[Dysphagia] Nectar vs honey

[pressmah at sjhmc.org (Pressman, Hilda)]

You are correct that those on honey thick liquids had a longer stay in the hospital - 3x that aof others.  There was no greater incidence of pneumonia  Hilda Pressman

-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com]On Behalf Of Kate Krival
Sent: Friday, June 15, 2007 2:37 PM
To: dysphagia at b9.com
Subject: Re: [Dysphagia] Nectar vs honey


Hi, Irene,

I don't have the study in front of me, but (someone please correct me if I
have this wrong) I believe this (longer hospital stays and increased
incidence of pneumonia) was true only in those patients who were observed to
aspirate honey-like viscosities on VFSS, and not in those who did not
aspirate on them. I don't think it was true of the entire group randomized
to honey-thick liquids as their intervention. Anyone know for sure? Also,
this was a VERY thick (3000cP or something) "honey".

I don't have any interest in entering the "should we or should we not serve
thickened liquids" debate.  Just figured that as long as we are discussing
this literature it might benefit us, as you point out, to keep its findings
in perspective by knowing as precisely as possible what they are. I keep
hearing dribs and drabs of the Protocol 201 findings discussed out of
context, and I think I'll have to go back to the papers to make sure I have
it straight!

Best,

Kate Krival

On 6/15/07, Irene Campbell-Taylor <eripley at yahoo.com> wrote:
>
> Since I never use thickened fluids I must confess to not having paid much
> attention to the various labela used. Reading the Logemann et al study on
> thickeners and chin down it appears that the thicker consistency (honey) was
> associated with a twofold increase in pneumonia. Is this correct - that the
> thicker consistency is honey and this was associated with increased
> respiratory dysfunction? One can't say that it "caused" pneumonia because
> there are insufficent data to support such a conclusion. The authors state
> that "It is likely that the increased pneumonia in the patients who remained
> on honey-thickened liquids for three months resulted from the reduced
> ability of the chest's ciliary action to clear thicker material from the
> lungs" that would seem to encourage the use of plain water instead.
>
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
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-- 
Kate Krival M.S. CCC-SLP
Doctoral Candidate
Communication Sciences and Disorders
University of Cincinnati
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