Towards better screening and assessment of oropharyngeal swallow disorders in the general hospital

Abstract

Oropharyngeal dysphagia (OPD) or disorders of swallowing, are common but in many cases unrecognised in a variety of medical illnesses.1 A widespread recognition of the importance of OPD in stroke2 has overshadowed its recognition in other groups of patients. OPD is common among patients presenting with neurodegenerative diseases, respiratory disease, critical care illness,3 psychiatric illnesses, and after surgery (eg, post oesophagectomy). An undetected swallow disorder can lead to complications, such as aspiration pneumonia and compromised nutritional status, and hence to increased morbidity and mortality.