AI Article Synopsis
- The study aimed to determine if having an orogastric tube affects the rate of aspiration and recommendations for oral diets in patients.
- Ten patients, including both pediatric and adults, underwent swallowing evaluations with and without the orogastric tube to measure its impact.
- Results showed no significant difference in aspiration rates with the tube in place, indicating it can safely remain during evaluations and assist with oral feeding.
Article Abstract
Objective: To investigate the effects, if any, of the presence of an orogastric tube on incidence of aspiration and oral diet recommendations.
Study Design: Case series with planned data collection.
Setting: Large, urban, tertiary care teaching hospital.
Subjects And Methods: Referred sample of 10 consecutively enrolled inpatients (2 pediatric, aged 17 days and 3 months, respectively; and 8 adults, mean age 63 years). An orogastric tube was present for the first videofluoroscopic swallowing study or fiberoptic endoscopic evaluation of swallowing and then removed for the second swallow study.
Results: There were no significant differences (P = 1.0) for both overall incidence of aspiration and aspiration by food consistency (liquid or puree) dependent on orogastric tube presence. All 9 participants recommended for an oral diet ate successfully.
Conclusions: An orogastric tube did not affect incidence of aspiration. A videofluoroscopic or endoscopic evaluation of swallowing can be performed with an orogastric tube present, and there is no contraindication to keeping an orogastric tube in place to supplement oral alimentation until prandial nutrition is adequate.
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| http://dx.doi.org/10.1177/0194599810391726 | DOI Listing |
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