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Development of a Multidisciplinary Aerodigestive Program: An Institutional Experience

Authors
 Seung Kim  ;  Mireu Park  ;  Eunyoung Kim  ;  Ga Eun Kim  ;  Jae Hwa Jung  ;  Soo Yeon Kim  ;  Min Jung Kim  ;  Da Hee Kim  ;  Sowon Park  ;  Hong Koh  ;  In Geol Ho  ;  Seung Ki Kim  ;  Sangwon Hwang  ;  Kyeong Hun Shin  ;  Hosun Lee  ;  Bobae Lee  ;  Hyeyeon Lee  ;  Minhwa Park  ;  Myung Hyun Sohn  ;  Dong-Wook Rha  ;  Kyung Won Kim 
Citation
 CHILDREN-BASEL, Vol.8(7) : 535, 2021-06 
Journal Title
CHILDREN-BASEL
Issue Date
2021-06
Keywords
aerodigestive team ; children ; feeding ; multidisciplinary care ; pediatric ; respiratory difficulty ; swallowing
Abstract
We share our experience on the implementation of a multidisciplinary aerodigestive program comprising an aerodigestive team (ADT) so as to evaluate its feasibility. We performed a retrospective chart review of the patients discussed at the monthly ADT meetings and analyzed the data. A total of 98 children were referred to the ADT during the study period. The number of cases increased steadily from 3.5 cases per month in 2019 to 8.5 cases per month in 2020. The median age of patients was 34.5 months, and 55% were male. Among the chronic comorbidities, neurologic disease was the most common (85%), followed by respiratory (36%) and cardiac (13%) disorders. The common reasons for consultation were suspected aspiration (56%), respiratory difficulty (44%), drooling/stertor (30%), regurgitation/vomiting (18%), and feeding/swallowing difficulty (17%). Following discussions, 58 patients received active interventions, including fundoplication, gastrostomy, laryngomicrosurgery, tracheostomy, and primary dilatation of the airway. According to the questionnaire of the caregiver, the majority agreed that the main symptoms and quality of life of patients had improved (88%), reducing the burden on caregivers (77%). Aerodigestive programs may provide comprehensive and multidisciplinary management for children with complex airway and digestive tract disorders.
Files in This Item:
T202103058.pdf Download
DOI
10.3390/children8070535
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Hong(고홍) ORCID logo https://orcid.org/0000-0002-3660-7483
Kim, Kyung Won(김경원) ORCID logo https://orcid.org/0000-0003-4529-6135
Kim, Da Hee(김다희) ORCID logo https://orcid.org/0000-0001-7286-1334
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0002-5634-9709
Kim, Soo Yeon(김수연) ORCID logo https://orcid.org/0000-0003-4965-6193
Kim, Seung(김승) ORCID logo https://orcid.org/0000-0003-4373-9828
Kim, Seung Ki(김승기) ORCID logo https://orcid.org/0000-0002-8823-6258
Rha, Dong Wook(나동욱) ORCID logo https://orcid.org/0000-0002-7153-4937
Park, Mireu(박미르)
Park, So Won(박소원) ORCID logo https://orcid.org/0000-0002-2498-8004
Sohn, Myung Hyun(손명현) ORCID logo https://orcid.org/0000-0002-2478-487X
Jung, Jae Hwa(정재화)
Ho, In Geol(호인걸)
Hwang, Sang Won(황상원) ORCID logo https://orcid.org/0000-0003-3651-2895
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184476
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