{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T02:56:12Z","timestamp":1794020172969,"version":"4.8.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T00:00:00Z","timestamp":1646611200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Background: To investigate whether cognitive impairment in elderly patients could correlate with the severity of swallowing disorders detectable through the endoscopic fiber optic evaluation. Methods: Elderly patients (\u226565\u00a0years) performing a swallowing evaluation were included and divided according to the Dysphagia outcome and severity scale (DOSS). Neurological evaluation and Mini-Mental test examination (MMET) were administered to detect cognitive impairment. Results: Significantly worse swallowing function was reported in the cognitive impairment group than the control one (40% vs 19%; P = .001). A different significant distribution of swallowing performance was detected according to the patient\u2019s MMET score ( P &lt; .001; P &lt; .001; P = .01). At the ANOVA test among dependent variables assessed, only age&gt;65 and MMET&lt;10 were significantly correlated with swallowing function (F = 3.862, P = .028; F = 17.49, P = .000). Conclusions: The elderly patient has an increased risk for unrecognized swallowing disorders, with a prevalence of mild to moderate forms. Assessment of cognitive performance could facilitate the identification of swallowing disorders by providing a higher level of suspicion for silent aspiration in subjects with poor MMET scores.<\/jats:p>","DOI":"10.1177\/01455613211054631","type":"journal-article","created":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T21:10:57Z","timestamp":1646687457000},"page":"NP671-NP678","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Cognitive Impairment and Mild to Moderate Dysphagia in Elderly Patients: A Retrospective Controlled Study"],"prefix":"10.1177","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1251-0185","authenticated-orcid":false,"given":"Antonino","family":"Maniaci","sequence":"first","affiliation":[{"name":"Department of Medical and Surgical Sciences and Advanced Technologies \u201cGF Ingrassia, \u201d ENT Section, University of Catania, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0845-0845","authenticated-orcid":false,"given":"J\u00e9rome R","family":"Lechien","sequence":"additional","affiliation":[{"name":"Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignazio","family":"La Mantia","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences and Advanced Technologies \u201cGF Ingrassia, \u201d ENT Section, University of Catania, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giannicola","family":"Iannella","sequence":"additional","affiliation":[{"name":"Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forl\u00ec, Italy"},{"name":"Department of Sensory Organs, Sapienza University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Ferlito","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences and Advanced Technologies \u201cGF Ingrassia, \u201d ENT Section, University of Catania, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Albanese","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences and Advanced Technologies \u201cGF Ingrassia, \u201d ENT Section, University of Catania, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3052-1969","authenticated-orcid":false,"given":"Giuseppe","family":"Magliulo","sequence":"additional","affiliation":[{"name":"Department of Sensory Organs, Sapienza University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Pace","sequence":"additional","affiliation":[{"name":"Department of Sensory Organs, Sapienza University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Cammaroto","sequence":"additional","affiliation":[{"name":"Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forl\u00ec, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Di Mauro","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences and Advanced Technologies \u201cGF Ingrassia, \u201d ENT Section, University of Catania, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Vicini","sequence":"additional","affiliation":[{"name":"Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forl\u00ec, Italy"},{"name":"Department ENT and Audiology, University of Ferrara, Ferrara, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Cocuzza","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences and Advanced Technologies \u201cGF Ingrassia, \u201d ENT Section, University of Catania, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,7]]},"reference":[{"key":"bibr1-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2018.01.007"},{"key":"bibr2-01455613211054631","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S97481"},{"key":"bibr3-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmr.2011.09.007"},{"key":"bibr4-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2008.06.002"},{"key":"bibr5-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50270.x"},{"key":"bibr6-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9695-9"},{"key":"bibr7-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2015.199"},{"key":"bibr8-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1555115"},{"key":"bibr9-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1159\/000339986"},{"key":"bibr10-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.64.1.58"},{"key":"bibr11-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2017.02.015"},{"key":"bibr12-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1007\/s00221-006-0592-6"},{"key":"bibr13-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2012.04.011"},{"key":"bibr14-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1177\/0891988720915519"},{"key":"bibr15-01455613211054631","doi-asserted-by":"publisher","DOI":"10.4065\/71.9.829"},{"issue":"3","key":"bibr16-01455613211054631","first-page":"132","volume":"106","author":"Vanacore N","year":"2006","journal-title":"Acta Neurologica Belgica"},{"key":"bibr17-01455613211054631","first-page":"15","volume":"3","author":"Amitrano A","year":"2018","journal-title":"Audiologia Foniatria"},{"key":"bibr18-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009595"},{"key":"bibr19-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4177-0"},{"key":"bibr20-01455613211054631","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics3040069"},{"key":"bibr21-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12455"},{"key":"bibr22-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51174.x"},{"key":"bibr23-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14015"},{"key":"bibr24-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4801-7"},{"key":"bibr25-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12468"},{"key":"bibr26-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-009-9250-z"},{"key":"bibr27-01455613211054631","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S23404"},{"key":"bibr28-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2013.02.014"},{"key":"bibr29-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13164"},{"key":"bibr30-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12366"},{"key":"bibr31-01455613211054631","doi-asserted-by":"publisher","DOI":"10.6224\/JN.000039"},{"key":"bibr32-01455613211054631","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.03.059"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613211054631","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613211054631","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613211054631","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:35:41Z","timestamp":1777401341000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613211054631"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,7]]},"references-count":32,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1177\/01455613211054631"],"URL":"https:\/\/doi.org\/10.1177\/01455613211054631","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,7]]}}}