Rick Factors Associated with Aspiration in Patients with Head and Neck Cancer
Identifieur interne : 004C08 ( Main/Merge ); précédent : 004C07; suivant : 004C09Rick Factors Associated with Aspiration in Patients with Head and Neck Cancer
Auteurs : Soo Jin Jung [Corée du Sud] ; Deog Young Kim [Corée du Sud] ; So Young Joo [Corée du Sud]Source :
- Annals of Rehabilitation Medicine [ 2234-0645 ] ; 2011.
Abstract
To determine the major risk factors and abnormal videofluoroscopic swallowing study (VFSS) findings associated with aspiration in patients with head and neck cancer (HNC).
Risk factors associated with aspiration were investigated retrospectively in 241 patients with HNC using medical records and pre-recorded VFSS. Age, gender, lesion location and stage, treatment factors, and swallowing stage abnormalities were included.
Aspiration occurred in 50.2% of patients. A univariate analysis revealed that advanced age, increased duration from disease onset to VFSS, higher tumor stage, increased lymph node stage, increased American Joint Committee on Cancer (AJCC) stage, operation history, chemotherapy history, and radiotherapy history were significantly associated with aspiration (p<0.05). Among them, advanced age, increase AJCC stage, operation history, and chemotherapy history were significantly associated with aspiration in the multivariate analysis (p<0.05). Delayed swallowing reflex and reduced elevation of the larynx were significantly associated with aspiration in the multivariate analysis (p<0.05).
The major risk factors associated with aspiration in patients with HNC were advanced age, higher AJCC stage, operation history, and chemotherapy history. A VFSS to evaluate aspiration is needed in patients with NHC who have these risk factors. Delayed swallowing reflex and reduced elevation of the larynx were major abnormal findings associated with aspiration. Dysphagia rehabilitation should focus on these results.
Url:
DOI: 10.5535/arm.2011.35.6.781
PubMed: 22506206
PubMed Central: 3309370
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Rick Factors Associated with Aspiration in Patients with Head and Neck Cancer</title><author><name sortKey="Jung, Soo Jin" sort="Jung, Soo Jin" uniqKey="Jung S" first="Soo Jin" last="Jung">Soo Jin Jung</name><affiliation wicri:level="1"><nlm:aff id="A1">Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Deog Young" sort="Kim, Deog Young" uniqKey="Kim D" first="Deog Young" last="Kim">Deog Young Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Joo, So Young" sort="Joo, So Young" uniqKey="Joo S" first="So Young" last="Joo">So Young Joo</name><affiliation wicri:level="1"><nlm:aff id="A1">Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22506206</idno><idno type="pmc">3309370</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3309370</idno><idno type="RBID">PMC:3309370</idno><idno type="doi">10.5535/arm.2011.35.6.781</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">003B14</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003B14</idno><idno type="wicri:Area/Pmc/Curation">003B13</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003B13</idno><idno type="wicri:Area/Pmc/Checkpoint">002D59</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002D59</idno><idno type="wicri:Area/Ncbi/Merge">004C76</idno><idno type="wicri:Area/Ncbi/Curation">004C76</idno><idno type="wicri:Area/Ncbi/Checkpoint">004C76</idno><idno type="wicri:doubleKey">2234-0645:2011:Jung S:rick:factors:associated</idno><idno type="wicri:Area/Main/Merge">004C08</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Rick Factors Associated with Aspiration in Patients with Head and Neck Cancer</title><author><name sortKey="Jung, Soo Jin" sort="Jung, Soo Jin" uniqKey="Jung S" first="Soo Jin" last="Jung">Soo Jin Jung</name><affiliation wicri:level="1"><nlm:aff id="A1">Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Deog Young" sort="Kim, Deog Young" uniqKey="Kim D" first="Deog Young" last="Kim">Deog Young Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Joo, So Young" sort="Joo, So Young" uniqKey="Joo S" first="So Young" last="Joo">So Young Joo</name><affiliation wicri:level="1"><nlm:aff id="A1">Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 120-752</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Annals of Rehabilitation Medicine</title><idno type="ISSN">2234-0645</idno><idno type="eISSN">2234-0653</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To determine the major risk factors and abnormal videofluoroscopic swallowing study (VFSS) findings associated with aspiration in patients with head and neck cancer (HNC).</p></sec><sec><title>Method</title><p>Risk factors associated with aspiration were investigated retrospectively in 241 patients with HNC using medical records and pre-recorded VFSS. Age, gender, lesion location and stage, treatment factors, and swallowing stage abnormalities were included.</p></sec><sec><title>Results</title><p>Aspiration occurred in 50.2% of patients. A univariate analysis revealed that advanced age, increased duration from disease onset to VFSS, higher tumor stage, increased lymph node stage, increased American Joint Committee on Cancer (AJCC) stage, operation history, chemotherapy history, and radiotherapy history were significantly associated with aspiration (p<0.05). Among them, advanced age, increase AJCC stage, operation history, and chemotherapy history were significantly associated with aspiration in the multivariate analysis (p<0.05). Delayed swallowing reflex and reduced elevation of the larynx were significantly associated with aspiration in the multivariate analysis (p<0.05).</p></sec><sec><title>Conclusion</title><p>The major risk factors associated with aspiration in patients with HNC were advanced age, higher AJCC stage, operation history, and chemotherapy history. A VFSS to evaluate aspiration is needed in patients with NHC who have these risk factors. Delayed swallowing reflex and reduced elevation of the larynx were major abnormal findings associated with aspiration. Dysphagia rehabilitation should focus on these results.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Nguyen, Np" uniqKey="Nguyen N">NP Nguyen</name></author><author><name sortKey="Frank, C" uniqKey="Frank C">C Frank</name></author><author><name sortKey="Moltz, Cc" uniqKey="Moltz C">CC Moltz</name></author><author><name sortKey="Vos, P" uniqKey="Vos P">P Vos</name></author><author><name sortKey="Smith, Hj" uniqKey="Smith H">HJ Smith</name></author><author><name sortKey="Bhamidipati, Pv" uniqKey="Bhamidipati P">PV Bhamidipati</name></author><author><name sortKey="Karlsson, U" uniqKey="Karlsson U">U Karlsson</name></author><author><name sortKey="Nguyen, Pd" uniqKey="Nguyen P">PD Nguyen</name></author><author><name sortKey="Alfieri, A" uniqKey="Alfieri A">A Alfieri</name></author><author><name sortKey="Nguyen, Lm" uniqKey="Nguyen L">LM Nguyen</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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D">DJ D'Ambrosio</name></author><author><name sortKey="Cohen, Rb" uniqKey="Cohen R">RB Cohen</name></author><author><name sortKey="Ahmad, S" uniqKey="Ahmad S">S Ahmad</name></author><author><name sortKey="Nicolaou, N" uniqKey="Nicolaou N">N Nicolaou</name></author><author><name sortKey="Ridge, Ja" uniqKey="Ridge J">JA Ridge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nguyen, Np" uniqKey="Nguyen N">NP Nguyen</name></author><author><name sortKey="Moltz, Cc" uniqKey="Moltz C">CC Moltz</name></author><author><name sortKey="Frank, C" uniqKey="Frank C">C Frank</name></author><author><name sortKey="Karlsson, U" uniqKey="Karlsson U">U Karlsson</name></author><author><name sortKey="Nguyen, Pd" uniqKey="Nguyen P">PD Nguyen</name></author><author><name sortKey="Vos, P" uniqKey="Vos P">P Vos</name></author><author><name sortKey="Smith, Hj" uniqKey="Smith H">HJ Smith</name></author><author><name sortKey="Dutta, S" uniqKey="Dutta S">S Dutta</name></author><author><name sortKey="Nguyen, Lm" uniqKey="Nguyen L">LM Nguyen</name></author><author><name sortKey="Lemanski, C" uniqKey="Lemanski C">C Lemanski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gaziano, Je" uniqKey="Gaziano J">JE Gaziano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pauloski, Br" uniqKey="Pauloski B">BR Pauloski</name></author><author><name sortKey="Logemann, Ja" uniqKey="Logemann J">JA Logemann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wu, Ch" uniqKey="Wu C">CH Wu</name></author><author><name sortKey="Hsiao, Ty" uniqKey="Hsiao T">TY Hsiao</name></author><author><name sortKey="Ko, Jy" uniqKey="Ko J">JY Ko</name></author><author><name sortKey="Hsu, Mm" uniqKey="Hsu M">MM Hsu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Galli, J" uniqKey="Galli J">J Galli</name></author><author><name sortKey="Valenza, V" uniqKey="Valenza V">V Valenza</name></author><author><name sortKey="D Alatri, L" uniqKey="D Alatri L">L D'Alatri</name></author><author><name sortKey="Reale, F" uniqKey="Reale F">F Reale</name></author><author><name sortKey="Gajate, As" uniqKey="Gajate A">AS Gajate</name></author><author><name sortKey="Di Girolamo, S" uniqKey="Di Girolamo S">S Di Girolamo</name></author><author><name sortKey="Paludetti, G" uniqKey="Paludetti G">G Paludetti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Logemann, Ja" uniqKey="Logemann J">JA Logemann</name></author><author><name sortKey="Bytell, De" uniqKey="Bytell D">DE Bytell</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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