{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T03:47:38Z","timestamp":1774151258340,"version":"3.50.1"},"reference-count":12,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>INTRODU\u00c7\u00c3O: Instrumento eficiente para medi\u00e7\u00e3o da disfagia, facilmente reprodut\u00edvel e estatisticamente consistente, deveria fornecer dados mais consistentes sobre os resultados e acompanhamento de doen\u00e7as com disfagia. As propostas existentes mostram ampla cobertura na avalia\u00e7\u00e3o do sintoma disf\u00e1gico. OBJETIVOS: Analisar as escalas de disfagia dispon\u00edveis sugerindo as que permitem avalia\u00e7\u00e3o mais objetiva e estatisticamente consistente, e n\u00e3o apenas ferramenta de mensura\u00e7\u00e3o, e sugerir as que melhor quantificam o sintoma e \u00fateis para seguimento dos pacientes. M\u00c9TODO: Foram pesquisados os seguintes descritores no Pubmed: \"disfagia\", \"escala\", \"index\", \"score\". Dez artigos foram selecionados entre 1995 e 2012 com propostas de escalas para a disfagia. RESULTADOS: A maioria das escalas n\u00e3o atingiram os requisitos para serem classificadas como ferramenta completa na avalia\u00e7\u00e3o de qualquer disfagia. Muitas s\u00e3o espec\u00edficas para uma \u00fanica doen\u00e7a, e poucas com maior abrang\u00eancia, n\u00e3o t\u00eam consist\u00eancia estat\u00edstica. Para disfagia orofar\u00edngea (cervical), as escalas FOIS e ASHA s\u00e3o citadas com mais frequ\u00eancia. Na disfagia motora (cervical), a de Zaninotto e Youssef t\u00eam aplicabilidade pr\u00e1tica, mas ambas necessitam de valida\u00e7\u00e3o estat\u00edstica. A de Zaninotto parece ser mais precisa por incluir mais vari\u00e1veis (disfagia, dor no peito e azia). As escalas que cobrem as duas formas de disfagia (ASHA e DHI) s\u00e3o bem diferentes em seus objetivos. A DHI \u00e9 escala publicada recentemente examina os dois tipos de disfagia e tem valida\u00e7\u00e3o estat\u00edstica bem estruturada. Importante passo no futuro seria testar essa nova proposta com amostra mais expressiva e representativa, provavelmente consagrando esse novo instrumento de avalia\u00e7\u00e3o. CONCLUS\u00c3O: As escalas mais frequentes de disfagia relatadas nos \u00faltimos 17 anos t\u00eam prop\u00f3sito e estruturas diferentes. As escalas FOIS e ASHA s\u00e3o muitas vezes utilizadas para a avalia\u00e7\u00e3o da disfagia orofaringeana (regi\u00e3o cervical), ambas focadas em terapia nutricional. Para a avalia\u00e7\u00e3o motora baixa, a escala de Zaninotto e Youssef tem aplica\u00e7\u00e3o pr\u00e1tica, e a DHI parece representar a ferramenta mais promissora na avalia\u00e7\u00e3o global da disfagia.<\/jats:p>","DOI":"10.1590\/s0102-67202012000400013","type":"journal-article","created":{"date-parts":[[2013,2,9]],"date-time":"2013-02-09T11:36:57Z","timestamp":1360409817000},"page":"279-282","source":"Crossref","is-referenced-by-count":18,"title":["Revis\u00e3o anal\u00edtica das escalas de disfagia"],"prefix":"10.1590","volume":"25","author":[{"given":"Rubens Antonio Aissar","family":"Sallum","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 Fonseca","family":"Duarte","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  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