D1.8 Speech pathologist/therapist

The prevalence of dysphagia in patients with COPD varies, ranging from 17% to 85%, depending on the stage of the disease and method of assessment (Coelho 1987, Gonzalez Lindh 2017, Kertscher 2015). Disrupted breathing-swallowing coordination could increase the risk of aspiration in patients with advanced COPD and may contribute to exacerbations (Gross 2009). Speech pathologists can be involved in the assessment and management of recurrent aspiration, swallowing and eating difficulties caused by shortness of breath, and dry mouth associated with some pharmaceuticals, age and mouth breathing. Patients with COPD admitted to the ICU for acute exacerbations had abnormal breathing-swallowing interactions and dyspnoea, which improved with noninvasive mechanical ventilation (Terzi 2014).