What information do clinicians use in recommending oral versus nonoral feeding in oropharyngeal dysphagic patients?

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 FarquharsonKristin Larsen, Vicki Lewis, Heather Logan, Teri Nitschke, Sharon Veis

Research output: Contribution to journalArticle

9 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)378-384
Number of pages7
JournalDysphagia
Volume23
Issue number4
DOIs
StatePublished - Dec 2008

Keywords

  • Deglutition
  • Deglutition disorders
  • Nonoral feeding
  • Oral feeding
  • Oropharyngeal dysphagia
  • Videofluoroscopy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing

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    Logemann, J. A., Rademaker, A., Pauloski, B. R., Antinoja, J., Bacon, M., Bernstein, M., Gaziano, J., Grande, B., Kelchner, L., Kelly, A., Klaben, B., Lundy, D., Newman, L., Santa, D., Stachowiak, L., Stangl-Mcbreen, C., Atkinson, C., Bassani, H., Czapla, M., ... Veis, S. (2008). What information do clinicians use in recommending oral versus nonoral feeding in oropharyngeal dysphagic patients? Dysphagia, 23(4), 378-384. https://doi.org/10.1007/s00455-008-9152-5