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Dysphagia in Infants After Open Heart Procedures

Yi, Sook-Hee MD; Kim, Sang-Jun MD; Huh, June MD; Jun, Tae-Gook MD; Cheon, Hee Jung SLP; Kwon, Jeong-Yi MD

American Journal of Physical Medicine & Rehabilitation: June 2013 - Volume 92 - Issue 6 - p 496–503
doi: 10.1097/PHM.0b013e31828763f4
Original Research Articles

Objective The aims of this study were to evaluate the prevalence and the clinical predictors of dysphagia and to determine the characteristics of videofluoroscopic swallowing study findings in infants after open heart procedures.

Design This study is a retrospective review of 146 infants who underwent open heart surgery. The infants with dysphagia were compared with those without dysphagia. The videofluoroscopic swallowing study findings of the infants with dysphagia were also evaluated.

Results Of the 146 infants who underwent open heart surgery, 35 (24.0%) had dysphagia symptoms. The infants with dysphagia had lower body weight at operation, more malformation syndromes, longer operation times, and more complex operations than did the infants without dysphagia. In addition, the infants with dysphagia required more time to achieve full oral feeding and had longer hospital stays. Thirty-three infants underwent videofluoroscopic swallowing study: 32 (97.0%) exhibited at least one abnormal finding among the videofluoroscopic swallowing study parameters and 21 (63.6%) exhibited tracheal aspiration.

Conclusions Given the high rate of aspiration in the infants who underwent open heart procedures, monitoring and prompt recognition of the signs and the risk factors of dysphagia may substantially improve infant care with oral feeding and reduce the duration of hospital stays.

From the Department of Physical and Rehabilitation Medicine (S-HY, S-JK, HJC, J-YK), Department of Pediatrics (JH), and Department of Thoracic and Cardiovascular Surgery (T-GJ), Samsung Medical Center, Samsung Biomedical Research Institute, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

All correspondence and requests for reprints should be addressed to Jeong-Yi Kwon, MD, Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul, 135-710, Republic of Korea.

Supported by Samsung Medical Center grant CRS110-32-2.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2013 by Lippincott Williams & Wilkins