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Clinical and demographic data in 75 patients with near-fatal choking episodes

Ekberg, Olle LU and Feinberg, Michael (1992) In Dysphagia 7(4). p.205-208
Abstract
The clinical background and circumstances of 75 patients who had survived a near-fatal choking episode, i.e., had undergone a Heimlich maneuver, oropharyngeal suctioning, or intubation, is reported. Sixty had choked on a solid bolus (often of a complex texture like sandwiches and chicken soup). Four patients had choked on mashed banana. In 30 patients neurologic disease (such as cerebrovascular disease, Parkinson disease, or dementia) was present. Choking occurred during breakfast (16 patients), lunch (21), dinner (26), and snacks (12). Twenty-five choked at home, 18 in nursing homes, 14 in hospitals, nine in restaurants, and nine in drinking establishments. Twelve were being fed at the time of choking. Fifty-eight of the individuals had... (More)
The clinical background and circumstances of 75 patients who had survived a near-fatal choking episode, i.e., had undergone a Heimlich maneuver, oropharyngeal suctioning, or intubation, is reported. Sixty had choked on a solid bolus (often of a complex texture like sandwiches and chicken soup). Four patients had choked on mashed banana. In 30 patients neurologic disease (such as cerebrovascular disease, Parkinson disease, or dementia) was present. Choking occurred during breakfast (16 patients), lunch (21), dinner (26), and snacks (12). Twenty-five choked at home, 18 in nursing homes, 14 in hospitals, nine in restaurants, and nine in drinking establishments. Twelve were being fed at the time of choking. Fifty-eight of the individuals had oral, pharyngeal, or esophageal abnormalities on radiographic examination that could explain the choking episode. Fourteen patients who were able to vocalize during the choking episode had probably suffered from esophageal impaction. Our study indicates that elderly individuals and those with neurogenic dysphagia are at risk for choking. Dysphagia diet (semisolids) may actually contribute to the risk in these patients. Young adults may also be at risk during episodes of consumption of alcohol and snacks. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Deglutition, Deglutition disorders, Esophagus, stenosis or obstruction, Foreign bodies, in air and food passages, Pharynx
in
Dysphagia
volume
7
issue
4
pages
205 - 208
publisher
Springer
external identifiers
  • pmid:1424833
  • scopus:0026498459
ISSN
1432-0460
DOI
10.1007/BF02493471
language
English
LU publication?
yes
id
1cf96b39-4f59-4cca-a048-05b78428424d (old id 1106510)
date added to LUP
2008-08-01 13:54:45
date last changed
2017-08-06 03:46:19
@article{1cf96b39-4f59-4cca-a048-05b78428424d,
  abstract     = {The clinical background and circumstances of 75 patients who had survived a near-fatal choking episode, i.e., had undergone a Heimlich maneuver, oropharyngeal suctioning, or intubation, is reported. Sixty had choked on a solid bolus (often of a complex texture like sandwiches and chicken soup). Four patients had choked on mashed banana. In 30 patients neurologic disease (such as cerebrovascular disease, Parkinson disease, or dementia) was present. Choking occurred during breakfast (16 patients), lunch (21), dinner (26), and snacks (12). Twenty-five choked at home, 18 in nursing homes, 14 in hospitals, nine in restaurants, and nine in drinking establishments. Twelve were being fed at the time of choking. Fifty-eight of the individuals had oral, pharyngeal, or esophageal abnormalities on radiographic examination that could explain the choking episode. Fourteen patients who were able to vocalize during the choking episode had probably suffered from esophageal impaction. Our study indicates that elderly individuals and those with neurogenic dysphagia are at risk for choking. Dysphagia diet (semisolids) may actually contribute to the risk in these patients. Young adults may also be at risk during episodes of consumption of alcohol and snacks.},
  author       = {Ekberg, Olle and Feinberg, Michael},
  issn         = {1432-0460},
  keyword      = {Deglutition,Deglutition disorders,Esophagus,stenosis or obstruction,Foreign bodies,in air and food passages,Pharynx},
  language     = {eng},
  number       = {4},
  pages        = {205--208},
  publisher    = {Springer},
  series       = {Dysphagia},
  title        = {Clinical and demographic data in 75 patients with near-fatal choking episodes},
  url          = {http://dx.doi.org/10.1007/BF02493471},
  volume       = {7},
  year         = {1992},
}