Development of a Multidisciplinary Aerodigestive Program: An Institutional Experience
We share our experience on the implementation of a multidisciplinary aerodigestive program comprising an aerodigestive team (ADT) so as to evaluate its feasibility. We performed a retrospective chart review of the patients discussed at the monthly ADT meetings and analyzed the data. A total of 98 ch...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-06-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/7/535 |
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| author | Seung Kim Mireu Park Eunyoung Kim Ga Eun Kim Jae Hwa Jung Soo Yeon Kim Min Jung Kim Da Hee Kim Sowon Park Hong Koh In Geol Ho Seung Ki Kim Sangwon Hwang Kyeong Hun Shin Hosun Lee Bobae Lee Hyeyeon Lee Minhwa Park Myung Hyun Sohn Dong-wook Rha Kyung Won Kim |
| author_facet | Seung Kim Mireu Park Eunyoung Kim Ga Eun Kim Jae Hwa Jung Soo Yeon Kim Min Jung Kim Da Hee Kim Sowon Park Hong Koh In Geol Ho Seung Ki Kim Sangwon Hwang Kyeong Hun Shin Hosun Lee Bobae Lee Hyeyeon Lee Minhwa Park Myung Hyun Sohn Dong-wook Rha Kyung Won Kim |
| author_sort | Seung Kim |
| collection | DOAJ |
| description | We share our experience on the implementation of a multidisciplinary aerodigestive program comprising an aerodigestive team (ADT) so as to evaluate its feasibility. We performed a retrospective chart review of the patients discussed at the monthly ADT meetings and analyzed the data. A total of 98 children were referred to the ADT during the study period. The number of cases increased steadily from 3.5 cases per month in 2019 to 8.5 cases per month in 2020. The median age of patients was 34.5 months, and 55% were male. Among the chronic comorbidities, neurologic disease was the most common (85%), followed by respiratory (36%) and cardiac (13%) disorders. The common reasons for consultation were suspected aspiration (56%), respiratory difficulty (44%), drooling/stertor (30%), regurgitation/vomiting (18%), and feeding/swallowing difficulty (17%). Following discussions, 58 patients received active interventions, including fundoplication, gastrostomy, laryngomicrosurgery, tracheostomy, and primary dilatation of the airway. According to the questionnaire of the caregiver, the majority agreed that the main symptoms and quality of life of patients had improved (88%), reducing the burden on caregivers (77%). Aerodigestive programs may provide comprehensive and multidisciplinary management for children with complex airway and digestive tract disorders. |
| first_indexed | 2024-03-10T10:07:04Z |
| format | Article |
| id | doaj.art-f5e8052f82c64f22b51df84ec75fdd85 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T10:07:04Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-f5e8052f82c64f22b51df84ec75fdd852023-11-22T01:27:59ZengMDPI AGChildren2227-90672021-06-018753510.3390/children8070535Development of a Multidisciplinary Aerodigestive Program: An Institutional ExperienceSeung Kim0Mireu Park1Eunyoung Kim2Ga Eun Kim3Jae Hwa Jung4Soo Yeon Kim5Min Jung Kim6Da Hee Kim7Sowon Park8Hong Koh9In Geol Ho10Seung Ki Kim11Sangwon Hwang12Kyeong Hun Shin13Hosun Lee14Bobae Lee15Hyeyeon Lee16Minhwa Park17Myung Hyun Sohn18Dong-wook Rha19Kyung Won Kim20Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Yonsei University College of Medicine, Severance Children’s Hospital, Seoul 03722, KoreaDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Severance Biomedical Science Institute, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Nursing, Severance Children Hospital, Yonsei University Health System, Seoul 03722, KoreaDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Severance Biomedical Science Institute, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Severance Biomedical Science Institute, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Severance Biomedical Science Institute, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Severance Biomedical Science Institute, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Otorhinolaryngology, Yonsei University College of Medicine, Seoul 03722, KoreaDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Yonsei University College of Medicine, Severance Children’s Hospital, Seoul 03722, KoreaDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Yonsei University College of Medicine, Severance Children’s Hospital, Seoul 03722, KoreaDepartment of Pediatric Surgery, Severance Children’s Hospital, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Rehabilitation Medicine, Yongin Severance Hospital, Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Nutrition Care, Severance Hospital, Yonsei University Health System, Seoul 03722, KoreaDepartment of Nutrition Care, Severance Hospital, Yonsei University Health System, Seoul 03722, KoreaDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Yonsei University College of Medicine, Severance Children’s Hospital, Seoul 03722, KoreaDepartment of Pediatric Occupational Therapy, Severance Rehabilitation Hospital, Yonsei University Health System, Seoul 03722, KoreaDepartment of Pediatric Occupational Therapy, Severance Rehabilitation Hospital, Yonsei University Health System, Seoul 03722, KoreaDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Severance Biomedical Science Institute, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Severance Biomedical Science Institute, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul 03722, KoreaWe share our experience on the implementation of a multidisciplinary aerodigestive program comprising an aerodigestive team (ADT) so as to evaluate its feasibility. We performed a retrospective chart review of the patients discussed at the monthly ADT meetings and analyzed the data. A total of 98 children were referred to the ADT during the study period. The number of cases increased steadily from 3.5 cases per month in 2019 to 8.5 cases per month in 2020. The median age of patients was 34.5 months, and 55% were male. Among the chronic comorbidities, neurologic disease was the most common (85%), followed by respiratory (36%) and cardiac (13%) disorders. The common reasons for consultation were suspected aspiration (56%), respiratory difficulty (44%), drooling/stertor (30%), regurgitation/vomiting (18%), and feeding/swallowing difficulty (17%). Following discussions, 58 patients received active interventions, including fundoplication, gastrostomy, laryngomicrosurgery, tracheostomy, and primary dilatation of the airway. According to the questionnaire of the caregiver, the majority agreed that the main symptoms and quality of life of patients had improved (88%), reducing the burden on caregivers (77%). Aerodigestive programs may provide comprehensive and multidisciplinary management for children with complex airway and digestive tract disorders.https://www.mdpi.com/2227-9067/8/7/535aerodigestive teamchildrenfeedingmultidisciplinary carepediatricrespiratory difficulty |
| spellingShingle | Seung Kim Mireu Park Eunyoung Kim Ga Eun Kim Jae Hwa Jung Soo Yeon Kim Min Jung Kim Da Hee Kim Sowon Park Hong Koh In Geol Ho Seung Ki Kim Sangwon Hwang Kyeong Hun Shin Hosun Lee Bobae Lee Hyeyeon Lee Minhwa Park Myung Hyun Sohn Dong-wook Rha Kyung Won Kim Development of a Multidisciplinary Aerodigestive Program: An Institutional Experience Children aerodigestive team children feeding multidisciplinary care pediatric respiratory difficulty |
| title | Development of a Multidisciplinary Aerodigestive Program: An Institutional Experience |
| title_full | Development of a Multidisciplinary Aerodigestive Program: An Institutional Experience |
| title_fullStr | Development of a Multidisciplinary Aerodigestive Program: An Institutional Experience |
| title_full_unstemmed | Development of a Multidisciplinary Aerodigestive Program: An Institutional Experience |
| title_short | Development of a Multidisciplinary Aerodigestive Program: An Institutional Experience |
| title_sort | development of a multidisciplinary aerodigestive program an institutional experience |
| topic | aerodigestive team children feeding multidisciplinary care pediatric respiratory difficulty |
| url | https://www.mdpi.com/2227-9067/8/7/535 |
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