Table 3.
Swallowing Outcomes
| Baseline | 6 mo.* | 12 mo.* | 24 mo.* | |
|---|---|---|---|---|
| n (MBS) | 31 | 27 | 21 | 17 |
| n (Questionnaire)* | 31 | 29 | 24 | 26 |
| Mean (range) mos. post-IMRT | -- | 6.6 (4.3, 9.4) | 12.7 (9.6, 18.7) | 24.5 (21.8, 29.5) |
| OPSE, mean (SD) | ||||
| 10 mL liquid | 102.5 (20.6) | 89.9 (31.3) | 94.2 (29.9) | 87.4 (27.1) |
| Pudding | 92.9 (29.9) | 84.6 (34.9) | 69.7 (28.8) | 71.9 (40.4) |
| Cracker | 90.2 (35.2) | 74.0 (38.8) | 67.4 (35.9) | 81.1 (44.0) |
| All consistencies | 95.2 (16.1) | 82.0 (28.1) | 76.9 (23.5) | 78.8 (31.1) |
| Aspiration, n patients (%) | ||||
| 10 mL liquid | 0 (0) | 1 (3.7) | 1 (4.8) | 1 (5.8) |
| Pen-Asp Scale, median (range) | ||||
| 10 mL liquid | 1 (1–2) | 1 (1–6) | 1 (1–7) | 1 (1–7) |
| MDADI, mean (SD) | ||||
| Global score | 89.7 (19.2) | 76.5 (26.2) | 82.6 (24.3) | 84.8 (24.0) |
| Composite score | 89.1 (14.7) | 75.6 (15.7) | 81.5 (16.2) | 82.4 (13.2) |
| Feeding Tube, n patients (%) | ||||
| No | 30 (96.8) | 26 (89.7) | 22 (91.7) | 25 (96.1) |
| Yes | 1 (3.2) | 3 (10.3) | 2 (8.3) | 1 (3.8) |
| PSS-HN Normalcy of Diet, n patients (%) | ||||
| Full diet (no restriction) | 26 (83.9) | 6 (20.7) | 4 (16.7) | 8 (30.8) |
| Full diet (liquid assist) | -- | 5 (17.2) | 11 (45.8) | 14 (53.9) |
| All meat | -- | 2 (6.9) | -- | -- |
| Raw carrots, celery | -- | 3 (10.3) | 1 (4.2) | -- |
| Dry bread and crackers | 1 (3.2) | 1 (3.5) | 2 (8.3) | -- |
| Soft, chewable foods | 3 (9.7) | 10 (34.5) | 4 (16.7) | 3 (11.5) |
| Soft, non-chewable foods | 1 (3.2) | 1 (3.5) | 1 (4.2) | -- |
| Pureed foods | -- | -- | -- | 1 (3.9) |
| Warm liquids | -- | -- | -- | -- |
| Cold Liquids | -- | 1 (3.5) | -- | -- |
| Non-oral feeding (NPO) | -- | -- | 1 (4.2) | -- |
*
Questionnaires mailed to patients who missed MBS