Aspiration: Cause and implications

Donna S. Lundy; Christine Smith; Laura Colangelo; Paula A. Sullivan; Jerilyn A. Logemann; Cathy L. Lazarus; Lisa A. Newman; Tom Murry; Lori Lombard; Joy Gaziano

doi:10.1053/hn.1999.v120.a91765

Aspiration: Cause and implications

Donna S. Lundy, Christine Smith, Laura Colangelo, Paula A. Sullivan, Jerilyn A. Logemann, Cathy L. Lazarus, Lisa A. Newman, Tom Murry, Lori Lombard, Joy Gaziano

Otolaryngology

Research output: Contribution to journal › Article › peer-review

88 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	474-478
Number of pages	5
Journal	Otolaryngology - Head and Neck Surgery
Volume	120
Issue number	4
DOIs	https://doi.org/10.1053/hn.1999.v120.a91765
State	Published - 1999

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

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abstract = "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.",

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AU - Lundy, Donna S.

AU - Smith, Christine

AU - Colangelo, Laura

AU - Sullivan, Paula A.

AU - Logemann, Jerilyn A.

AU - Lazarus, Cathy L.

AU - Newman, Lisa A.

AU - Murry, Tom

AU - Lombard, Lori

AU - Gaziano, Joy

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