PROFILE OF PATIENTS TREATED IN A CHILDREN'S DYSPHAGIA AMBULATORY OF A UNIVERSITY HOSPITAL

Ano: 2013 | Volume: 17 | Número: Suplemento

Autores: Bello JZ, Lemos IO, Kurtz L, Barbosa LR.

Resumo Inglês:

OBJECTIVE: To describe a series of cases treated at a children's ambulatory dysphagia clinic in a pediatric university hospital. CASE REPORT: This retrospective clinical study was conducted by collecting the medical records of patients who attended the speech and therapy ambulatory clinic from March to June 2013 and by performing a descriptive analysis of the data obtained from the records. The data were analyzed in Excel (2007) by using the following variables: age at the initiation of treatment, gender, medical diagnostic hypothesis, and origin. The inclusion criteria were that the patient had attended the dysphagia ambulatory of HCSA and was less than 5 years old. The medium age of the 19 patients treated during the study period was 1 year and 3 months, and 8 of the patients were male and 10 were female; dysphagia was initially suspected in all patients. About 78.9% of the subjects had been hospitalized in pediatric units, 10.5% came from the neonatal ICU, and 10.6% were from pulmonology and gastroenterology departments. Upon referral, 46.6% of patients had exclusive oral feeding, 26.8% had exclusive nasoenteral or gastrostomy alimentation, and 26.6% had tube feeding with an oral complement. CONCLUSION: Speech and therapy attendance should be highlighted for children with dysphagia after hospitalization because it supports procedures such as the diagnostic evaluation, treatment, and management of dysphagia, provides guidance to parents, and encompasses a multidisciplinary team, and is therefore important for hospital care.