PMID- 32861194
OWN - NLM
STAT- MEDLINE
DCOM- 20210615
LR  - 20210804
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Print)
IS  - 0165-5876 (Linking)
VI  - 138
DP  - 2020 Nov
TI  - Factors impacting participation in flexible endoscopic evaluation of swallowing 
      in children.
PG  - 110323
LID - S0165-5876(20)30466-3 [pii]
LID - 10.1016/j.ijporl.2020.110323 [doi]
AB  - OBJECTIVES: Flexible endoscopic evaluation of swallowing (FEES) is a common and 
      useful tool for assessment of dysphagia and swallowing safety in children, 
      however an important problem is limited participation in some children. We 
      examine the factors associated with adequate participation in children undergoing 
      FEES, including the completion rate, whether a clear diagnosis or feeding plan 
      was made, and the incidence of adverse events (AEs). METHODS: We conducted a 
      retrospective review of children undergoing FEES at an urban children's hospital. 
      Data collected included age, gender, race, comorbidities, AEs and outcomes of 
      FEES. RESULTS: Of the 130 patients, 46 (35%) were female with a median age of 2.6 
      years. 113 (87%) patients cooperated and obtained a result, while 15 (12%) 
      patients did not cooperate and no result was obtained; there was no significant 
      difference in gender, comorbidities, or race between those groups. The age 
      distribution of FEES subjects in this study was skewed with nearly 75% below age 
      5. Patients who cooperated had a higher median age (3 years) than those who did 
      not (1.2 years) and 47% of non-cooperators were less than 1 year of age. There 
      were no significant AEs, the most common mild AE was excessive crying (34 
      subjects, 26%). In a multivariate model controlling for age and gender, excessive 
      crying was associated with a decreased odds of cooperation (OR: 0.16, p = 0.004, 
      95% CI: 0.04, 0.54). CONCLUSION: Children who undergo FEES have an overall 
      favorable completion rate and no serious adverse events, however its utility is 
      limited in cases where children refuse to participate. Understanding the factors 
      associated with failure to cooperate with FEES is important in developing 
      strategies to improve participation. Excessive crying is identified as such a 
      factor in this study.
CI  - Copyright (c) 2020 Elsevier B.V. All rights reserved.
FAU - Haller, Leonard
AU  - Haller L
AD  - University of Southern California Keck School of Medicine, USA.
FAU - Osterbauer, Beth
AU  - Osterbauer B
AD  - Children's Hospital Los Angeles Division of Otolaryngology - Head and Neck 
      Surgery, USA. Electronic address: bosterbauer@chla.usc.edu.
FAU - Maldonado, Kayla
AU  - Maldonado K
AD  - Children's Hospital Los Angeles Division of Pediatric Rehabilitation Medicine, 
      USA.
FAU - Bhardwaj, Vrinda
AU  - Bhardwaj V
AD  - Children's Hospital Los Angeles Division of Gastroenterology Hepatology and 
      Nutrition, USA.
FAU - Bansal, Manvi
AU  - Bansal M
AD  - Children's Hospital Los Angeles Division of Pulmonology and Sleep Medicine, USA.
FAU - Peck, Katy
AU  - Peck K
AD  - Children's Hospital Los Angeles Division of Pediatric Rehabilitation Medicine, 
      USA.
FAU - Hochstim, Christian
AU  - Hochstim C
AD  - Children's Hospital Los Angeles Division of Otolaryngology - Head and Neck 
      Surgery, USA.
LA  - eng
GR  - UL1 TR001855/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20200819
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - *Deglutition
MH  - *Deglutition Disorders/diagnosis/epidemiology/etiology
MH  - Endoscopes
MH  - *Endoscopy
MH  - Female
MH  - Humans
MH  - Retrospective Studies
PMC - PMC8330403
MID - NIHMS1724513
OTO - NOTNLM
OT  - Aspiration
OT  - FEES
OT  - Pediatric
EDAT- 2020/08/30 06:00
MHDA- 2021/06/16 06:00
PMCR- 2021/08/03
CRDT- 2020/08/30 06:00
PHST- 2020/07/16 00:00 [received]
PHST- 2020/08/12 00:00 [revised]
PHST- 2020/08/13 00:00 [accepted]
PHST- 2020/08/30 06:00 [pubmed]
PHST- 2021/06/16 06:00 [medline]
PHST- 2020/08/30 06:00 [entrez]
PHST- 2021/08/03 00:00 [pmc-release]
AID - S0165-5876(20)30466-3 [pii]
AID - 10.1016/j.ijporl.2020.110323 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2020 Nov;138:110323. doi: 
      10.1016/j.ijporl.2020.110323. Epub 2020 Aug 19.