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Assessment, Diagnosis, and Treatment of Dysphagia in Patients Infected With SARS-CoV-2: A Review of the Literature and International Guidelines

2020Journal article Open access
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dc.contributor.authorVergara, José
dc.contributor.authorSkoretz, Stacey A
dc.contributor.authorBrodsky, Martin B
dc.contributor.authorMiles, Anna
dc.contributor.authorLangmore, Susan E
dc.contributor.authorWallace, Sarah
dc.contributor.authorSeedat, Jaishika
dc.contributor.authorStarmer, Heather M
dc.contributor.authorBolton, Lee
dc.contributor.authorClavé, Pere
dc.contributor.authorFreitas, Susana Vaz
dc.contributor.authorBogaardt, Hans
dc.contributor.authorMatsuo, Koichiro
dc.contributor.authorde Souza, Cinthia Madeira
dc.contributor.authorMourão, Lucia Figueiredo
dc.date.accessioned2021-06-26T19:44:14Z
dc.date.available2021-06-26T19:44:14Z
dc.date.issued2020
dc.description.abstractPurpose Speech-language pathologists are playing a crucial role in the assessment and management of patients infected with severe acute respiratory syndrome coronavirus 2. Our goal was to synthesize peer-reviewed literature and association guidelines from around the world regarding dysphagia assessment and management for this specific population. Method A review of publications available in the PubMed database and official guidelines of international groups was performed on May 23, 2020. The information was synthesized and categorized into three content areas for swallowing: clinical evaluation, instrumental assessment, and rehabilitation. Results Five publications were identified in the PubMed database. Following title, abstract, and full-text review, only three publications met inclusion criteria: two reviews and one narrative report. Additionally, 19 international guidelines were reviewed. To assess swallowing, a modified clinical evaluation was recommended and only following a risk assessment. Instrumental assessments were often considered aerosol generating, especially transnasal procedures such as endoscopy and manometry. For this reason, many associations recommended that these examinations be performed only when essential and with appropriate personal protective equipment. Guidelines recommended that intervention should focus on compensatory strategies, including bolus modification, maneuvers/postural changes, and therapeutic exercises that can be conducted with physical distancing. Respiratory training devices were not recommended during rehabilitation. Conclusions International associations have provided extensive guidance regarding the level of risk related to the management of dysphagia in this population. To date, there are no scientific papers offering disease and/or recovery profiling for patients with dysphagia and coronavirus disease 2019. As a result, research in this area is urgently needed.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationVergara J, Skoretz SA, Brodsky MB, Miles A, Langmore SE, Wallace S, Seedat J, Starmer HM, Bolton L, Clavé P, Freitas SV, Bogaardt H, Matsuo K, de Souza CM, Mourão LF. Assessment, Diagnosis, and Treatment of Dysphagia in Patients Infected With SARS-CoV-2: A Review of the Literature and International Guidelines. Am J Speech Lang Pathol. 2020 Nov 12;29(4):2242-2253. doi: 10.1044/2020_AJSLP-20-00163. Epub 2020 Sep 22. PMID: 32960646.pt_PT
dc.identifier.doi10.1044/2020_AJSLP-20-00163pt_PT
dc.identifier.issn1558-9110
dc.identifier.urihttp://hdl.handle.net/10400.16/2480
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAmerican Speech-Language-Hearing Associationpt_PT
dc.relation.publisherversionhttps://pubs.asha.org/doi/10.1044/2020_AJSLP-20-00163?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmedpt_PT
dc.titleAssessment, Diagnosis, and Treatment of Dysphagia in Patients Infected With SARS-CoV-2: A Review of the Literature and International Guidelinespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.endPage2253pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage2242pt_PT
oaire.citation.titleAmerican journal of speech-language pathologypt_PT
oaire.citation.volume29pt_PT
person.familyNameVaz Freitas
person.givenNameSusana
person.identifierhttps://scholar.google.pt/citations?hl=pt-PT&user=pPPCqbAAAAAJ&view_op=list_works&gmla=AJsN-F4130_aPo2sx_xsSQ0Wyj-bCTKlHUWgisamo31ZYQPrQh54wY78YcB38QSlzer8sog0ORw81DPiKvDd-Rk6Fvp1s0bCBg
person.identifier.ciencia-id1E10-59C7-8086
person.identifier.orcid0000-0002-0667-7632
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicatione868f804-eeba-4471-b1c6-00d7585b664a
relation.isAuthorOfPublication.latestForDiscoverye868f804-eeba-4471-b1c6-00d7585b664a

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