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Dysphagia in cervical spinal cord injury

 J C Shin  ;  J H Yoo  ;  Y S Lee  ;  H R Goo  ;  D H Kim 
 SPINAL CORD, Vol.49(9) : 1008-1013, 2011 
Journal Title
Issue Date
Adolescent ; Adult ; Age Distribution ; Aged ; Cervical Vertebrae/injuries* ; Child ; Comorbidity/trends ; Deglutition Disorders/epidemiology ; Deglutition Disorders/etiology* ; Deglutition Disorders/physiopathology* ; Female ; Humans ; Male ; Middle Aged ; Respiratory Aspiration/epidemiology ; Respiratory Aspiration/etiology* ; Respiratory Aspiration/physiopathology ; Retrospective Studies ; Severity of Illness Index ; Spinal Cord/physiopathology ; Spinal Cord Injuries/complications* ; Spinal Cord Injuries/epidemiology ; Spinal Cord Injuries/physiopathology* ; Tracheostomy/adverse effects ; Young Adult
STUDY DESIGN: Retrospective chart review of cervical spinal cord injury patients, who underwent videofluoroscopic swallowing study (VFSS). OBJECTIVES: To evaluate the swallowing function of cervical spinal cord injury patients, analyze the features of dysphagia and investigate their association with the clinical symptoms and signs. SETTING: Spinal Cord Injury Unit, Yonsei Rehabilitation Hospital, Seoul, Korea. METHODS: Retrospective study (1 May 2001-31 May 2008) on inpatients with tetraplegia. All enrolled patients underwent VFSS, and their results were correlated with clinical data including symptoms and signs indicative of dysphagia. RESULTS: A total of 121 cervical spinal cord injury patients (106 male and 16 female patients) were included in this study. Ten patients showed evidence of aspiration on VFSS. Statistical correlation to aspiration was found with age, presence of tracheostomy, and symptoms and signs indicating dysphagia. However, out of the 10 patients with evident aspiration, 2 patients did not show any symptoms or signs indicating aspiration. CONCLUSION: Because of the possibility of silent aspiration, we recommend that physicians treating patients with cervical spinal cord injury should always take the possibility of dysphagia and silent aspiration into consideration, especially in case of previous manifestation of pneumonia, presence of tracheostomy, or presence of signs and symptoms indicating dysphagia.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Shin, Ji Cheol(신지철) ORCID logo https://orcid.org/0000-0002-1133-1361
Yoo, Jee Hyun(유지현)
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