title: Long-term morbidity and management strategies of tracheal aspiration in adults with severe developmental disabilities.
abstract: The feeding skills and health of 73 adults with severe developmental disabilities who aspirated were examined between 1986 and 1990. Sixty individuals had profound mental retardation (82%) and 48, cerebral palsy (66%). Modified barium swallow studies, esophagrams and gastric follow-throughs were completed on 67 clients (92%). Twenty adults aspirated barium. Aspiration was specific for barium texture in 8 (40%). Mobility, level of mental retardation, or feeding skills did not discriminate those who aspirated. Mealtime respiratory distress (65%) or chronic lung disease (55%), however, were significantly associated with aspiration. More studies are needed on the early identification and management of aspiration.
authors.affiliation: School of Medicine and Biomedical Sciences, State University of New York at Buffalo.
authors.forename: B
authors.initials: B
authors.lastname: Rogers
authors.forename: P
authors.initials: P
authors.lastname: Stratton
authors.forename: M
authors.initials: M
authors.lastname: Msall
authors.forename: M
authors.initials: M
authors.lastname: Andres
authors.forename: M K
authors.initials: MK
authors.lastname: Champlain
authors.forename: P
authors.initials: P
authors.lastname: Koerner
authors.forename: J
authors.initials: J
authors.lastname: Piazza
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001466:Barium Sulfate; D003680:Deglutition Disorders / Q000150:complications / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D005471:Fluoroscopy; D005764:Gastroesophageal Reflux / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D008607:Intellectual Disability / Q000150:complications / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D011015:Pneumonia, Aspiration / Q000000981:diagnostic imaging* / Q000517:prevention & control; D014681:Velopharyngeal Insufficiency / Q000150:complications / Q000000981:diagnostic imaging
chemical_list: D001466:Barium Sulfate