Videofluoroscopic swallowing study predicts clinical outcomes in critically Ill children with dysphagia: a retrospective observational study
BackgroundThis retrospective observational study aimed to investigate the features of acute dysphagia observed during videofluoroscopic swallowing study (VFSS) in critically ill children and their potential to anticipate clinical outcomes.MethodsAdministrative healthcare data of children aged 1–18 w...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-02-01
|
| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2025.1507645/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832087191839309824 |
|---|---|
| author | Yoonju Na Jaeyoung Choi Jihong Choi Su Mi Oh Hyuna Jang Suein Choi Joongbum Cho Jeong-Yi Kwon |
| author_facet | Yoonju Na Jaeyoung Choi Jihong Choi Su Mi Oh Hyuna Jang Suein Choi Joongbum Cho Jeong-Yi Kwon |
| author_sort | Yoonju Na |
| collection | DOAJ |
| description | BackgroundThis retrospective observational study aimed to investigate the features of acute dysphagia observed during videofluoroscopic swallowing study (VFSS) in critically ill children and their potential to anticipate clinical outcomes.MethodsAdministrative healthcare data of children aged 1–18 were analyzed. Data were collected from the pediatric intensive care unit (PICU) of a single tertiary medical center in South Korea between March 2019 and December 2022. We reviewed VFSS conducted on patients in the PICU who were referred by clinicians suspecting dysphagia.ResultsA total of 36 children were included in the study; 52.8% exhibited aspiration on VFSS. In this investigation, participants were provided with pureed food, liquids, solids, and a combination of solids and liquids (referred to as mixed) during the examination. Any occurrence of aspiration throughout the examination was deemed as aspiration. All individuals displaying aspiration were found to have silent aspiration. Silent aspiration was associated with a longer length of stay (LOS) in the PICU. Logistic regression analysis revealed that the time from PICU admission to VFSS and intubation duration significantly influenced LOS. Abnormal findings in the VFSS, including aspiration, delayed swallowing reflex, insufficient laryngeal closure, and residue, were statistically significant variables in determining the feeding mode at discharge.ConclusionThis study highlights the importance of VFSS in assessing swallowing function in critically ill children. It suggests that VFSS findings, such as silent aspiration, can aid in predicting patient outcomes, including LOS and the delay in oral feeding. |
| format | Article |
| id | doaj-art-f3bd4e315c0d48bdb027b4b031d9f2e1 |
| institution | Kabale University |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-f3bd4e315c0d48bdb027b4b031d9f2e12025-02-06T07:09:55ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-02-011310.3389/fped.2025.15076451507645Videofluoroscopic swallowing study predicts clinical outcomes in critically Ill children with dysphagia: a retrospective observational studyYoonju Na0Jaeyoung Choi1Jihong Choi2Su Mi Oh3Hyuna Jang4Suein Choi5Joongbum Cho6Jeong-Yi Kwon7Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon, Republic of KoreaDepartment of Pediatrics, Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Pharmacology, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaDepartment of Pediatrics, Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaBackgroundThis retrospective observational study aimed to investigate the features of acute dysphagia observed during videofluoroscopic swallowing study (VFSS) in critically ill children and their potential to anticipate clinical outcomes.MethodsAdministrative healthcare data of children aged 1–18 were analyzed. Data were collected from the pediatric intensive care unit (PICU) of a single tertiary medical center in South Korea between March 2019 and December 2022. We reviewed VFSS conducted on patients in the PICU who were referred by clinicians suspecting dysphagia.ResultsA total of 36 children were included in the study; 52.8% exhibited aspiration on VFSS. In this investigation, participants were provided with pureed food, liquids, solids, and a combination of solids and liquids (referred to as mixed) during the examination. Any occurrence of aspiration throughout the examination was deemed as aspiration. All individuals displaying aspiration were found to have silent aspiration. Silent aspiration was associated with a longer length of stay (LOS) in the PICU. Logistic regression analysis revealed that the time from PICU admission to VFSS and intubation duration significantly influenced LOS. Abnormal findings in the VFSS, including aspiration, delayed swallowing reflex, insufficient laryngeal closure, and residue, were statistically significant variables in determining the feeding mode at discharge.ConclusionThis study highlights the importance of VFSS in assessing swallowing function in critically ill children. It suggests that VFSS findings, such as silent aspiration, can aid in predicting patient outcomes, including LOS and the delay in oral feeding.https://www.frontiersin.org/articles/10.3389/fped.2025.1507645/fullpediatricdysphagiacritically ill childrenvideofluoroscopic swallowing study (VFSS)intensive care unit (ICU) |
| spellingShingle | Yoonju Na Jaeyoung Choi Jihong Choi Su Mi Oh Hyuna Jang Suein Choi Joongbum Cho Jeong-Yi Kwon Videofluoroscopic swallowing study predicts clinical outcomes in critically Ill children with dysphagia: a retrospective observational study Frontiers in Pediatrics pediatric dysphagia critically ill children videofluoroscopic swallowing study (VFSS) intensive care unit (ICU) |
| title | Videofluoroscopic swallowing study predicts clinical outcomes in critically Ill children with dysphagia: a retrospective observational study |
| title_full | Videofluoroscopic swallowing study predicts clinical outcomes in critically Ill children with dysphagia: a retrospective observational study |
| title_fullStr | Videofluoroscopic swallowing study predicts clinical outcomes in critically Ill children with dysphagia: a retrospective observational study |
| title_full_unstemmed | Videofluoroscopic swallowing study predicts clinical outcomes in critically Ill children with dysphagia: a retrospective observational study |
| title_short | Videofluoroscopic swallowing study predicts clinical outcomes in critically Ill children with dysphagia: a retrospective observational study |
| title_sort | videofluoroscopic swallowing study predicts clinical outcomes in critically ill children with dysphagia a retrospective observational study |
| topic | pediatric dysphagia critically ill children videofluoroscopic swallowing study (VFSS) intensive care unit (ICU) |
| url | https://www.frontiersin.org/articles/10.3389/fped.2025.1507645/full |
| work_keys_str_mv | AT yoonjuna videofluoroscopicswallowingstudypredictsclinicaloutcomesincriticallyillchildrenwithdysphagiaaretrospectiveobservationalstudy AT jaeyoungchoi videofluoroscopicswallowingstudypredictsclinicaloutcomesincriticallyillchildrenwithdysphagiaaretrospectiveobservationalstudy AT jihongchoi videofluoroscopicswallowingstudypredictsclinicaloutcomesincriticallyillchildrenwithdysphagiaaretrospectiveobservationalstudy AT sumioh videofluoroscopicswallowingstudypredictsclinicaloutcomesincriticallyillchildrenwithdysphagiaaretrospectiveobservationalstudy AT hyunajang videofluoroscopicswallowingstudypredictsclinicaloutcomesincriticallyillchildrenwithdysphagiaaretrospectiveobservationalstudy AT sueinchoi videofluoroscopicswallowingstudypredictsclinicaloutcomesincriticallyillchildrenwithdysphagiaaretrospectiveobservationalstudy AT joongbumcho videofluoroscopicswallowingstudypredictsclinicaloutcomesincriticallyillchildrenwithdysphagiaaretrospectiveobservationalstudy AT jeongyikwon videofluoroscopicswallowingstudypredictsclinicaloutcomesincriticallyillchildrenwithdysphagiaaretrospectiveobservationalstudy |