Bronchial Aspiration in the Elderly: Reflection of Dysphagia as a Geriatric Syndrome A Case Report from a University Hospital
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Nov 30, 2022
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Erika Geraldine Guarín Navas
Olga Milena García Morales
https://orcid.org/0000-0002-9921-883X
https://orcid.org/0000-0002-9921-883X
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Abstract
An 86-year-old female patient with Alzheimer’s disease, arrives to the hospital with respiratory symptoms; initial work-up showed a round mass obstructing the intermediate bronchus, suggesting respiratory aspiration with a foreign body (pea). This case presents the association between geriatric syndrome and a preventable respiratory complication with rehabilitation and education.
Keywords
foreign body, dysphagia, respiratory aspiration, Alzheimer disease, case reportscuerpo extraño, disfagia, aspiración respiratoria, enfermedad de Alzheimer, reporte de caso
References
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3. Sura L, Madhavan A, Carnaby G, Crary MA. Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging. 2012;7:287-98. https://doi.org/10.2147/CIA.S23404
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5. Herrera C, Quilez R, Castro ME, Canovas C. Dysphagia in the elderly. Rev Esp Geriatr Gerontol. 2014;49(5):243-4. https://doi.org/10.1016/j.regg.2014.02.001
6. Matsuse T, Oka T, Kida K, Fukuchi Y. Importance of diffuse aspiration bronchiolitis caused by chronic occult aspiration in the elderly. 1996;110(5):1289-93. https://doi.org/10.1378/chest.110.5.1289
7. González MB, Recio GM. Abordaje de la disfagia en enfermos de alzhéimer. Nutr Hosp. 2016;33(3):739-48. https://doi.org/10.20960/nh.286
8. Chavarro-Carvajal DA, Heredia Ramírez RA, Venegas Sanabria LC, Caicedo Correa SM, Gómez Arteaga RC, Pardo Amaya AM, Cano Gutiérrez CA. Escalas de uso frecuente en geriatría. 2.ª ed. Bogotá: Instituto de Envejecimiento, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana; 2020.
9. Cheney DM, Tausif Siddiqui M, Litts JK, Kuhn MA, Belafsky PC. The ability of the 10-item eating assessment tool (EAT-10) to predict aspiration risk in persons with dysphagia. Ann Otol Rhinol Laryngol. 2015;124(5):351-4. https://doi.org/10.1177/0003489414558107
10. Clavé P, Terré R, De Kraa M, Serra M. Approaching oropharyngeal dysphagia. Rev Esp Enferm Dig. 2004;96(2):119-31. https://doi.org/10.4321/s1130-01082004000200005
11. Priefer BA, Robbins J. Eating changes in mild-stage Alzheimer’s disease: a pilot study. Dysphagia 1997;12:212-21.
12. Schaposnik FA. La historia clínica en medicina interna. An Med Interna [internet]. 1972;1972:31-8. Disponible en: http://sedici.unlp.edu.ar/handle/10915/74118
2. Manrique CA, Martínez JD, Garzón MA, Hormaza N, Lizarazo J, Marulanda JC, et al. Enfermedad de Alzheimer y disfagia: desarrollo del compromiso deglutorio. Rev Colomb Gastroenterol. 2013;28(3):219-24.
3. Sura L, Madhavan A, Carnaby G, Crary MA. Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging. 2012;7:287-98. https://doi.org/10.2147/CIA.S23404
4. Abizanda-Soler P, Rodríguez-Mañas L. Tratado de medicina geriátrica. Barcelona: Elsevier; 2015. p. 237-45.
5. Herrera C, Quilez R, Castro ME, Canovas C. Dysphagia in the elderly. Rev Esp Geriatr Gerontol. 2014;49(5):243-4. https://doi.org/10.1016/j.regg.2014.02.001
6. Matsuse T, Oka T, Kida K, Fukuchi Y. Importance of diffuse aspiration bronchiolitis caused by chronic occult aspiration in the elderly. 1996;110(5):1289-93. https://doi.org/10.1378/chest.110.5.1289
7. González MB, Recio GM. Abordaje de la disfagia en enfermos de alzhéimer. Nutr Hosp. 2016;33(3):739-48. https://doi.org/10.20960/nh.286
8. Chavarro-Carvajal DA, Heredia Ramírez RA, Venegas Sanabria LC, Caicedo Correa SM, Gómez Arteaga RC, Pardo Amaya AM, Cano Gutiérrez CA. Escalas de uso frecuente en geriatría. 2.ª ed. Bogotá: Instituto de Envejecimiento, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana; 2020.
9. Cheney DM, Tausif Siddiqui M, Litts JK, Kuhn MA, Belafsky PC. The ability of the 10-item eating assessment tool (EAT-10) to predict aspiration risk in persons with dysphagia. Ann Otol Rhinol Laryngol. 2015;124(5):351-4. https://doi.org/10.1177/0003489414558107
10. Clavé P, Terré R, De Kraa M, Serra M. Approaching oropharyngeal dysphagia. Rev Esp Enferm Dig. 2004;96(2):119-31. https://doi.org/10.4321/s1130-01082004000200005
11. Priefer BA, Robbins J. Eating changes in mild-stage Alzheimer’s disease: a pilot study. Dysphagia 1997;12:212-21.
12. Schaposnik FA. La historia clínica en medicina interna. An Med Interna [internet]. 1972;1972:31-8. Disponible en: http://sedici.unlp.edu.ar/handle/10915/74118
How to Cite
Guarín Navas, E. G. ., & García Morales, O. M. . (2022). Bronchial Aspiration in the Elderly: Reflection of Dysphagia as a Geriatric Syndrome: A Case Report from a University Hospital. Universitas Medica, 63(4). https://doi.org/10.11144/Javeriana.umed63-4.bard
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Case Reports
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