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Risks associated with suspected dysphagia in NICU-admitted infants in a South African public hospital : a retrospective study
Dissertation (M Communication Pathology)--University of Pretoria, 2016.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2017
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| _version_ | 1867613715027722240 |
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| access_status_str | Open Access |
| author2 | Kritzinger, Alta M. (Aletta Margaretha) |
| author_browse | Kritzinger, Alta M. (Aletta Margaretha) |
| author_facet | Kritzinger, Alta M. (Aletta Margaretha) |
| collection | Thesis |
| dc_rights_str_mv | © 2017 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (M Communication Pathology)--University of Pretoria, 2016. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/60419 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:40:32.922Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/60419 Risks associated with suspected dysphagia in NICU-admitted infants in a South African public hospital : a retrospective study Kritzinger, Alta M. (Aletta Margaretha) jacolineschoeman2@gmail.com Schoeman, Jacoline Feeding difficulties Neonatal dysphagia Paediatric dysphagia Public hospital UCTD Dissertation (M Communication Pathology)--University of Pretoria, 2016. Background: The prevalence of neonatal dysphagia is increasing, as medical advances contribute to the survival of critically ill and preterm infants. Additional factors such as low birth weight (LBW), gastroesoephageal reflux disorder (GERD), failure to thrive (FTT) and exposure to HIV may increase the complexity of dysphagia symptoms. Knowledge of context-specific risk factors for dysphagia in the neonatal intensive care unit (NICU) may lead to an effective pathway of diagnosis and management in vulnerable neonates. Objective: The objective was to describe the feeding characteristics and categories of underlying medical conditions in 24 to 42 week gestational age infants while still in the NICU and who were referred for feeding and swallowing assessment. Method: The study was a retrospective investigation of 231 purposively selected medical and speech-language therapy records. Participants had a mean stay of 28.5 days in the NICU of a peri-urban public hospital and all had feeding concerns. An existing seven-category framework for the classification of suspected dysphagia was used. Results: Feeding characteristics of the participants demonstrated that 65.0% had previous enteral tube (NGT/OGT) feeding, and only 15.6% were referred for instrumental assessments such as a VFSS by doctors or speech-language therapists (SLTs). The majority of participants used a mixed manner of feeding such as cup and breastfeeding, or cup and syringe feeding. Only 29.7% of participants was able to breastfeed exclusively which was an indication of feeding difficulties as the hospital where the study was conducted promotes exclusive breastfeeding. Results indicated that the majority of participants (90.04%) presented with multiple medical conditions. Underlying neurological conditions (48.48%) and feeding difficulties secondary to systemic illness (65.80%) contributed mostly to suspected dysphagia in the sample. It was found that 70.99% of infants presented with feeding difficulties secondary to other conditions such as LBW and prematurity, highlighting the need for an expanded dysphagia classification framework. Conclusion: The results are in agreement with the outcomes of previous research and confirm the need for a unique classification framework for dysphagia in South Africa. Neonatal dysphagia is a complex condition and frequently associated with multiple risk factors. Speech-Language Pathology and Audiology MCommunication Pathology Unrestricted 2017-05-12T11:38:57Z 2017-05-12T11:38:57Z 2017-04-24 2016 Dissertation Schoeman, J 2016, Risks associated with suspected dysphagia in NICU-admitted infants in a South African public hospital : a retrospective study, M Communication Pathology Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/60419> A2017 http://hdl.handle.net/2263/60419 en © 2017 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | Feeding difficulties Neonatal dysphagia Paediatric dysphagia Public hospital UCTD Risks associated with suspected dysphagia in NICU-admitted infants in a South African public hospital : a retrospective study |
| title | Risks associated with suspected dysphagia in NICU-admitted infants in a South African public hospital : a retrospective study |
| title_full | Risks associated with suspected dysphagia in NICU-admitted infants in a South African public hospital : a retrospective study |
| title_fullStr | Risks associated with suspected dysphagia in NICU-admitted infants in a South African public hospital : a retrospective study |
| title_full_unstemmed | Risks associated with suspected dysphagia in NICU-admitted infants in a South African public hospital : a retrospective study |
| title_short | Risks associated with suspected dysphagia in NICU-admitted infants in a South African public hospital : a retrospective study |
| title_sort | risks associated with suspected dysphagia in nicu admitted infants in a south african public hospital a retrospective study |
| topic | Feeding difficulties Neonatal dysphagia Paediatric dysphagia Public hospital UCTD |
| url | http://hdl.handle.net/2263/60419 |