Academic Journal
Clinical outcomes before and after videofluoroscopic swallow study in children 24 months of age or younger
العنوان: | Clinical outcomes before and after videofluoroscopic swallow study in children 24 months of age or younger |
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المؤلفون: | Fabiola Luciane Barth, Deborah Salle Levy, Marisa Gasparin, Cláudia Schweiger, Denise Manica, Camila Dalbosco Gadenz, Paulo José Cauduro Maróstica |
المصدر: | Jornal Brasileiro de Pneumologia, Vol 50, Iss 1 (2024) |
بيانات النشر: | Sociedade Brasileira de Pneumologia e Tisiologia, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Diseases of the respiratory system |
مصطلحات موضوعية: | Fluoroscopy, Deglutition disorders, Respiratory tract diseases, Pneumonia, aspiration, Nutritional support, Diseases of the respiratory system, RC705-779 |
الوصف: | ABSTRACT Objective: To evaluate the combined impact of videofluoroscopic swallow study (VFSS) and therapeutic feeding and swallowing interventions on clinical outcomes in children with oropharyngeal dysphagia (OPD). Methods: This was an uncontrolled longitudinal analytical study in which OPD patients were evaluated before and after VFSS. Children ≤ 24 months of age diagnosed with OPD in a clinical setting and undergoing VFSS for investigation and management of OPD were included in the study. The study participants received therapeutic feeding and swallowing interventions after having undergone VFSS, being followed at an outpatient clinic for pediatric dysphagia in order to monitor feeding and swallowing difficulties. Respiratory and feeding outcomes were compared before and after VFSS. Results: Penetration/aspiration events were observed in 61% of the VFSSs (n = 72), and therapeutic feeding and swallowing interventions were recommended for 97% of the study participants. After the VFSS, there was a reduction in the odds of receiving antibiotic therapy (OR = 0.007) and in the duration of antibiotic therapy (p = 0.014), as well as in the odds of being admitted to hospital (p = 0.024) and in the length of hospital stay (p = 0.025). A combination of oral and enteral feeding became more common than oral or enteral feeding alone (p = 0.002). Conclusions: A high proportion of participants exhibited penetration/aspiration on VFSS. Therapeutic feeding and swallowing interventions following a VFSS appear to be associated with reduced respiratory morbidity in this population. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English Portuguese |
تدمد: | 1806-3756 |
Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132024000100606&tlng=en; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132024000100606&tlng=pt; https://doaj.org/toc/1806-3756 |
DOI: | 10.36416/1806-3756/e20230290 |
URL الوصول: | https://doaj.org/article/7510541220ee4403b7aa400ee401a805 |
رقم الانضمام: | edsdoj.7510541220ee4403b7aa400ee401a805 |
قاعدة البيانات: | Directory of Open Access Journals |
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