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The Eating Assessment Tool-10 Predicts Aspiration in Adults with Stable Chronic Obstructive Pulmonary Disease

This study investigates the ability of the Eating Assessment Tool (EAT-10) to predict aspiration during objective dysphagia evaluation in adults with stable COPD. Thirty adults (20 male, 10 female; mean age  = 69.07 ± 16.82) with stable COPD attended an outpatient dysphagia clinic for a fiberoptic endoscopic evaluation of swallowing (FEES) in an acute teaching hospital (January 2015–November 2016). During evaluations, individuals completed an EAT-10 rating scale followed immediately by a standar dised FEES exam. Aspiration status during FEES was rated using the penetration–aspiration scale by clinicians blinded to EAT-10 scores. Data were retrospectively analysed. Significant differences in mean EAT-10 scores were found between aspirators (16.3; SEM = 2.165) and non-aspirators (7.3; SEM  = 1.009) (p = 0.000). The EAT-10 predicted aspiration with a high level of accuracy (AUC = 0.88). An EAT-10 cut-off value of>9 presented a sensitivity of 91.67, specificity of 77.78 with positive and negative likelihood ratios of 4.12 and 0.11, respectively. Positive and negative predictive values were 73.30 and 93.30, respectively. Diagnostic odds ratio was 38.50 (p 
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research

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We examined the association between antidepressant treatment and use of and adherence to COPD maintenance medications among patients with new‐onset COPD and comorbid depression. MethodsUsing 2006‐2012 Medicare data, this retrospective cohort study identified patients with newly diagnosed COPD and new‐onset major depression. Two exposures—antidepressant use (versus non‐use) and adherence measured by proportion of days covered (PDC) (PDC ≥0.8 versus
Source: International Journal of Geriatric Psychiatry - Category: Geriatrics Authors: Tags: RESEARCH ARTICLE Source Type: research
This report describes an automated, unbiased approach which uses color segmentation to identify structures of interest on stained sections and Euclidean distance mapping to measure the thickness distribution of airway structures. This method was applied to study the thickness distribution of the basement membrane and airway epithelium in lungs donated for research from seven nonasthmatic and eight asthmatic age- and sex-matched donors. A total of 60 airways were assessed. We report that the thickness and thickness distribution of the basement membrane and airway epithelium are increased in large and small airways of asthma...
Source: Journal of Applied Physiology - Category: Physiology Authors: Tags: INNOVATIVE METHODOLOGY Source Type: research
AbstractPurpose of ReviewThis review highlights the importance of nutrition support via counseling and oral nutrition supplements as needed in patients with end-stage lung disease. As chronic obstructive pulmonary disease, cystic fibrosis, pulmonary fibrosis are the most common chronic lung disease, the review will focus on these disease processes specifically. It will also discuss the role of nutrition in lung infections like tuberculosis, and the importance of nutrition in lung transplant.Recent FindingsRecent evidence does indicate that nutritional support is essential in the management of patients with end-stage lung d...
Source: Current Nutrition Reports - Category: Nutrition Source Type: research
Chronic obstructive pulmonary disease (COPD) is prevalent in the elderly population, with high impact on quality of life, morbidity, and mortality. The diagnosis is usually made based on symptoms and spirometry values that support the presence of airflow obstruction. However, the condition is frequently underdiagnosed. COPD is associated with premature aging and several other medical conditions that can partially explain its underdiagnosis and management. There are several pharmacologic and nonpharmacologic interventions proven to be effective in ameliorating the symptoms of COPD. Appropriate drug delivery and reduction of...
Source: Clinics in Geriatric Medicine - Category: Geriatrics Authors: Source Type: research
Significantly improved FEV1 and St. George's Respiratory Questionnaire scores
Source: Pulmonary Medicine News - Doctors Lounge - Category: Respiratory Medicine Tags: Family Medicine, Geriatrics, Internal Medicine, Nursing, Pharmacy, Pulmonology, Journal, Source Type: news
By the Editors Here's what we chose for you from NEJM Group today:NEJM Catalyst: Insights Report: Interpersonal skills …
Source: Physician's First Watch current issue - Category: Primary Care Source Type: news
Conclusion The static TD measured at RV and at TLC are preserved in COPD. The TF bilaterally was significantly decreased in COPD group and is decreased with increasing severity of COPD. The negative correlation of TF and PaCO2 indicates that the diaphragm dysfunction is the main contributor to neuromuscular respiratory failure in COPD patients.
Source: Egyptian Journal of Chest Diseases and Tuberculosis - Category: Respiratory Medicine Source Type: research
Source: Respiratory Research - Category: Respiratory Medicine Authors: Tags: Erratum Source Type: research
Lung cancer is one of the most common malignancies and has a low 5-year survival rate. There are no cheap, simple and widely available screening methods for the early diagnostics of lung cancer. The aim of this study was to determine whether analysis of exhaled breath with an artificial olfactory sensor using support vector analysis can differentiate patients with lung cancer from healthy individuals and patients with other lung diseases, regardless of the stage of lung cancer and the most common comorbidities. Patients with histologically or cytologically verified lung cancer, healthy volunteers and patients with ot...
Source: Journal of Breath Research - Category: Respiratory Medicine Authors: Source Type: research
Conclusion Plasma leptin in individuals with chronic SCI is inversely associated with FEV1, and FVC, independently of SCI level and severity and other covariates. This finding suggests that plasma leptin may contribute to reduced pulmonary function in chronic SCI. Level of Evidence Level II
Source: PMandR - Category: Rehabilitation Source Type: research
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