What Information Do Clinicians Use in Recommending Oral versus Nonoral Feeding in Oropharyngeal Dysphagic Patients? View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2008-08-01

AUTHORS

Jeri A. Logemann, Alfred Rademaker, Barbara Roa Pauloski, Jodi Antinoja, Mary Bacon, Michelle Bernstein, Joy Gaziano, Barbara Grande, Lisa Kelchner, Amy Kelly, Bernice Klaben, Donna Lundy, Lisa Newman, Daphne Santa, Linda Stachowiak, Carrie Stangl-McBreen, Cory Atkinson, Heidi Bassani, Melissa Czapla, Julie Farquharson, Kristin Larsen, Vicki Lewis, Heather Logan, Teri Nitschke, Sharon Veis

ABSTRACT

There is little evidence regarding the type(s) of information clinicians use to make the recommendation for oral or nonoral feeding in patients with oropharyngeal dysphagia. This study represents a first step toward identifying data used by clinicians to make this recommendation and how clinical experience may affect the recommendation. Thirteen variables were considered critical in making the oral vs. nonoral decision by the 23 clinicians working in dysphagia. These variables were then used by the clinicians to independently recommend oral vs. nonoral feeding or partial oral with nonoral feeding for the 20 anonymous patients whose modified barium swallows were sent on a videotape to each clinician. Clinicians also received data on the 13 variables for each patient. Results of clinician agreement on the recommendation of full oral and nonoral only were quite high, as measured by Kappa statistics. In an analysis of which of the 13 criteria clinicians used in making their recommendations, amount of aspiration was the criterion with the highest frequency. Recommendations for use of postures and maneuvers and the effect of clinician experience on these choices were also analyzed. More... »

PAGES

378-384

Journal

TITLE

Dysphagia

ISSUE

4

VOLUME

23

Author Affiliations

  • Northwestern University, 2240 North Campus Drive, Room 3-358, 60208, Evanston, IL, USA
  • Department of Preventive Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University, 60611, Chicago, Illinois, USA
  • Department of Communication Sciences and Disorders, Northwestern University, Frances Searle Building, 2240 Campus Drive, 60208, Evanston, Illinois, USA
  • Froedtert Memorial Hospital, 9200 W. Wisconsin Avenue, 53226, Milwaukee, Wisconsin, USA
  • Audiology and Speech Pathology (126), Hines VA Medical Center, Building 1, Room E-260, 60141, Hines, Illinois, USA
  • Department of Otolaryngology, University of Miami Hospital Medical Center, UHMC Room 4025, 1475 12th Avenue NW, 33136, Miami, Florida, USA
  • H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, 33612, Tampa, Florida, USA
  • St. Joseph Regional Medical Center, 5000 W. Chambers Street, 53210, Milwaukee, Wisconsin, USA
  • CAHS-Communication Sciences and Disorders, University of Cincinnati, French – East, P.O. Box 670379, 45267-0379, Cincinnati, Ohio, USA
  • Speech Pathology Department, Evanston Northwestern Healthcare, 2650 Ridge Avenue, Room 2206, 60201, Evanston, Illinois, USA
  • Blaine Block Institute for Voice Analysis and Rehabilitation, 369 W. First Street, Suite 408, 45402-3065, Dayton, Ohio, USA
  • Army Audiology & Speech Center, Walter Reed Army Medical Center, 6900 Georgia Avenue, 20307-5001, Washington, DC, USA
  • Audiology and Speech (126), Miami VA Medical Center, 1201 NW 16th Street, 33125, Miami, Florida, USA
  • Northwestern Memorial Hospital, 201 E. Huron, Suite 10-205, 60611, Chicago, Illinois, USA
  • Zablocki VA Medical Center, 5000 National Avenue, 53295, Milwaukee, Wisconsin, USA
  • Clinical Trials linked to this publication

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00455-008-9152-5

    DOI

    http://dx.doi.org/10.1007/s00455-008-9152-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1016386656

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/18670808


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