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Temporal Trends of Pediatric Dysphagia in Hospitalized Patients

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Abstract

The objective of this study was to determine temporal trends of dysphagia diagnoses in hospitalized children. This is a retrospective observational study from the 1997–2012 Kids’ Inpatient Database (KID) conducted in the setting of weighted hospitalizations in a KID participating center. More than 6 million pediatric admissions were captured in each triennial KID report. Main outcomes included triennial rates of dysphagia diagnosis in hospitalized pediatric patients, and secondary outcomes included rates of dysphagia in premature and low-birthweight infants. Dysphagia diagnoses were coded in 5107/6607653 (0.08%) of these admissions in 1997, rising to 27,464/6,675,222 (0.41%) in 2012 (p < 0.001). The portion of these diagnoses in premature neonates has been increasing over time from 162/9551 (1.7%) in 2003 to 1027/27,464 (3.7%) by 2012 (p < 0.001). Similarly, low-birthweight children constituted 40/5107 (0.8%) of dysphagia diagnoses in 1997, a number that increased to 762/27,464 (2.8%) in 2012. Rates of dysphagia are increasing nationally, particularly in premature and low-birthweight infants, which may represent an increase alongside other neuroanatomic abnormalities. This growing problem illustrates the need for better data on the comparative efficacy of diagnostic and treatment modalities.

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Abbreviations

LBW:

Low birthweight

VLBW:

Very low birthweight

MFM:

Maternal–Fetal medicine

NNIC:

Neonatal intensive care

KID:

Kids’ inpatient database

HCUP:

Healthcare utilization project

ICD-9:

International classification of disease, ninth revision

SPSS:

Statistical package for the social sciences

IQR:

Interquartile range

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Authors and Affiliations

  1. Department of Otolaryngology – Head and Neck Surgery, Medical University of South, 135 Rutledge Ave, MSC 550, Charleston, SC, 29425, USA

    Joshua Horton, Carlyn Atwood & Clarice Clemmens

  2. Division of Otolaryngology – Head and Neck Surgery, Phoenix Children’s Hospital, Phoenix, AZ, USA

    Sharon Gnagi

  3. Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA

    Ronald Teufel

Authors
  1. Joshua Horton
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  2. Carlyn Atwood
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  3. Sharon Gnagi
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  4. Ronald Teufel
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  5. Clarice Clemmens
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Correspondence to Joshua Horton.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Horton, J., Atwood, C., Gnagi, S. et al. Temporal Trends of Pediatric Dysphagia in Hospitalized Patients. Dysphagia 33, 655–661 (2018). https://doi.org/10.1007/s00455-018-9884-9

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  • DOI: https://doi.org/10.1007/s00455-018-9884-9

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