Predictors of swallowing outcomes in patients with combat-injury related dysphagia.
Background: Traumatic injuries, such as those from combat-related activities, can lead to complicated clinical presentations that may include dysphagia.Methods: This retrospective observational database study captured dysphagia-related information for 215 US military service members admitted to the...
| Publicado en: | Journal of Trauma & Acute Care Surgery Vol. 89; pp. 192 - 200 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
2020 Supplement
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146759467&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146759467 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21630755 EUMW jtl: Journal of Trauma & Acute Care Surgery issn: 21630755 maglogo: N pubinfo: dt: 2020 Supplement vid: 89 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 146759467 146759467 NLM32068719 146759467 10.1097/TA.0000000000002623 NLM32068719 146759467 ppf: 192 ppct: 8 formats: tig: atl: Predictors of swallowing outcomes in patients with combat-injury related dysphagia. aug: au: Solomon, Nancy Pearl Dietsch, Angela M. Dietrich-Burns, Katie affil: Walter Reed National Military Medical Center, Bethesda, MD. sug: subj: Maxillofacial Injuries Complications Deglutition Disorders Etiology Military Personnel Deglutition Retrospective Design Resource Databases United States Human Speech Disorders Etiology Probability Analysis of Variance Young Adult Speech Disorders Therapy Deglutition Disorders Treatment Outcomes Military Medicine Adult Middle Age Validation Studies Comparative Studies Evaluation Research Multicenter Studies Adult: 19-44 years Middle Aged: 45-64 years ab: Background: Traumatic injuries, such as those from combat-related activities, can lead to complicated clinical presentations that may include dysphagia.Methods: This retrospective observational database study captured dysphagia-related information for 215 US military service members admitted to the first stateside military treatment facility after sustaining combat-related or combat-like traumatic injuries. A multidimensional relational database was developed to document the nature, course, and management for dysphagia in this unique population and to explore variables predictive of swallowing recovery using Bayesian statistical modeling and inferential statistical methods.Results: Bayesian statistical modeling revealed the importance of maxillofacial fractures and soft tissue loss as primary predictors of poor swallowing outcomes. The presence of traumatic brain injury (TBI), though common, did not further complicate dysphagia outcomes. A more detailed examination and rating of videofluoroscopic swallow studies from a subset of 161 participants supported greater impairment for participants with maxillofacial trauma and no apparent relationship between having sustained a TBI and swallow functioning.Conclusion: These analyses revealed that maxillofacial trauma is a stronger indicator than TBI of dysphagia severity and slower or incomplete recovery following combat-related injuries.Level Of Evidence: Therapeutic/Care Management study, level IV. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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