American journal of otolaryngology · 2026
Predictors of feeding management changes following supraglottoplasty in infants.
СтатьяНазвание и аннотация: Перевод в очереди
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Hahn Michael, Hunter Courtney, Pearce Alexa, Nguyen Kenny, Wineland Andre' M
Аннотация
OBJECTIVE: To evaluate factors associated with inpatient swallowing management changes following supraglottoplasty in infants and to assess postoperative swallowing trajectories using IDDSI levels.
DESIGN: Retrospective cohort study.
SETTING: Single tertiary pediatric center.
PARTICIPANTS: Infants (<12 months) undergoing supraglottoplasty between 2017 and 2024.
EXPOSURES: Neuro/syndromic diagnosis, prematurity, airway findings, and perioperative factors.
MAIN OUTCOMES AND MEASURES: Primary outcome was SLP-recommended change in feeding/swallowing management (e.g., IDDSI level modification, thickening, pacing, or NPO status). Secondary outcomes included IDDSI level transitions over time.
RESULTS: Of 132 patients, 68 (52%) received inpatient SLP evaluation; 15/68 (22%) required feeding plan modification. Neuro/syndromic diagnosis was associated with increased odds of inpatient feeding modification (OR 5.94, 95% CI 1.38-25.33; p = 0.039). Most patients demonstrated stable or improved IDDSI levels over time.
CONCLUSIONS: Inpatient SLP evaluation frequently alters feeding management in high-risk infants following supraglottoplasty. These findings support a risk-stratified rather than universal consultation strategy.
DESIGN: Retrospective cohort study.
SETTING: Single tertiary pediatric center.
PARTICIPANTS: Infants (<12 months) undergoing supraglottoplasty between 2017 and 2024.
EXPOSURES: Neuro/syndromic diagnosis, prematurity, airway findings, and perioperative factors.
MAIN OUTCOMES AND MEASURES: Primary outcome was SLP-recommended change in feeding/swallowing management (e.g., IDDSI level modification, thickening, pacing, or NPO status). Secondary outcomes included IDDSI level transitions over time.
RESULTS: Of 132 patients, 68 (52%) received inpatient SLP evaluation; 15/68 (22%) required feeding plan modification. Neuro/syndromic diagnosis was associated with increased odds of inpatient feeding modification (OR 5.94, 95% CI 1.38-25.33; p = 0.039). Most patients demonstrated stable or improved IDDSI levels over time.
CONCLUSIONS: Inpatient SLP evaluation frequently alters feeding management in high-risk infants following supraglottoplasty. These findings support a risk-stratified rather than universal consultation strategy.