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자료유형
학술저널
저자정보
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제38권 제6호
발행연도
2014.1
수록면
734 - 741 (8page)

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Objective To evaluate demographic characteristics of children with suspected dysphagia who underwent videofluoroscopic swallowing study (VFSS) and to identify factors related to penetration or aspiration.Methods Medical records of 352 children (197 boys, 155 girls) with suspected dysphagia who were referred for VFSS were reviewed retrospectively. Clinical characteristics and VFSS findings were analyzed using univariate and multivariate analyses.Results Almost half of the subjects (n=175, 49%) were under 24 months of age with 62 subjects (18%) born prematurely. The most common condition associated with suspected dysphagia was central nervous system (CNS) disease. Seizure was the most common CNS disorder in children of 6 months old or younger. Brain tumor was the most important one for school-age children. Aspiration symptoms or signs were the major cause of referral for VFSS in children except for infants of 6 months old or where half of the subjects showed poor oral intake. Penetration or aspiration was observed in 206 of 352 children (59%). Subjects under two years of age who were born prematurely at less than 34 weeks of gestation were significantly (p=0.026) more likely to show penetration or aspiration. Subjects with congenital disorder with swallow-related anatomical abnormalities had a higher percentage of penetration or aspiration with marginal statistical significance (p=0.074). Multivariate logistic regression analysis revealed that age under 24 months and an unclear etiology for dysphagia were factors associated with penetration or aspiration.Conclusion Subjects with dysphagia in age group under 24 months with preterm history and unclear etiology for dysphagia may require VFSS. The most common condition associated with dysphagia in children was CNS disease.
#Fluoroscopy #Pediatrics #Dysphagia #Premature infant #Aspiration pneumonia

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참고문헌 (23)

참고문헌 신청
Amaizu N / 2008 / Maturation of oral feeding skills in preterm infants / Acta Paediatr 97 : 61 ~ 67 google schola DeMatteo C / 2005 / Comparison of clinical and videofluoroscopic evaluation of children with feeding and swallowing difficulties / Dev Med Child Neurol 47 : 149 ~ 157 google schola Delaney AL / 2008 / Development of swallowing and feeding: prenatal through first year of life / Dev Disabil Res Rev 14 : 105 ~ 117 google schola Field D / 2003 / Correlates of specific childhood feeding problems / J Paediatr Child Health 39 : 299 ~ 304 google schola Hiorns MP / 2006 / Current practice in paediatric videofluoroscopy / Pediatr Radiol 36 : 911 ~ 919 google schola

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