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- Title
Consistencias y terminologías: el uso de la Iniciativa Internacional de Estandarización de la Dieta para la Disfagia.
- Authors
Salles Machado, Alessandra; dos Santos Moreira, Cynthia Hellene; Caetano da Silva Vimercati, Deuzi; Costa Pereira, Tiago; Coutinho Endringer, Denise; Machado, Alessandra Salles; Moreira, Cyntia Hellene Dos Santos; Vimercati, Deuzi Caetano da Silva; Pereira, Tiago Costa; Endringer, Denise Coutinho
- Abstract
<bold>Introduction: </bold>Introduction: this study aimed to verify the ability of speech therapists to identify, sort and name the different consistencies used in neurogenic oropharyngeal dysphagia (NOD) management, and to compare the results with the terms proposed by the International Dysphagia Diet Standardization Initiative (IDDSI). Methods: this research was approved by the ethics committee. Sixty speech therapists who work with NOD patients sorted 5 commercial foods from thinnest to thickest to match IDDSI levels 0 to 4, and then used a term to designate each consistency. Results: most subjects (76.66%) sorted the foods properly. Terminologies were divergent at all levels. For level 0, practitioners assigned 3 different terms. For level 1, 24 different terms were reported; for level 2 there were 25 terms, 23 terms for level 3, and 18 terms for level 4. Level 0 (IDDSI - thin) was designated by most participants as liquid; level 1 (IDDSI - slightly thick) was referred to as semi-thickened liquid; level 2 (IDDSI - mildly thick) as thickened liquid; level 3 (IDDSI - moderately thick) as honey; and level 4 (IDDSI - extremely thick) as pasty by most subjects. A reduced number of participants used terms in accordance with IDDSI. Level 0 was appropriately named by 5 subjects (8.33%); levels 1, 2 and 4 by 2 practitioners each (3.33%); and level 3 by 1 professional (1.66%). None of the subjects named all 5 IDDSI levels correctly. Conclusion: most practitioners progressed consistencies properly. There was a diversity of terminologies used for the same consistency at all levels, with no standardization.
- Subjects
ESOPHAGUS diseases; DEGLUTITION disorders; STANDARDIZATION; DIET; FOOD habits
- Publication
Nutrición Hospitalaria, 2019, Vol 36, Issue 6, p1273
- ISSN
0212-1611
- Publication type
journal article
- DOI
10.20960/nh.02690