Research overview
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IntroductionMealtimes are important for patient's autonomy and independence. They are linked to values and are a source of normality and fulfilment. Independence during mealtimes means eating and drinking safely and independently. However, the presence of oropharyngeal dysphagia (OD) can compromise independence, particularly among patients with neurological conditions.ObjectiveThe present cross-sectional study aims to investigate the association between functional independence during meal and multidimensional assessment of neurological subjects with OD.MethodsSubjects with OD (DOSS score ResultsFifty-eight subjects were recruited (18 MS, 20 PD and 20 stroke), among whom 41 (70%) were defined as dependent during mealtime. In the multivariate analysis, EAT-10 score (odds ratio [OR] [95%CI] = 3.25 [1.64-11.08]), diseases duration (OR [ 95%CI] = 0.87 [0.74-0.97]) and MAS safety (OR [ 95%CI] = 1.26 [1.06-1.65]) were significantly associated with independence during mealtime.ConclusionSubject's performance during meal, self-reported questionnaire, and diseases duration are independently associated with independence. The present study broadens the focus on dysphagia, underling the importance of identifying all variables able to increase subjects' independence and autonomy at mealtime.
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