COPD and Dysphagia, a 2-Year Follow-up of the Prospective TIE-Cohort Study.
Self-reported dysphagia affects about one-third of chronic obstructive pulmonary disease patients, stable over two years.
COPD and Dysphagia, a 2-Year Follow-up of the Prospective TIE-Cohort Study.
Swallowing dysfunction (dysphagia) is increasingly recognised in chronic obstructive pulmonary disease (chronic obstructive pulmonary disease) and has been associated with aspiration, exacerbations, and impaired health status.
To investigate the 2-year stability of self-perceived dysphagia in a chronic obstructive pulmonary disease cohort and to identify factors associated with persistent dysphagia.
This prospective cohort study included 438 patients with spirometry-confirmed chronic obstructive pulmonary disease from the Swedish Tools for Identifying Exacerbations (Tools for Identifying Exacerbations) study.
swallowing symptoms remain just as common two years later
Four dysphagia trajectories were identified: no dysphagia (59%), incident dysphagia (8%), remission (8%), and persistent dysphagia (25%).
Persistent dysphagia was associated with a consistently higher symptom burden and poorer functional outcomes over time.
In multivariate analysis, CAT ≥10 remained independently associated with dysphagia.
Self-perceived dysphagia affects approximately one-third of individuals with chronic obstructive pulmonary disease and remains stable over two years.
Persistent dysphagia may identifiy a more symptomatic chronic obstructive pulmonary disease phenotype and warrants clinical attention.
These findings support the inclusion of simple swallowing screening in routine chronic obstructive pulmonary disease follow-up.