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Swallowing dysfunction in patients hospitalised due to a COPD exacerbation

Margareta Gonzalez Lindh, Christer Janson, Monica Blom Johansson, Mimmi Jonsson, Emma Mälberg, Elina Allansson, Cecilia Holm, Margareta Jennische, Hirsch Koyi
ERJ Open Research 2021 7: 00173-2021; DOI: 10.1183/23120541.00173-2021
Margareta Gonzalez Lindh
1Dept of Neuroscience, Uppsala University, Uppsala, Sweden
2Centre for Research and Development, Uppsala University/Region Gävleborg, Uppsala, Sweden
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  • ORCID record for Margareta Gonzalez Lindh
  • For correspondence: margareta.gonzalez.lind@regiongavleborg.se
Christer Janson
3Dept Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden
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Monica Blom Johansson
1Dept of Neuroscience, Uppsala University, Uppsala, Sweden
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Mimmi Jonsson
1Dept of Neuroscience, Uppsala University, Uppsala, Sweden
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Emma Mälberg
1Dept of Neuroscience, Uppsala University, Uppsala, Sweden
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Elina Allansson
1Dept of Neuroscience, Uppsala University, Uppsala, Sweden
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Cecilia Holm
1Dept of Neuroscience, Uppsala University, Uppsala, Sweden
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Margareta Jennische
1Dept of Neuroscience, Uppsala University, Uppsala, Sweden
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Hirsch Koyi
2Centre for Research and Development, Uppsala University/Region Gävleborg, Uppsala, Sweden
4Dept of Respiratory Medicine, Karolinska Institute, Stockholm, Sweden
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Tables

  • TABLE 1

    Characteristics of the study population and control group

    AECOPDControls
    Subjects3030
    Sex
     Female20 (67)9 (30)
     Male10 (33)21(70)
    Age years
     Mean75±7.771±13
     Median7671
    Comorbidities (patient-reported)
     Diabetes7 (23)9 (30)
     Atrial fibrillation5 (17)0
     Congestive heart failure3 (10)0
     Hypertension3 (10)2 (7)
     Angina3 (10)3 (10)
     Asthma04 (13)
     Reflux5 (17)11 (37)
    GOLD stage
     10 (0)
     25 (17)
     315 (50)
     410 (33)
    Spirometry
     FEV1 % pred36±15
     FEV1/FVC43.5±13.1
    Respiratory rate breaths·min−121±620±6
    Smoking
     Current6 (20)2 (7)
     Former23 (77)14 (47)
     Never1 (3)14 (47)
    BMI kg·m−224±6.428±5.6
    Xerostomia21 (70)15 (50)
    Dyspnoea symptom burden#27 (90)15 (50)

    Data are presented as n, n (%) or mean±sd unless otherwise stated. AECOPD: acute exacerbation of COPD; GOLD: Global Initiative for Obstructive Lung Disease; FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity; BMI: body mass index. #: modified Medical Research Council score ≥2.

    • TABLE 2

      The comparison of screening results between the two groups

      COPD groupCardiac groupp-value
      Subjects n3030
      EAT-10 score ≥36723<0.001
      Swallowing speed >15 s7020<0.001
      Cookie swallow (cough, bolus retention)40230.40
      mMRC score ≥29047<0.001

      Data are presented as %, unless otherwise stated. EAT-10: 10-item Eating Assessment Tool; mMRC: modified Medical Research Council.

      • TABLE 3

        Distribution of mean scores from the two diagnostic/disease groups relating to each item of the 10-item Eating Assessment Tool (EAT)

        COPD groupCardiac groupp-value
        1) My swallowing problem has caused me to lose weight0.430.070.04
        2) My swallowing problem interferes with my ability to go out for meals0.430.130.17
        3) Swallowing liquids takes extra effort0.270.130.47
        4) Swallowing solids takes extra effort1.130.20<0.001
        5) Swallowing pills takes extra effort0.400.130.16
        6) Swallowing is painful0.100.130.76
        7) The pleasure of eating is affected by my swallowing0.830.10<0.001
        8) When I swallow food sticks in my throat0.600.330.19
        9) I cough when I eat0.570.230.11
        10) Swallowing is stressful0.530.100.049
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      Swallowing dysfunction in patients hospitalised due to a COPD exacerbation
      Margareta Gonzalez Lindh, Christer Janson, Monica Blom Johansson, Mimmi Jonsson, Emma Mälberg, Elina Allansson, Cecilia Holm, Margareta Jennische, Hirsch Koyi
      ERJ Open Research Apr 2021, 7 (2) 00173-2021; DOI: 10.1183/23120541.00173-2021

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      Swallowing dysfunction in patients hospitalised due to a COPD exacerbation
      Margareta Gonzalez Lindh, Christer Janson, Monica Blom Johansson, Mimmi Jonsson, Emma Mälberg, Elina Allansson, Cecilia Holm, Margareta Jennische, Hirsch Koyi
      ERJ Open Research Apr 2021, 7 (2) 00173-2021; DOI: 10.1183/23120541.00173-2021
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