University College London
Browse
DATASET
Refs_full text review.csv (0.13 kB)
DATASET
Refs_title and abstract screening.csv (0.13 kB)
DATASET
Data extraction.csv (153.83 kB)
DATASET
Extraction_qual review.csv (57.5 kB)
1/0
4 files

Covidence exports (raw data) of references, data extraction and quality review spreadsheets for systematic review of characteristics of eating, drinking and oro-pharyngeal swallowing difficulties in children born with OA/TOF.

dataset
posted on 2024-05-31, 14:35 authored by Alexandra StewartAlexandra Stewart, Simon EatonSimon Eaton, Christina Smith, Paolo De CoppiPaolo De Coppi, Roganie GovenderRoganie Govender, Jo Wray

The characteristics of eating, drinking and oro-pharyngeal swallowing difficulties in repaired oesophageal atresia/tracheo-oesophageal fistula: a systematic review

Eating, drinking and swallowing difficulties are commonly reported morbidities for individuals born with OA/TOF. This study aimed to determine the nature and prevalence of eating, drinking and oro-pharyngeal swallowing difficulties reported in this population

Method: A systematic review and meta-proportional analysis were conducted (PROSPERO: CRD42020207263). MEDLINE, EMBASE, CINAHL, Pubmed, Scopus, Web of Science databases and grey literature were searched. Quantitative and qualitative data were extracted relating to swallow impairment, use of mealtime adaptations and eating and drinking-related quality of life. Quantitative data were summarised using narrative and meta-proportional analysis methods. Qualitative data were synthesised using a meta-aggregation approach. Where quantitative and qualitative data described the same phenomenon, a convergent segregated approach was used to synthesise data.

Results: Sixty-five studies were included. Six oro-pharyngeal swallow characteristics were identified, and pooled prevalence calculated: aspiration (24%), laryngeal penetration (6%), oral stage dysfunction (11%), pharyngeal residue (13%), nasal regurgitation (7%), delayed swallow initiation (31%). Four patient-reported eating/drinking difficulties were identified, and pooled prevalence calculated: difficulty swallowing solids (45%), difficulty swallowing liquids (6%), odynophagia (30%), coughing when eating (38%). Three patient-reported mealtime adaptations were identified, and pooled prevalence calculated: need for water when eating (49%), eating slowly (37%), modifying textures (28%). Mixed methods synthesis of psychosocial impacts identified 34% of parents experienced mealtime anxiety and 25% report challenging mealtime behaviours reflected in five qualitative themes: fear and trauma associated with eating and drinking, isolation and a lack of support, being aware and grateful, support to cope and loss.

Conclusions: Eating and drinking difficulties are common in adults and children with repaired OA/TOF. Oro-pharyngeal swallowing difficulties may be more prevalent than previously reported. Eating, drinking and swallowing difficulties can impact on psychological well-being and quality of life, for the individual and parents/family members. Long-term, multi-disciplinary follow-up is warranted.

Funding

ICA-CDRF-2018–04-ST2-042

History

Usage metrics

    Division of Psychology & Language Sciences

    Licence

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC