A Summary of Videofluoroscopy Findings Compared with Chest X-Rays of Older Persons in a Model 3 Hospital

Abstract

Abstract Background Oropharyngeal dysphagia (OD) is increasingly prevalent among the older population. OD may give rise to complications such as aspiration pneumonia, malnutrition and/or dehydration. Videofluoroscopy is a gold standard tool for the management of dysphagia. Videofluoroscopy is a moving x-ray of the swallow in which aspiration can be directly visualised. Videofluoroscopy is only a ‘snapshot’ and the swallow function can improve or decline over time. Not every aspiration event leads to respiratory complications. There is a lack of diagnostic criteria for the diagnosis of Aspiration Pneumonia. It is challenging for Speech and Language Therapists (SLTs) to determine clinical outcomes. Despite this, the primary reason for referral to SLT in acute care is to assess for aspiration risk. The aim of this review is to compare patients’ Chest X-ray findings with Videofluoroscopy results. Methods Results Conclusion Aspiration pneumonia is a diagnostic challenge - further research in the area of dysphagia associated aspiration pneumonia in Older persons is required. The focus of dysphagia management in Older Persons should move towards the person's nutrition, hydration, oral hygiene, quality of life as well as possible dysphagia related respiratory implications.