Speech-language Pathology in Acute Pediatric Chemical or Button Battery Ingestion Injury

Article


Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Dodrill, Pamela and Lewindonc, Peter. 2017. "Speech-language Pathology in Acute Pediatric Chemical or Button Battery Ingestion Injury ." Journal of Pediatric Gastroenterology and Nutrition. 64 (1), pp. 42-46. https://doi.org/10.1097/MPG.0000000000001256
Article Title

Speech-language Pathology in Acute Pediatric Chemical or Button Battery Ingestion Injury

ERA Journal ID16472
Article CategoryArticle
AuthorsFollent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Dodrill, Pamela and Lewindonc, Peter
Journal TitleJournal of Pediatric Gastroenterology and Nutrition
Journal Citation64 (1), pp. 42-46
Number of Pages5
Year2017
PublisherLippincott Williams & Wilkins
Place of PublicationUnited States
ISSN0277-2116
1536-4801
Digital Object Identifier (DOI)https://doi.org/10.1097/MPG.0000000000001256
Web Address (URL)https://journals.lww.com/jpgn/Fulltext/2017/01000/Speech_language_Pathology_in_Acute_Pediatric.9.aspx
Abstract

Objectives:
Dysphagia is a common consequence of pediatric ingestion injury, yet there is a lack of data relating to recommencement of oral (per os; PO) intake or use of feeding therapy. We describe patterns of early PO intake, and referral to speech-language pathology (SLP) for feeding therapy, during the acute admission of a pediatric cohort postchemical or button battery ingestion injury.

Methods:
Retrospective chart review of pediatric ingestion injuries admitted to a quaternary hospital from 2008 to 2013. Clinical parameters, PO intake progression, and nature of referrals for feeding therapy during the acute admission were examined.

Results:
Fifty-one children (26 boys; mean age: 31.5, range 4–170 months) were identified (75% with grade II or III mucosal injuries), of whom 31 (60%) had impaired PO intake. Of these, 5 recommenced premorbid PO intake during admission. At discharge, 16 remained on modified PO intake, and 10 remained nil PO. Eight (26%) were referred to SLP for feeding therapy during acute admission, or within 4 months of discharge. Feeding therapy-referred children were more likely to have pediatric intensive care admission (PICU) (100% vs 26%), and longer hospital admission (36.1 vs 9.3 days for those not referred).

Conclusions:
More than half of the cohort had impaired PO intake, and one-third were nil PO at time of discharge. Referrals for feeding therapy were limited. Our findings may provide some guidance for clinicians, patients, and their families regarding possible PO intake recovery patterns, as well as provide background for evaluating the potential for feeding therapy and SLP involvement within this population.

KeywordsAdministration, Oral
ANZSRC Field of Research 2020420110. Speech pathology
Public NotesFiles associated with this item cannot be displayed due to copyright restrictions.
Byline AffiliationsUniversity of Queensland
Centre for Functioning and Health Research, Australia
Lady Cilento Children's Hospital, Australia
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