| Confirmation of no causal relationship between tracheotomy and aspiration status: a direct replication study. | |
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MedLine Citation:
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PMID: 19653040 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Debate continues regarding an association between tracheotomy and aspiration status. The aim of this research was to perform a direct replication study to investigate further the causal relationship, if any, between tracheotomy and aspiration. Twenty-five consecutive adult hospitalized patients participated. Inclusion criteria were a pretracheotomy dysphagia evaluation, subsequent tracheotomy and tracheotomy tube placement, then a post-tracheotomy dysphagia reevaluation prior to decannulation. Twenty-two (88%) participants exhibited the same aspiration status or resolved aspiration pre- versus post-tracheotomy. Three participants exhibited new aspiration post-tracheotomy due to worsening medical conditions. Conversely, four participants exhibited resolved aspiration post-tracheotomy due to improved medical conditions. Excluding these seven participants, all nine participants who aspirated pretracheotomy also aspirated post-tracheotomy and all nine participants who did not aspirate pretracheotomy also did not aspirate post-tracheotomy (P > 0.05). No statistically significant differences were found between aspiration status and days since tracheotomy (chi (2) = 0.08, P > 0.05) or between age and aspiration status (P > 0.05). The absence of a causal relationship between tracheotomy and aspiration status was confirmed. |
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Authors:
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Steven B Leder; Douglas A Ross |
Publication Detail:
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Type: Journal Article Date: 2009-08-04 |
Journal Detail:
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Title: Dysphagia Volume: 25 ISSN: 1432-0460 ISO Abbreviation: Dysphagia Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-29 Completed Date: 2010-08-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8610856 Medline TA: Dysphagia Country: United States |
Other Details:
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Languages: eng Pagination: 35-9 Citation Subset: IM |
Affiliation:
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Department of Surgery, Yale University School of Medicine, New Haven, CT 06520-8041, USA. steven.leder@yale.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Deglutition Disorders
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diagnosis,
epidemiology Female Humans Male Middle Aged Pneumonia, Aspiration / diagnosis, epidemiology* Reproducibility of Results Severity of Illness Index Tracheotomy / statistics & numerical data* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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