of deglutition disorders in the elderly is not known. It appears frequent in very old patients and in those suffering from polypathological symptoms, affecting 50% of the populations in longterm care units. The effects of aging Physiological aging alters various parameters of swallowing, however it seems that these modifications related to age have little effect on healthy subjects. However, they may increase vulnerability in those presenting with intercurrent pathologies. Concomitant disorders Other than the decrease in efficient mastication andthe existence of xerostomia, frequently observed contributing factors, many diseases may be responsible for dysphagia in the elderly. Neurological disorders, particularly cerebral vascular diseases, central nervous system degenerative disorders and neuro-motor diseases predominate. In the aging muscular disorders and after effects of various diseases can set-in. Modifications in oropharyngeal anatomy generally result from cancerous lesions of the aero-digestive junction, but also occasionally from extrinsic compressionthat does not necessarily reflect a neoplastic etiology. Zenker's diverticulitis represents a cause of dysphagia specific to the elderly. Problems inswallowing of iatrogenic origin are also frequent following cervical radiotherapy or after oropharyngeal surgery, during tracheal intubation or when using feeding tubes and also during various medical treatments. Underrated consequences Dysphagia leads to multiple morbid after effects, primarily alteration in quality of life, dehydration, undernutrition, asphyxia and congestion and recurrent infections of the respiratory tract. The responsibility of deglutition disorders in the occurrence of these complications is difficult to assess in weak elderly subjects because of the frequent concomitance with multiple deficiencies and incapacities. (C) 2001, Masson, Paris.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 12:59:07