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Videofluoroscopy compared with clinical feeding evaluation in children with suspected aspiration
AIM: Videofluoroscopy swallow studies (VFSS) are gold standard to diagnose aspiration in children but require resources and radiation compared with clinical feeding evaluation (CFE). We evaluated their added value for diagnosis, feeding management and clinical status. METHODS: A retrospective single...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325498/ https://www.ncbi.nlm.nih.gov/pubmed/35316543 http://dx.doi.org/10.1111/apa.16338 |
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author | Stafler, Patrick Akel, Khaled Eshel, Yuliana Shimoni, Adi Grozovski, Sylvia Mei‐Zahav, Meir Levine, Hagit Gendler, Yulia Blau, Hannah Prais, Dario |
author_facet | Stafler, Patrick Akel, Khaled Eshel, Yuliana Shimoni, Adi Grozovski, Sylvia Mei‐Zahav, Meir Levine, Hagit Gendler, Yulia Blau, Hannah Prais, Dario |
author_sort | Stafler, Patrick |
collection | PubMed |
description | AIM: Videofluoroscopy swallow studies (VFSS) are gold standard to diagnose aspiration in children but require resources and radiation compared with clinical feeding evaluation (CFE). We evaluated their added value for diagnosis, feeding management and clinical status. METHODS: A retrospective single‐centre cross‐sectional study of children aged 0–18 years, with respiratory morbidity, referred for VFSS at a tertiary pediatric hospital. RESULTS: A total of 113 children, median age (range) 2.2 years (0.1–17.9), underwent VFSS. Diagnosis included chronic pulmonary aspiration (CPA), 87 (77%); neurological, 73 (64%); gastrointestinal, 73 (64%) and congenital heart disease, 42 (37%), not mutually exclusive. Forty‐six (41%) aspirated, 9 (8%) only overtly and 37 (33%) including silent aspirations. Those with CPA or cerebral palsy were more likely to have VFSS aspiration, OR 3.2 and 9.8 respectively. Feeding recommendations after VFSS differed significantly from those based on prior CFE, p < 0.001: The rate of exclusively orally fed children rose from 65% to 79%, p = 0.006; exclusively enterally fed children from 10% to 14%; p = 0.005. During the year after VFSS, there were significantly less antibiotic courses, total and respiratory admissions. CONCLUSION: In this population with high prevalence of clinically suspected CPA, VFSS altered feeding management compared with CFE and may have contributed to subsequent clinical improvement. |
format | Online Article Text |
id | pubmed-9325498 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93254982022-07-30 Videofluoroscopy compared with clinical feeding evaluation in children with suspected aspiration Stafler, Patrick Akel, Khaled Eshel, Yuliana Shimoni, Adi Grozovski, Sylvia Mei‐Zahav, Meir Levine, Hagit Gendler, Yulia Blau, Hannah Prais, Dario Acta Paediatr Original Articles & Brief Reports AIM: Videofluoroscopy swallow studies (VFSS) are gold standard to diagnose aspiration in children but require resources and radiation compared with clinical feeding evaluation (CFE). We evaluated their added value for diagnosis, feeding management and clinical status. METHODS: A retrospective single‐centre cross‐sectional study of children aged 0–18 years, with respiratory morbidity, referred for VFSS at a tertiary pediatric hospital. RESULTS: A total of 113 children, median age (range) 2.2 years (0.1–17.9), underwent VFSS. Diagnosis included chronic pulmonary aspiration (CPA), 87 (77%); neurological, 73 (64%); gastrointestinal, 73 (64%) and congenital heart disease, 42 (37%), not mutually exclusive. Forty‐six (41%) aspirated, 9 (8%) only overtly and 37 (33%) including silent aspirations. Those with CPA or cerebral palsy were more likely to have VFSS aspiration, OR 3.2 and 9.8 respectively. Feeding recommendations after VFSS differed significantly from those based on prior CFE, p < 0.001: The rate of exclusively orally fed children rose from 65% to 79%, p = 0.006; exclusively enterally fed children from 10% to 14%; p = 0.005. During the year after VFSS, there were significantly less antibiotic courses, total and respiratory admissions. CONCLUSION: In this population with high prevalence of clinically suspected CPA, VFSS altered feeding management compared with CFE and may have contributed to subsequent clinical improvement. John Wiley and Sons Inc. 2022-04-06 2022-07 /pmc/articles/PMC9325498/ /pubmed/35316543 http://dx.doi.org/10.1111/apa.16338 Text en © 2022 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles & Brief Reports Stafler, Patrick Akel, Khaled Eshel, Yuliana Shimoni, Adi Grozovski, Sylvia Mei‐Zahav, Meir Levine, Hagit Gendler, Yulia Blau, Hannah Prais, Dario Videofluoroscopy compared with clinical feeding evaluation in children with suspected aspiration |
title | Videofluoroscopy compared with clinical feeding evaluation in children with suspected aspiration |
title_full | Videofluoroscopy compared with clinical feeding evaluation in children with suspected aspiration |
title_fullStr | Videofluoroscopy compared with clinical feeding evaluation in children with suspected aspiration |
title_full_unstemmed | Videofluoroscopy compared with clinical feeding evaluation in children with suspected aspiration |
title_short | Videofluoroscopy compared with clinical feeding evaluation in children with suspected aspiration |
title_sort | videofluoroscopy compared with clinical feeding evaluation in children with suspected aspiration |
topic | Original Articles & Brief Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325498/ https://www.ncbi.nlm.nih.gov/pubmed/35316543 http://dx.doi.org/10.1111/apa.16338 |
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