Table 2.
Swallowing outcomes.
Baseline | 6 mo.* | 12 mo.* | 24 mo.* | |
---|---|---|---|---|
n (MBS) | 17 | 17 | 17 | 5 |
n (Questionnaire)* | 18 | 19 | 17 | 8 |
OPSE, mean (SD) | ||||
10 mL liquid | 91.2 (14.0) | 88.0 (15.0) | 81.6 25.8) | 78.8 (20.7) |
Pudding | 77.6 (29.0) | 59.9 (28.2) | 72.7 30.3) | 58.9 (20.4) |
Cracker | 83.5 (36.4) | 45.3 (32.4) | 62.5 (34.5) | 49.6 (19.7) |
All consistencies | 84.3 (21.3) | 65.2 (21.8) | 72.3 (22.5) | 63.3 (16.0) |
Aspiration, No. (%) | ||||
10 mL liquid | -- | 1 (6%) | -- | -- |
Pen-Asp Scale, median (Range) | ||||
10 mL liquid | 1 (1.0-1.5) | 1.5 (1.0-7.5) | 1.5 (1.0-6.0) | 1.5 (1.0-6.0) |
MDADI, mean (SD) | ||||
Global score | 89.4 (18.9) | 75.8 (22.7) | 80.0 (22.7) | 80.0 (26.2) |
Composite score | 86.6 (12.9) | 67.0 (12.4) | 73.6 (19.2) | 75.9 (14.2) |
Feeding Tube, No. (%) | ||||
No | 18 (100%) | 12 (63%) | 16 (94%) | 8 (100%) |
Yes | -- | 7 (37%) | 1 (6%) | -- |
PSS-HN Normalcy of Diet | ||||
Full diet (no restriction) | 10 | 2 | 4 | 3 |
Full diet (liquid assist) | 5 | 7 | 9 | 3 |
All meat | -- | -- | -- | -- |
Raw carrots, celery | -- | 2 | -- | 1 |
Dry bread and crackers | 1 | 3 | 1 | -- |
Soft, chewable foods | 1 | 2 | 1 | 1 |
Soft, non-chewable foods | -- | -- | 1 | -- |
Pureed foods | 1 | 1 | -- | -- |
Warm liquids | -- | -- | 1 | -- |
Cold Liquids | -- | 1 | -- | -- |
Non-oral feeding (NPO) | -- | 1 | -- | -- |
Questionnaires mailed to patients who missed MBS; OPSE = Oropharyngeal Swallow Efficiency; Pen-Asp Scale = Penetration-Aspiration Scale Score; MDADI = M.D. Anderson Dysphagia Inventory; PSS-HN = Performance Status Scale for H&N Cancer