Silent aspiration: Who is at risk?

  • Velayutham P
  • Irace A
  • Kawai K
 et al. 
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OBJECTIVE To determine the prevalence of silent aspiration in pediatric patients and identify which diagnoses may be associated with this finding. METHODS An institutional review board-approved retrospective review was conducted for all patients under the age of 18 who underwent modified barium swallow (MBS) studies at a tertiary children's hospital in 2015. Speech-language pathologists reviewed MBS studies to identify aspiration/silent aspiration on each fluid consistency tested. Charts were reviewed to collect demographic information and the otolaryngologic, neurologic, genetic, and syndromic diagnoses of each patient. RESULTS Among 1,286 patients who underwent MBS, 440 (34%) demonstrated aspiration. Within the aspiration group, 393 (89%) specifically demonstrated silent aspiration. Thin fluids were silently aspirated in 81% of these patients. Of children aged

Author-supplied keywords

  • Aspiration
  • Dysphagia
  • Modified barium swallow study
  • Silent aspiration

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  • Priatharisiny Velayutham

  • Alexandria L. Irace

  • Kosuke Kawai

  • Pamela Dodrill

  • Jennifer Perez

  • Monica Londahl

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