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Temporal Trends of Pediatric Dysphagia in Hospitalized Patients

Joshua Horton1, Carlyn Atwood2, Sharon Gnagi3

  • 1Department of Otolaryngology - Head and Neck Surgery, Medical University of South, 135 Rutledge Ave, MSC 550, Charleston, SC, 29425, USA. hortojos@musc.edu.

Dysphagia
|February 22, 2018
PubMed

Insights

Pediatric dysphagia diagnoses in hospitalized children have significantly increased from 1997 to 2012, especially in premature and low-birthweight infants. This trend highlights a growing concern requiring further research into diagnostic and treatment methods.

Area of Science:

  • Pediatric Healthcare
  • Gastroenterology
  • Epidemiology

Background:

  • Dysphagia, or difficulty swallowing, presents a significant challenge in pediatric healthcare.
  • Understanding temporal trends in dysphagia diagnoses is crucial for resource allocation and patient care planning.

Purpose of the Study:

  • To determine the temporal trends of dysphagia diagnoses among hospitalized children in the United States.
  • To investigate the specific trends of dysphagia in vulnerable pediatric populations, including premature and low-birthweight infants.

Main Methods:

  • Retrospective observational study utilizing the Kids' Inpatient Database (KID) from 1997 to 2012.
  • Analysis of weighted hospitalizations to calculate triennial rates of dysphagia diagnoses.
  • Secondary analysis focused on dysphagia rates in premature and low-birthweight infants.

Main Results:

  • Dysphagia diagnoses in hospitalized children increased from 0.08% in 1997 to 0.41% in 2012.
  • The proportion of dysphagia diagnoses in premature neonates rose from 1.7% in 2003 to 3.7% in 2012.
  • Dysphagia diagnoses in low-birthweight children increased from 0.8% in 1997 to 2.8% in 2012.

Conclusions:

  • National rates of pediatric dysphagia are increasing, with a notable rise in premature and low-birthweight infants.
  • The observed increase may be associated with concurrent neuroanatomic abnormalities.
  • Further research is needed to evaluate the comparative efficacy of diagnostic and treatment modalities for pediatric dysphagia.

Keywords:
DysphagiaLow birthweightPrematurity

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