ClinicalPediatric Eating Assessment Tool-10 as an indicator to predict aspiration in children with esophageal atresia☆
Section snippets
Patients and methods
Patients operated for EA were evaluated for age, sex, weight (percentiles validated for Turkish children), type of atresia, presence of associated anomalies, type of esophageal repair, time to definitive treatment and the beginning of oral feeding. The study was carried out in collaboration with Department of Pediatric Surgery and Center for Swallowing Disorders of Hacettepe University. Patients who admitted to our center for the last year were included. Children younger than one- year of age,
Results
Forty patients were included in this study. Children with penetration-aspiration in VFS (PAS > 7) were assessed as the PAS + group (n = 9), and patients with PAS < 7 were included in the PAS- group (n = 31). Demographic features and results of surgical treatment showed no difference between PAS + and PAS- groups (p > 0.05) (Table 5). Fourteen patients had associated anomalies (33% of PAS + and 35% of PAS- patients). Ten patients had cardiac anomalies, three of them had genitourinary anomalies, and one
Discussion
In this study we found that pEAT-10 is validated and simple assessment tool to predict airway aspiration in children with EA. It is also useful to define which patients need further investigations for respiratory problems. Respiratory problems after EA repair are very common and constitute 44% of all hospital admission rates for children [10]. Respiratory complications are related with GERD, aspiration, tracheomalacia, recurrent TEF and esophageal strictures [11]. Aspiration of airways is
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Cross-sectional study.