Geriatric Voice: Distinctive Clinical Profiles of Working Seniors in a Tertiary Laryngology Clinic

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dc.catalogadorjlo
dc.contributor.authorAlmutawa, Deema
dc.contributor.authorLagos Villaseca, Antonia Elisa
dc.contributor.authorAlbathi, Monirah
dc.contributor.authorMartignetti, Lisa
dc.contributor.authorMasuda, Maia
dc.contributor.authorZhu, Nanqing
dc.contributor.authorLi-Jessen, Nicole Y.K.
dc.contributor.authorKost, Karen
dc.date.accessioned2024-06-05T15:28:11Z
dc.date.available2024-06-05T15:28:11Z
dc.date.issued2024
dc.description.abstractObjectives: Voice disorders have been reported in up to 47% of the geriatric population. Few studies have assessed dysphonia in the elderly, with none examining vocal function in working seniors. This study aims to profile the clinical characteristics of individuals aged 65 years and older, comparing working and non-working seniors. Study Design: Retrospective cohort study. Methods: Medical charts were reviewed for patients aged 65 years and older referred to the McGill University Health Centre Laryngology Clinic (January 2018–March 2020). Variables studied included sociodemographics, comorbidities, voice complaints, lifestyle factors, diagnoses, voice acoustics [maximum phonation time (MPT), S/Z ratio, F0], GRBAS scale, Voice Handicap Index-10 (VHI-10), Reflux Symptom Index (RSI), and treatment modalities. Results: A total of 267 patients were included, with a mean [standard deviation (SD)] age of 74.2 (6.6) years and 61% of female patients. Occupation information was available in 148 cases, of which 31.1% were still working and 12.8% were professional voice users. The predominant voice complaint was dysphonia/hoarseness (48.8%) and the most prevalent diagnosis was presbyphonia (31.8%). The mean (SD) VHI-10 and RSI scores were 19.8 (9.0) and 18.7 (9.4) points, respectively. Voice therapy was prescribed for 155 patients (58.7%): 124 attended at least one session with significant post-treatment improvements in the GRBAS and VHI-10 scores (P < 0.01). In the univariate analysis, working seniors had a significantly more prevalent singing habit (P = 0.04) and laryngopharyngeal reflux diagnosis (P = 0.01), displaying a significantly longer MPT (P < 0.001) and lower G-B-S scores (P < 0.05). After adjusting mean differences, only MPT and the G-S scores were significantly different between both groups. Conclusions: The predominant diagnosis in elders with voice complaints was presbyphonia. Voice therapy proved effective in improving the VHI-10 and GRBAS scores for geriatric patients. Almost one-third of seniors remained in the workforce, demonstrating superior vocal profiles, specifically in the MPT and the grade and strain of perceptual voice quality.
dc.description.funderCanadian Institutes of Health Research
dc.description.funderCanada Research Chair
dc.format.extent12 páginas
dc.fuente.origenSCOPUS
dc.identifier.doi10.1016/j.jvoice.2023.12.018
dc.identifier.issn0892-1997
dc.identifier.scopusidSCOPUS_ID:85182632293
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/86435
dc.information.autorucEscuela de Medicina; Lagos Villaseca, Antonia Elisa; 0000-0002-2579-5474; 185024
dc.language.isoen
dc.nota.accesocontenido parcial
dc.revistaJournal of Voice
dc.rightsacceso restringido
dc.subjectAging
dc.subjectDysphonia
dc.subjectGeriatric
dc.subjectLaryngology
dc.subjectPresbyphonia
dc.subjectVoice disorders
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleGeriatric Voice: Distinctive Clinical Profiles of Working Seniors in a Tertiary Laryngology Clinic
dc.typepreprint
sipa.codpersvinculados185024
sipa.trazabilidadSCOPUS;2024-02-04
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