Aspiration: Cause and implications

被引:80
作者
Lundy, DS
Smith, C
Colangelo, L
Sullivan, PA
Logemann, JA
Lazarus, CL
Newman, LA
Murry, T
Lombard, L
Gaziano, J
机构
[1] Univ Miami, Dept Otolaryngol, Miami, FL 33101 USA
[2] Northwestern Univ, Dept Commun Sci & Disorders, Chicago, IL 60611 USA
[3] Northwestern Univ, Dept Preventat Med, Chicago, IL 60611 USA
[4] Northwestern Univ, Dept Neurol, Chicago, IL 60611 USA
[5] Northwestern Univ, Dept Dent Prosthet, Chicago, IL 60611 USA
[6] Univ Tennessee, Dept Otolaryngol, Memphis, TN USA
[7] Univ Pittsburgh, Dept Otolaryngol, Pittsburgh, PA 15260 USA
[8] Univ S Florida, H Lee Moffitt Canc Ctr, Dept Speech Pathol Serv, Tampa, FL 33682 USA
关键词
D O I
10.1053/hn.1999.v120.a91765
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The purpose of this investigation was to determine the overall prevalence of aspiration in dysphagic individuals referred for a modified barium swallow and the underlying anatomic and/or physiologic causes. A total of 166 patients were seen during a 1-month period at 5 participating institutions. Aspiration was detected in 51.2% of the patients. The most common causes were decreased laryngeal elevation and delayed triggering of the pharyngeal motor response, A history of aspiration pneumonia was significantly associated with the presence of aspiration on modified barium swallow study, The presence of a protective cough was present in only 53% of patients who aspirated, reinforcing the need for appropriate radiologic assessment in patients with suspected dysphagia.
引用
收藏
页码:474 / 478
页数:5
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