Ann Rehabil Med.  2016 Jun;40(3):440-446. 10.5535/arm.2016.40.3.440.

The Functional Dysphagia Scale Is a Useful Tool for Predicting Aspiration Pneumonia in Patients With Parkinson Disease

• Lee JH
• Lee KW
• Kim SB
• Lee SJ
• Chun SM
• Jung SM

• KMID: 2327605
• DOI: http://doi.org/10.5535/arm.2016.40.3.440

Abstract

OBJECTIVE
To describe the correlation between the functional dysphagia scale and aspiration pneumonia and which characteristics influence the occurrence of aspiration pneumonia in patients with idiopathic Parkinson disease.
METHODS
Fifty-three patients with idiopathic Parkinson disease were prospectively evaluated in this study. Disease severity and functional status were measured by modified Hoehn and Yahr (H&Y) staging, Schwab and England activities of daily living (S-E ADL) scale and Korean version of Mini-Mental State Examination (K-MMSE). Swallowing function was evaluated by the functional dysphagia scale (FDS) and the penetration-aspiration scale (PAS) based on a videofluoroscopic swallowing study. The patients were followed up for 3 months and divided into two groups according to the occurrence of aspiration pneumonia. The correlation between the variables and aspiration pneumonia was analyzed.
RESULTS
Eight patients of the 53 patients were allocated to the aspiration pneumonia group and 45 patients to the non-aspiration pneumonia group. The patients in the aspiration pneumonia group had significantly higher H&Y staging, and scored lower on S-E ADL scale and K-MMSE. The patients in the aspiration pneumonia group had significantly higher scores on FDS and PAS. A multiple logistic regression analysis showed that the S-E ADL scale and the FDS were associated with the occurrence of aspiration pneumonia in the patients with Parkinson disease.
CONCLUSION
Given that the FDS can quantitatively assess the functional problems associated with dysphagia, it can be clinically effective in predicting the occurrence of aspiration pneumonia, and the FDS and the S-E ADL scale could be predictive variables for aspiration pneumonia in patients with Parkinson disease.

Keyword

Parkinson disease; Dysphagia; Swallowing disorders; Fluoroscopy

MeSH Terms

Activities of Daily Living
Deglutition
Deglutition Disorders*
England
Fluoroscopy
Humans
Logistic Models
Parkinson Disease*
Pneumonia
Pneumonia, Aspiration*
Prospective Studies

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