title: Long-term outcomes in children with swallowing dysfunction.
abstract: OBJECTIVE
  To evaluate swallowing function using a videofluoroscopic swallow study (VFSS), and to identify factors related to long-term swallowing function in children with swallowing dysfunction.
  
  
  METHODS
  Ninety children, aged 1-120 months (mean 27.5 months) were randomly selected from among children referred for the evaluation of swallowing dysfunction. We retrospectively reviewed the charts, and long-term outcomes were tracked up to 5 years.
  
  
  RESULTS
  Baseline American Speech-Language-Hearing Association National Outcome Measurement System (ASHA NOMS) scale was 3.4 ± 2.5. Supraglottic penetration and subglottic aspiration comfirmed by VFSS were detected in 30 children. After follow-up, oral feeding was possible in 74 patients, and the ASHA NOMS swallowing scale improved significantly, from 3.4 ± 2.5 to 5.8 ± 2.0. Baseline VFSS severity, serum albumin concentration, baseline weight percentile and neurologic conditions were significantly correlated with long-term swallowing function.
  
  
  CONCLUSIONS
  The long-term outcomes in children with swallowing dysfunction were favorable, and baseline videofluoroscopic severity was significantly correlated with long-term swallowing function.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Jeju National University Hospital, Jeju National University School of Medicine , Jeju , South Korea.
authors.forename: Bo Ryun
authors.initials: BR
authors.lastname: Kim
authors.forename: In Young
authors.initials: IY
authors.lastname: Sung
authors.forename: Kyoung Hyo
authors.initials: KH
authors.lastname: Choi
authors.forename: Lee Suk
authors.initials: LS
authors.lastname: Kim
authors.forename: Ju Seok
authors.initials: JS
authors.lastname: Ryu
mesh_terms: D002648:Child; D002675:Child, Preschool; D003679:Deglutition; D003680:Deglutition Disorders / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome; D014741:Video Recording
keywords: Child; deglutition; deglutition disorders; outcome; prognosis