[Dysphagia] Logemann Robbins results

[eripley at yahoo.com (Irene Campbell-Taylor)]

For those who have difficulty with the links, the following is taken from the original presentation at ASHA 2006:

 Major Findings
  Long term results show that despite differential effect of interventions on immediate elimination of aspiration in videofluoroscopic suite (Part I findings)

the 3-month incidence of pneumonia was similar for chin down posture compared to thickened liquids
   
   ( This, of course, emphasises again that what is seen on VFSS is not necessarily what happens in real life.)
   
  Adverse Events  Hospitalization
  Dehydration
   (Presumably hospitalization for pneumonia and/or effects of dehydration.)
     Dehydration  No difference in measured parameters  Subset: n=16
  Serum osmolality
  Sodium
  BUN (mg/dL)
  Serum creatine (mg/dL)
  Defined by primary physician
  Was more frequent in thickened liquid arms (6% vs. 2%, p<0.05) 

Current Clinical Notion
  ?The thicker the liquid, the safer the swallow?
  *Not true in patients who aspirate thick liquids ? worse health outcomes
   
   
   


Dr I Campbell-Taylor
Clinical Neuroscientist
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