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Oropharyngeal dysphagia and related factors in post-cardiac surgery: a systematic review

机译:心脏手术后口咽部吞咽困难及相关因素的系统评价

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Purpose To identify the main factors associated with oropharyngeal dysphagia following cardiac surgery through a systematic review of the literature. Methods A bibliographic search was conducted in the PubMed and ScienceDirect databases using the following keywords: a??cardiac surgerya??, a??deglutition disordersa??, and a??dysphagiaa??. Selection criteria Articles published in Portuguese, English, or Spanish addressing oropharyngeal dysphagia following cardiac surgery were selected with no time limitation. Only studies available in full were included. Data analysis First, articles were screened for title and abstract. Subsequently, they were submitted to full assessment by two blinded referees. The following data were extracted: authors, year of publication, study design, sample size, variables evaluated, and main results. Results The main factors related to oropharyngeal dysphagia in post-cardiac surgery were advanced age, presence of comorbidities and other diseases, intubation time, and surgical conditions. Conclusion The studies showed high heterogeneity, demonstrating that individuals who undergo cardiac surgical procedures, especially the elderly, present several factors related to oropharyngeal dysphagia postoperatively, such as cardiopulmonary bypass, transesophageal echocardiography, associated comorbidities, development of postoperative sepsis, and previous heart conditions.
机译:目的通过系统的文献回顾来确定与心脏手术后口咽吞咽困难有关的主要因素。方法在PubMed和ScienceDirect数据库中使用以下关键字进行书目搜索:“心脏手术”,“牙周病”和“吞咽困难”。选择标准选择以葡萄牙语,英语或西班牙语发表的有关心脏手术后口咽吞咽困难的文章,没有时间限制。仅包括全部可用的研究。数据分析首先,筛选文章的标题和摘要。随后,两名盲人裁判员对他们进行了全面评估。提取了以下数据:作者,出版年份,研究设计,样本量,评估的变量和主要结果。结果心脏手术后与口咽部吞咽困难有关的主要因素是高龄,合并症和其他疾病的存在,插管时间和手术条件。结论研究显示异质性很高,表明接受心脏外科手术的患者,尤其是老年人,在术后存在与口咽部吞咽困难有关的几个因素,例如心肺旁路,经食道超声心动图,相关合并症,术后脓毒症的发展以及先前的心脏病。

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