Alamer, Amal, Jones, Rhys, Drinnan, Michael, Simpson, A John, Griffin, Mike, Patterson, Joanne M 
ORCID: 0000-0001-8898-8292, Althuwaybi, Abdullah, Ward, Chris and Forrest, Ian A
(2022)
Oropharyngeal swallowing physiology and safety in patients with Idiopathic Pulmonary Fibrosis: a consecutive descriptive case series.
BMC PULMONARY MEDICINE, 22 (1).
422-.
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Oropharyngeal swallowing physiology and safety in patients with Idiopathic Pulmonary Fibrosis a consecutive descriptive case.pdf - Published version Download (1MB) | Preview |
Abstract
<h4>Introduction</h4>Dysphagia occurs in multiple respiratory pathophysiologies, increasing the risk of pulmonary complications secondary to aspiration. Reflux associated aspiration and a dysregulated lung microbiome is implicated in Idiopathic Pulmonary Fibrosis (IPF), but swallowing dysfunction has not been described. We aimed to explore oropharyngeal swallowing in IPF patients, without known swallowing dysfunction.<h4>Methods</h4>Fourteen consecutive outpatients with a secure diagnosis of IPF were recruited and the 10-item Eating Assessment Tool (Eat 10) used to assess patient perception of swallowing difficulty. Oropharyngeal swallowing was assessed in ten patients using Videofluoroscopy Swallow Studies (VFSS). The studies were rated using validated scales: Penetration-Aspiration Scale (PAS); standardised Modified Barium Swallow Impairment Profile (MBSImP).<h4>Results</h4>EAT-10 scores indicated frank swallowing difficulty in 4/14 patients. Videofluoroscopy Studies showed that 3/10 patients had airway penetration, and one aspirated liquid without a cough response. Median MBSImp for oral impairment was 5, range [3-7] and pharyngeal impairment 4, range [1-14] indicating, overall mild alteration to swallowing physiology.<h4>Conclusion</h4>We conclude that people with IPF can show a range of swallowing dysfunction, including aspiration into an unprotected airway. To our knowledge, this is the first report on swallowing physiology and safety in IPF. We believe a proportion of this group may be at risk of aspiration. Further work is indicated to fully explore swallowing in this vulnerable group.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Idiopathic Pulmonary Fibrosis, Videofluoroscopy Swallow Study, Oropharyngeal swallowing, The Modified Barium Swallow Impairment Profile, Aspiration, The Eating Assessment tool EAT-10 |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health Faculty of Health and Life Sciences > Institute of Population Health > School of Health Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 15 Feb 2023 15:13 |
| Last Modified: | 15 Feb 2023 15:14 |
| DOI: | 10.1186/s12890-022-02232-3 |
| Open Access URL: | https://doi.org/10.1186/s12890-022-02232-3 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3168432 |
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