Bedside assessment of swallowing is predictive of an abnormal barium swallow examination

Journal of Burn Care & Research : Official Publication of the American Burn Association
David A EdelmanMichael T White

Abstract

Adequate nutritional support after thermal burn injury is essential for achieving successful patient outcomes. Dysphagia is common in burn patients. Our objective was to analyze hospitalized burn patients referred to speech pathology for swallowing evaluation. A retrospective study of burn patients admitted to our center and evaluated by speech pathology from December 2001 through July 2006 was performed. Of the 16 patients, 5 (31%) had a normal bedside swallow examination, did not undergo a modified barium swallow study (MBSS), and were excluded. Six (55%) of the 11 included patients were men. The average age was 44 +/- 18 years. All 11 patients had a thermal burn with an average total body surface area burn of 36% +/- 16%. Facial burns were present in 91% (10 of 11) of the patients, and inhalation injury was confirmed by bronchoscopy in 55% (6 of 11) of the patients. The average length of stay was 84 +/- 45 days. Of the 11 abnormal bedside assessments performed, 10 (91%) were associated with an abnormal MBSS. One patient had evidence of oral dysphagia only and one patient had evidence of pharyngeal dysphagia only. Six patients had oral and pharyngeal dysphagia, and two patients had pharyngeal and esophageal dysphagia. One tra...Continue Reading

References

Aug 11, 1975·The Journal of Trauma·J L HuntB A Pruitt
Dec 1, 1990·Critical Care Medicine·M A DeVita, L Spierer-Rundback
Jul 1, 1988·The Laryngoscope·K H CalhounD N Herndon
Jan 1, 1985·Gastrointestinal Radiology·D W BuchholzM W Donner
Jan 1, 1996·Annals of Surgery·T T NguyenD N Herndon
Mar 1, 1996·The Journal of Burn Care & Rehabilitation·P A Brigham, E McLoughlin
Mar 15, 2000·Burns : Journal of the International Society for Burn Injuries·J P BarretD N Herndon
Apr 12, 2001·The British Journal of Surgery·M J MullerM R Rule
Sep 23, 2003·The Journal of Burn Care & Rehabilitation·C Snyder, P Ubben
Feb 9, 2005·American Journal of Respiratory and Critical Care Medicine·UNKNOWN American Thoracic Society, UNKNOWN Infectious Diseases Society of America
Jul 5, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Sidney F MillerJohn A Krichbaum
Sep 5, 2006·Burns : Journal of the International Society for Burn Injuries·Manav P SuriDevesh R Mehta
Jan 11, 2007·Journal of Burn Care & Research : Official Publication of the American Burn Association·Gary F Purdue
Apr 26, 2007·Dysphagia·Christiane BorrAndy Lücking

❮ Previous
Next ❯

Citations

Nov 2, 2013·Burns : Journal of the International Society for Burn Injuries·Anna F RumbachMichael J Muller
Aug 31, 2016·Burns : Journal of the International Society for Burn Injuries·Nicola A ClaytonPeter K Maitz
Aug 21, 2009·Journal of Burn Care & Research : Official Publication of the American Burn Association·Anna F RumbachMichael J Muller
Sep 16, 2011·Journal of Burn Care & Research : Official Publication of the American Burn Association·Anna F RumbachMichael J Muller
Nov 24, 2011·Dysphagia·Anna F RumbachMichael J Muller
Jan 2, 2015·Proceedings·Supannee RassameehiranAriwan Rakvit
Jan 11, 2014·CoDAS·Aline Rodrigues PadovaniClaudia Regina Furquim de Andrade
Apr 6, 2021·Burns : Journal of the International Society for Burn Injuries·Jessica A TangGregory R Dion

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.