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espace at MMU > Faculties > Faculty of Health, Psychology and Social Care > Continuing Professional Development and Postgraduate Studies  > Predictors of asphyxiation risk in adults with intellectual disabilities and dysphagia

Please use this identifier to cite or link to this item: http://hdl.handle.net/2173/84223
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Title: Predictors of asphyxiation risk in adults with intellectual disabilities and dysphagia
Authors: Chadwick, Darren D.
Samuels, Rachel
Citation: Journal of intellectual disability research, 2006, vol. 50, no. 5, pp. 362-370
Publisher: Wiley-Blackwell
Issue Date: May-2006
URI: http://hdl.handle.net/2173/84223
DOI: 10.1111/j.1365-2788.2005.00784.x
Additional Links: http://www.wiley.com/bw/journal.asp?ref=0964-2633
Abstract: Background: Adults with learning disabilities referred for assessment of their eating and drinking are frequently reported to cough and choke when eating and drinking. The research literature investigating dysphagia has often overlooked asphyxiation risk, highlighting coughing and choking as indicators of aspiration only. This is a notable oversight due to the prevalence of asphyxia as a cause of mortality in this population. Aim: This study aims to identify the physiological and environmental factors that predict asphyxiation risk in adults with intellectual disabilities and dysphagia. Method: Data were collected from dysphagia-trained speech and language therapists (SLTs) working with the participant adults with intellectual disabilities and dysphagia. The SLTs used case notes, clinical assessment and videofluoroscopic assessment reports to gather the data. Results: Speed of eating, cramming food and premature loss of the bolus into the pharynx were identified as significant predictors of asphyxiation risk in this population. Conclusions: The findings highlight the importance of maladaptive eating strategies in exacerbating the risk of asphyxiation and choking. These factors should be considered in the assessment of asphyxiation and choking risk and management. Finally, the need for joint assessment and management with other members of the multidisciplinary team is advocated.
Type: Article
Language: en
Description: R. Samuels and D. D. Chadwick. Predictors of asphyxiation risk in adults with intellectual disabilities and dysphagia. Journal of intellectual disability research, 2006, vol. 50, no. 5, pp. 362-370. Published by and copyright Wiley-Blackwell Publishing. The definitive version of this article is available from http://www.blackwell-synergy.com/
Keywords: Asphyxia
Choking
Dysphagia
Eating
Intellectual disability
Swallowing
ISSN: 0964-2633
1365-2788
Appears in Collections: Continuing Professional Development and Postgraduate Studies

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