Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement
Autoři:
Sarah T. Edwards aff001; Linda Ernst aff002; Ashley K. Sherman aff003; Ann M. Davis aff004
Působiště autorů:
Children’s Mercy Kansas City, Division of Gastroenterology, Hepatology and Nutrition, University of Missouri, Kansas City, Missouri, United States of America
aff001; Children’s Mercy Kansas City, Division of Hearing and Speech, Kansas City, Missouri, United States of America
aff002; Children’s Mercy Kansas City, Health Services and Outcomes Research, Kansas City, Missouri, United States of America
aff003; University of Kansas Medical Center, Department of Pediatrics, Kansas City, Kansas, United States of America
aff004; Center for Children’s Healthy Lifestyles & Nutrition, Kansas City, Missouri, United States of America
aff005
Vyšlo v časopise:
PLoS ONE 15(1)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0227777
Souhrn
Background
Given the limited evidence available, the impact of nasogastric (NG) tube placement on swallowing in children is not well understood. When a child needs to be fed enterally, the current standard is to initially place an NG tube and leave it in place for the first few months of supplemental or total enteral nutrition. It is important to understand if placement of NG tubes has a negative effect on a patient’s swallow.
Methods
We retrospectively reviewed the charts of those children who had videofluoroscopic swallow studies (VFSS) to identify all children who had an NG tube in place at the time of swallow study. Age and sex matched children were identified who had undergone VFSS without an NG in place. These charts were reviewed for diagnosis at the time of the VFSS and presence or absence of aspiration or laryngeal penetrations.
Results
Sixty-three children with NG tubes were identified, along with 63 age and sex matched children without NG tubes in place, at the time of VFSS. Ages ranged from 7 days to 13 years. The NG group had a significantly higher proportion demonstrating aspiration (46% vs. 23.8%, p = 0.0089).
Conclusions
This study supports the need for further prospective evaluation of NG tubes and their effect on swallow, as well as more careful consideration of prolonged NG tube placement in patients with feeding problems. Consideration should be given to removal of the NG prior to VFSS to prevent the impact of NG placement on results of the swallow study which could lead to inappropriate modifications to the patient’s care plan.
Klíčová slova:
Diagnostic medicine – Dysphagia – Gastroenterology and hepatology – Honey – Nutrition – Pathologists – Pediatrics – Swallowing
Zdroje
1. Arvedson JC, Brodsky L. Pediatric Swallowing and Feeding Assessment and Management, 2nd Ed. New York: Delmar Cengage Learning; 2002.
2. Robbins J, Hamilton JW, Lof GL, & Kempster GB. Oropharyngeal swallowing in normal adults of different ages. Gastroenterology. 1992;103: 823–829. doi: 10.1016/0016-5085(92)90013-o 1499933
3. Alnassar M, Oudjhane K, & Davila J. Nasogastric tubes and videofluoroscopic swallowing studies in children. Pediatric radiology. 2011;41: 317–321. doi: 10.1007/s00247-010-1834-0 20922369
4. Leder SB, Suiter DM. Effect of Nasogastric Tubes on Incidence of Aspiration. Arch Phys Med Rehabil. 2008;89: 648–51. doi: 10.1016/j.apmr.2007.09.038 18373994
5. Dziewas R, Warnecke T, Hamacher C, Oelenberg S, Teismann I, Kraemer C. et al. Do nasogastric tubes worsen dysphagia in patients with acute stroke?. BMC neurology. 2008; 8:28. doi: 10.1186/1471-2377-8-28 18651972
6. Wang TG, Wu MC, Chang YC, Hsiao TY, & Lien IN. The effect of nasogastric tubes on swallowing function in persons with dysphagia following stroke. Archives of physical medicine and rehabilitation. 2006;87: 1270–1273. doi: 10.1016/j.apmr.2006.05.019 16935066
7. Boullata J, Carrera AL, Harvey L, Escuro AA, Hudson L, Mays A et al. ASPEN Safe Practices for Enteral Nutrition. Journal of Parenteral and Enteral Nutrition. 2017;41: 15–103. doi: 10.1177/0148607116673053 27815525
8. Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, & Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11(2): 93–98. doi: 10.1007/bf00417897 8721066
9. Friedman B., & Frazier J. B. Deep laryngeal penetration as a predictor of aspiration. Dysphagia. 2000;15(3): 153–158 doi: 10.1007/s004550010018 10839829
10. Lee SI, Yoo JY, Kim M, & Ryu JS. Changes of timing variables in swallowing of boluses with different viscosities in patients with dysphagia. Archives of physical medicine and rehabilitation. 2013;94(1): 120–126. doi: 10.1016/j.apmr.2012.07.016 22864016
11. Fishbein M, Branham C, Fraker C Walbert L, Cox S, & Scarborough D. The incidence of oropharyngeal dysphagia in infants with GERD-like symptoms. Journal of Parenteral and Enteral Nutrition. 2013;37: 667–673. doi: 10.1177/0148607112460683 22990613
12. Huggins PS, Tuomi SK, & Young C. Effects of nasogastric tubes on the young, normal swallowing mechanism. Dysphagia. 1999;14: 157–161. doi: 10.1007/PL00009598 10341113
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PLOS One
2020 Číslo 1
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