Evaluation of Swallowing in Infants with Congenital Heart Defect

Karine da Rosa Pereira; Cora Firpo; Marisa Gasparin; Adriane Ribeiro Teixeira; Silvia Dornelles; Tzvi Bacaltchuk; Deborah Salle Levy

doi:10.1055/s-0034-1384687

International Archives of Otorhinolaryngology, Inhaltsverzeichnis

Int Arch Otorhinolaryngol 2015; 19(01): 055-060
DOI: 10.1055/s-0034-1384687

Original Research

Thieme Publicações Ltda Rio de Janeiro, Brazil

Evaluation of Swallowing in Infants with Congenital Heart Defect

Authors

Karine da Rosa Pereira

¹Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Cora Firpo

²Department of Paediatric Cardiology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Marisa Gasparin

³Department of Speech Pathology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Adriane Ribeiro Teixeira

¹Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Silvia Dornelles

¹Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Tzvi Bacaltchuk

²Department of Paediatric Cardiology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Deborah Salle Levy

¹Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

Abstract

Introduction Surgical repair of congenital heart disease in the first years of life compromises the coordination of the suction, breathing, and swallowing functions.

Objective To describe the alterations in swallowing found in infants with congenital heart defect during their hospitalization.

Methods Prospective, cross-sectional study in a reference hospital for heart disease. The sample consisted of 19 postsurgical patients who underwent an evaluation of swallowing. The infants included were younger than 7 months and had a diagnosis of congenital heart defect and suspected swallowing difficulties.

Results Of the 19 infants with congenital heart defect, the median age was 3.2 months. A significant association was found between suction rhythm and dysphagia (p = 0.036) and between oral-motor oral feeding readiness and dysphagia (p = 0.014).

Conclusions The data suggest that dysphagia often occurs after surgery in infants with congenital heart defect. Infants with congenital heart defect had very similar behavior to preterm infants in terms of oral feeding readiness.

Keywords

congenital heart - defects - infant - deglutition disorders - respiratory aspiration - speech - language and hearing sciences

Volltext

Referenzen

References
1 Teixeira FM, Coelho RM, Proença C , et al. Quality of life experienced by adolescents and young adults with congenital heart disease. Pediatr Cardiol 2011; 32 (8) 1132-1138
2 van der Linde D, Konings EE, Slager MA , et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol 2011; 58 (21) 2241-2247
3 Gerdes M, Flynn T. Clinical assessment of neurobehavioral outcomes in infants and children with congenital heart disease. Progress in Pediatr Cardiol 2010; 29 (2) 97-105
4 Bruneau BG. The developmental genetics of congenital heart disease. Nature 2008; 451 (7181) 943-948
5 Medoff-Cooper B, Naim M, Torowicz D, Mott A. Feeding, growth, and nutrition in children with congenitally malformed hearts. Cardiol Young 2010; 20 (3) (Suppl. 03) 149-153
6 Sables-Baus S, Kaufman J, Cook P, da Cruz EM. Oral feeding outcomes in neonates with congenital cardiac disease undergoing cardiac surgery. Cardiol Young 2012; 22 (1) 42-48
7 Delaney AL, Arvedson JC. Development of swallowing and feeding: prenatal through first year of life. Dev Disabil Res Rev 2008; 14 (2) 105-117
8 Newman LA, Keckley C, Petersen MC, Hamner A. Swallowing function and medical diagnoses in infants suspected of dysphagia. Pediatrics 2001; 108 (6) E106
9 Weckmueller J, Easterling C, Arvedson J. Preliminary temporal measurement analysis of normal oropharyngeal swallowing in infants and young children. Dysphagia 2011; 26 (2) 135-143
10 Silberstein D, Geva R, Feldman R , et al. The transition to oral feeding in low-risk premature infants: relation to infant neurobehavioral functioning and mother-infant feeding interaction. Early Hum Dev 2009; 85 (3) 157-162
11 Jadcherla SR, Vijayapal AS, Leuthner S. Feeding abilities in neonates with congenital heart disease: a retrospective study. J Perinatol 2009; 29 (2) 112-118
12 Woodward CS. Keeping children with congenital heart disease healthy. J Pediatr Health Care 2011; 25 (6) 373-378
13 Arvedson JC. Assessment of pediatric dysphagia and feeding disorders: clinical and instrumental approaches. Dev Disabil Res Rev 2008; 14 (2) 118-127
14 Arvedson J, Clark H, Lazarus C, Schooling T, Frymark T. The effects of oral-motor exercises on swallowing in children: an evidence-based systematic review. Dev Med Child Neurol 2010; 52 (11) 1000-1013
15 Sitton M, Arvedson J, Visotcky A , et al. Fiberoptic endoscopic evaluation of swallowing in children: feeding outcomes related to diagnostic groups and endoscopic findings. Int J Pediatr Otorhinolaryngol 2011; 75 (8) 1024-1031
16 Heiss CJ, Goldberg L, Dzarnoski M. Registered dietitians and speech-language pathologists: an important partnership in dysphagia management. J Am Diet Assoc 2010; 110 (9) 1290 , 1292–1293
17 Hongama S, Nagao K, Toko S , et al. MI sensor-aided screening system for assessing swallowing dysfunction: application to the repetitive saliva-swallowing test. J Prosthodont Res 2012; 56 (1) 53-57
18 Hewetson R, Singh S. The lived experience of mothers of children with chronic feeding and/or swallowing difficulties. Dysphagia 2009; 24 (3) 322-332
19 Christiaanse ME, Mabe B, Russell G, Simeone TL, Fortunato J, Rubin B. Neuromuscular electrical stimulation is no more effective than usual care for the treatment of primary dysphagia in children. Pediatr Pulmonol 2011; 46 (6) 559-565
20 Fujinaga CI, Scochi CGS, Santos CB , et al. Validação do conteúdo de um instrumento para avaliação da prontidão do prematuro para início da alimentação oral. Rev Bras Saude Mater Infant 2008; 8 (4) 391-399
21 Weir K, McMahon S, Barry L, Masters IB, Chang AB. Clinical signs and symptoms of oropharyngeal aspiration and dysphagia in children. Eur Respir J 2009; 33 (3) 604-611
22 Fujinaga CI, de Moraes SA, Zamberlan-Amorim NE, Castral TC, de Almeida e Silva A, Scochi CG. Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale. Rev Lat Am Enfermagem 2013; 21 (Spec No) 140-145
23 Mizuno K, Ueda A. The maturation and coordination of sucking, swallowing, and respiration in preterm infants. J Pediatr 2003; 142 (1) 36-40
24 Brown CV, Hejl K, Mandaville AD, Chaney PE, Stevenson G, Smith C. Swallowing dysfunction after mechanical ventilation in trauma patients. J Crit Care 2011; 26 (1) e9-e13
25 Bordon A, Bokhari R, Sperry J, Testa IV D, Feinstein A, Ghaemmaghami V. Swallowing dysfunction after prolonged intubation: analysis of risk factors in trauma patients. Am J Surg 2011; 202 (6) 679-682 , discussion 682–683
26 Tutor JD, Gosa MM. Dysphagia and aspiration in children. Pediatr Pulmonol 2012; 47 (4) 321-337
27 Kohr LM, Dargan M, Hague A , et al. The incidence of dysphagia in pediatric patients after open heart procedures with transesophageal echocardiography. Ann Thorac Surg 2003; 76 (5) 1450-1456
28 Sachdeva R, Hussain E, Moss MM , et al. Vocal cord dysfunction and feeding difficulties after pediatric cardiovascular surgery. J Pediatr 2007; 151 (3) 312-315 , e1–e2
29 Yi SH, Kim SJ, Huh J, Jun TG, Cheon HJ, Kwon JY. Dysphagia in infants after open heart procedures. Am J Phys Med Rehabil 2013; 92 (6) 496-503
30 Medoff-Cooper B, Irving SY. Innovative strategies for feeding and nutrition in infants with congenitally malformed hearts. Cardiol Young 2009; 19 (Suppl. 02) 90-95
31 Maurer I, Latal B, Geissmann H, Knirsch W, Bauersfeld U, Balmer C. Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease. Cardiol Young 2011; 21 (3) 303-309