Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults

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dc.contributor.authorMagalhães Junior, Hipólito Virgilio
dc.contributor.authorPernambuco, Leandro de Araújo
dc.contributor.authorCavalcanti, Renata Veiga Andersen
dc.contributor.authorSilva, Roberta Gonçalves da [UNESP]
dc.contributor.authorLima, Kenio Costa
dc.contributor.authorFerreira, Maria Angela Fernandes
dc.contributor.institutionFederal University of Rio Grande of Norte (UFRN)
dc.contributor.institutionUniversidade Federal da Paraíba (UFPB)
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2022-04-29T08:37:32Z
dc.date.available2022-04-29T08:37:32Z
dc.date.issued2021-01-01
dc.description.abstractObjective: The aim of this study was to determine the accuracy of an epidemiological screening questionnaire for oropharyngeal dysphagia in older people. Background: Determining the cut-off point and the accuracy of the self-reported epidemiological questionnaire for screening oropharyngeal dysphagia in older adults is important for mass screening, which may estimate the prevalence of oropharyngeal dysphagia. Materials and Methods: This was a cross-sectional diagnostic study with a convenience sample of 70 older adults over 60 years of age of both sexes, aged between 60 and 90 years (mean age 69.2; SD, 7.6). It used a screening questionnaire with nine ordered items response options resulted in a score ranging from 0 to 18. The criterion test was the fiberoptic endoscopic evaluation of swallowing, with analysis of the receiver operating characteristic (ROC), with a 5% significance level. Results: Oropharyngeal dysphagia frequency by the criterion test was 73%, with no significant difference between age and sex. The area under the ROC curve was 0.88 (95% confidence interval: 0.79-0.98) above the cut-off point 3. This screening questionnaire showed good parameters of sensitivity (80%), specificity (89%), positive predictive value (95%), negative predictive value (63%), positive likelihood ratio (7.64), negative likelihood ratio (0.22) and accuracy (83%). Conclusions: This questionnaire may be a satisfactory screening tool for estimating the prevalence of oropharyngeal dysphagia in older adults.en
dc.description.affiliationDepartment of Speech Language and Hearing Sciences Federal University of Rio Grande of Norte (UFRN)
dc.description.affiliationDepartment of Speech Language and Hearing Sciences Federal University of Paraíba (UFPB)
dc.description.affiliationDepartment of Speech Language and Hearing Sciences São Paulo State University (Unesp) School of Philosophy and Sciences Marília Universtiy of São Paulo
dc.description.affiliationDepartment of Dentistry Postgraduate Public Health Program (PPGSCol-UFRN) Federal University of Rio Grande of Norte (UFRN)
dc.description.affiliationUnespDepartment of Speech Language and Hearing Sciences São Paulo State University (Unesp) School of Philosophy and Sciences Marília Universtiy of São Paulo
dc.identifierhttp://dx.doi.org/10.1111/ger.12613
dc.identifier.citationGerodontology.
dc.identifier.doi10.1111/ger.12613
dc.identifier.issn1741-2358
dc.identifier.issn0734-0664
dc.identifier.scopus2-s2.0-85121372365
dc.identifier.urihttp://hdl.handle.net/11449/230078
dc.language.isoeng
dc.relation.ispartofGerodontology
dc.sourceScopus
dc.subjectageing
dc.subjectdeglutition disorders
dc.subjecthealth promotion
dc.subjectquestionnaire
dc.subjectscreening test
dc.titleAccuracy of an epidemiological oropharyngeal dysphagia screening for older adultsen
dc.typeArtigo
unesp.author.orcid0000-0002-8469-9570[1]
unesp.author.orcid0000-0002-3953-4881[3]

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