Ingesta oral do paciente hospitalizado com disfagia orofaríngea neurogênica

OBJETIVO: verificar a evolucao na ingesta oral e a ocorrencia de broncopneumonias (BCP) em pacientes hospitalizados com disfagia orofaringea neurogenica, apos atuacao fonoaudiologica. METODOS: 50 pacientes adultos, divididos em grupos: I: 31 pacientes pos-acidente vascular encefalico; II: sete pacientes pos-traumatismo crânio-encefalico; III: 12 pacientes com demencia. Foram levantadas as informacoes antes e apos a atuacao fonoaudiologica: nivel da Functional Oral Intake Scale (FOIS), ocorrencia de BCP; numero de atendimentos fonoaudiologicos e motivo de interrupcao destes. RESULTADOS: houve aumento significativo dos niveis da escala FOIS e reducao do percentual de ocorrencia de BCP nos tres grupos estudados. Nos grupos pos-AVE e demencia a interrupcao da fonoterapia ocorreu devido a alta hospitalar, enquanto que no grupo pos-TCE devido a alta fonoaudiologica. CONCLUSAO: os pacientes deste estudo demonstraram avancar das consistencias alimentares na ingesta oral, e reducao da ocorrencia de BCP, apos a intervencao fonoaudiologica com relacao a disfagia.

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