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Feeding Interventions Are Associated With Improved Outcomes in Children With Laryngeal Penetration.

ABSTRACT: OBJECTIVES:To determine if children with laryngeal penetration on videofluoroscopic swallow study (VFSS) who received feeding interventions (thickened liquids, change in liquid flow rate, and/or method of liquid delivery) had improved symptoms and decreased hospitalizations compared with those without intervention. METHODS:We performed a retrospective cohort study of children under 2 years with laryngeal penetration on VFSS at our institution in 2015 to determine initial and follow-up VFSS findings, symptom improvement at follow-up, and hospitalization risk before and after VFSS. Proportions were compared with Fisher exact test and hospitalizations with paired t tests. RESULTS:We evaluated 137 subjects with age 8.93?±?0.59 months who had laryngeal penetration without aspiration on VFSS. Fifty-five percent had change in management, with 40% receiving thickening and 15% a change in flow rate. There was significant improvement in symptoms for children that had feeding intervention and this improvement was the greatest with thickening (OR 41.8, 95% CI 12.34-141.69, P?

SUBMITTER: Duncan DR

PROVIDER: S-EPMC6501833 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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Feeding Interventions Are Associated With Improved Outcomes in Children With Laryngeal Penetration.

Duncan Daniel R DR Larson Kara K Davidson Kathryn K May Kara K Rahbar Reza R Rosen Rachel L RL

Journal of pediatric gastroenterology and nutrition 20190201 2

<h4>Objectives</h4>To determine if children with laryngeal penetration on videofluoroscopic swallow study (VFSS) who received feeding interventions (thickened liquids, change in liquid flow rate, and/or method of liquid delivery) had improved symptoms and decreased hospitalizations compared with those without intervention.<h4>Methods</h4>We performed a retrospective cohort study of children under 2 years with laryngeal penetration on VFSS at our institution in 2015 to determine initial and follo ...[more]

PMID: 30320668

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Feeding Interventions Are Associated With Improved Outcomes in Children With Laryngeal Penetration.

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Feeding Interventions Are Associated With Improved Outcomes in Children With Laryngeal Penetration.

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