Dysphagia and Speech-Language Pathology Involvement Following Chemical Ingestion Injury: A Review of 44 Cases Admitted to a Quaternary Australian Hospital (2008–2012) Purpose This study aimed to explore the clinical characteristics of an adult chemical ingestion population and examine the course of return to oral intake post injury and speech-language pathologist (SLP) involvement during the initial acute-care admission. Method A retrospective chart review of adults admitted to a quaternary hospital ... Research Article
Newly Published
Research Article  |   August 11, 2017
Dysphagia and Speech-Language Pathology Involvement Following Chemical Ingestion Injury: A Review of 44 Cases Admitted to a Quaternary Australian Hospital (2008–2012)
 
Author Affiliations & Notes
  • Anna F. Rumbach
    School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
  • Rebecca Cremer
    Speech Pathology Department, Royal Brisbane and Women's Hospital, Metro North Hospital Health Service, Queensland Health, Brisbane. Australia
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Anna Rumbach: a.rumbach@uq.edu.au
  • Editor: Krista Wilkinson
    Editor: Krista Wilkinson×
  • Associate Editor: Julie Barkmeier-Kraemer
    Associate Editor: Julie Barkmeier-Kraemer×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Healthcare Settings / Newly Published / Research Article
Research Article   |   August 11, 2017
Dysphagia and Speech-Language Pathology Involvement Following Chemical Ingestion Injury: A Review of 44 Cases Admitted to a Quaternary Australian Hospital (2008–2012)
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2017_AJSLP-16-0075
History: Received May 10, 2016 , Revised September 18, 2016 , Accepted April 13, 2017
 
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2017_AJSLP-16-0075
History: Received May 10, 2016; Revised September 18, 2016; Accepted April 13, 2017

Purpose This study aimed to explore the clinical characteristics of an adult chemical ingestion population and examine the course of return to oral intake post injury and speech-language pathologist (SLP) involvement during the initial acute-care admission.

Method A retrospective chart review of adults admitted to a quaternary hospital for the treatment of an acute chemical ingestion injury between 2008 and 2012 was conducted.

Results Forty-four adults (23 men, 21 women) were identified as receiving treatment for ingestion injury, of whom 18 (40.91%) required altered oral intake. Of those requiring altered oral intake, 50% were referred to SLPs. Individuals requiring altered oral intake were significantly (p < .05) older, more likely to be men, and present with more severe injuries requiring longer ICU and hospital admissions following intentional chemical ingestions than those who were able to commence a normal oral diet without any alteration or nonoral supplementation. By discharge, 15.91% (n = 7) of the total cohort had not resumed normal oral intake.

Conclusions Return to oral intake post chemical ingestion injury can be protracted and complex. Referrals to SLPs were limited. These data may aid prognostic insight as well as provide (a) collateral information to assist discharge planning and follow-up and (b) background for evaluating the potential for SLP involvement.

Acknowledgments
The authors would like to thank Miss Rebecca Brett for her assistance with data analysis. The current study received ethical clearance from the Royal Brisbane and Women's Hospital and The University of Queensland Human Research Ethics Committees.
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