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Multidisciplinary aerodigestive program at a children's hospital: A protocol for a prospective observational study

 Mireu Park  ;  Seung Kim  ;  Eunyoung Kim  ;  Ga Eun Kim  ;  Jae Hwa Jung  ;  Soo Yeon Kim  ;  Min Jung Kim  ;  Da Hee Kim  ;  Sowon Park  ;  In Geol Ho  ;  Seung Ki Kim  ;  Sangwon Hwang  ;  Kyeong Hun Shin  ;  Hosun Lee  ;  Bobae Lee  ;  Hyeyeon Lee  ;  Minhwa Park  ;  Hong Koh  ;  Myung Hyun Sohn  ;  Dong-Wook Rha  ;  Kyung Won Kim 
 PLOS ONE, Vol.16(10) : e0259208, 2021-10 
Journal Title
Issue Date
Adolescent ; Child ; Child, Preschool ; Disease Management ; Female ; Gastrointestinal Diseases / complications ; Gastrointestinal Diseases / therapy* ; Humans ; Infant ; Interdisciplinary Communication ; Male ; Patient Care Team / organization & administration ; Patient Care Team / standards* ; Patient-Centered Care / organization & administration ; Patient-Centered Care / standards ; Practice Guidelines as Topic* ; Respiratory Tract Diseases / complications ; Respiratory Tract Diseases / therapy*
Background: Children with complex chronic multisystemic diseases frequently require care from multiple pediatric subspecialists. The aerodigestive program is a multidisciplinary program that diagnoses and treats pediatric patients with complex multi-systematic problems affecting airway, breathing, feeding, swallowing, or growth. The aim of this study is to present the protocol of the aerodigestive program of a children's hospital.

Methods and design: This study is a prospective study to evaluate and compare the overall improvement of patients' objective and subjective conditions before and after the AeroDigestive Team (ADT) program. Among children from 1 month to 18 years of age, patients with complex problems of the airway, breathing, feeding, swallowing, or growth meeting at least two parameters of the inclusion criteria were enrolled. The overall process included referral based on the inclusion criteria, enrollment of ADT program with informed consents, interview and questionnaire for assessing patients' medical condition, prescheduling appointment, multi-specialists' evaluation, monthly team meetings, wrap-up discussion with the patients and family, therapeutic intervention, and follow-up at 6 months with the assessment of outcome measures. The outcome was evaluated objectively and subjectively. The objective outcome measure was divided into surgical or medical intervention, assessment of changes in medical condition, and follow-up study. Both caregiver interviews and questionnaires using a scoring system were used as subjective outcome measures before and after the ADT program. Children were scheduled to be followed-up at 6 months after the interventions or ADT meeting.

Discussion: The aerodigestive program is expected to provide comprehensive and multidisciplinary management of children with complex airway and digestive tract disorders.
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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
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