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Title

Long-term outcomes in children with swallowing dysfunction.

Authors

Kim, Bo Ryun; Sung, In Young; Choi, Kyoung Hyo; Kim, Lee Suk; Ryu, Ju Seok

Abstract

Purpose: To evaluate swallowing function using a videofluoroscopic swallow study (VFSS), and to identify factors related to long-term swallowing function in children with swallowing dysfunction. Methods: Ninety children, aged 1-120 months (mean 27.5 months) were randomly selected from among children referred for the evaluation of swallowing dysfunction. We retrospectively reviewed the charts, and long-term outcomes were tracked up to 5 years. Results: Baseline American Speech-Language-Hearing Association National Outcome Measurement System (ASHA NOMS) scale was 3.4 ± 2.5. Supraglottic penetration and subglottic aspiration comfirmed by VFSS were detected in 30 children. After follow-up, oral feeding was possible in 74 patients, and the ASHA NOMS swallowing scale improved significantly, from 3.4 ± 2.5 to 5.8 ± 2.0. Baseline VFSS severity, serum albumin concentration, baseline weight percentile and neurologic conditions were significantly correlated with long-term swallowing function. Conclusions: The long-term outcomes in children with swallowing dysfunction were favorable, and baseline videofluoroscopic severity was significantly correlated with long-term swallowing function.

Subjects

DEGLUTITION disorders; FLUOROSCOPY; ARTIFICIAL feeding; CHI-squared test; CONFIDENCE intervals; DEGLUTITION; HEALTH outcome assessment; REGRESSION analysis; STATISTICAL sampling; T-test (Statistics); RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; CHILDREN; PROGNOSIS

Publication

Developmental Neurorehabilitation, 2014, Vol 17, Issue 5, p298

ISSN

1751-8423

Publication type

Academic Journal

DOI

10.3109/17518423.2013.770102

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