The Use of Radionuclide Salivagram and Videofluoroscopic Swallow Study in the Evaluation of Aspiration Pneumonia in Children
이희경, 오석희, 이연주, 김재승, 최경효, 조영아, 김경모,
소속 상세정보
이희경 ( Lee Hee-Gyung )
University of Ulsan College of Medicine Asan Medical Center Department of Pediatrics
오석희 ( Oh Seok-Hee )
University of Ulsan College of Medicine Asan Medical Center Children’s Hospital Department of Pediatrics
이연주 ( Lee Yeoun-Joo )
University of Ulsan College of Medicine Asan Medical Center Children’s Hospital Department of Pediatrics
김재승 ( Kim Jae-Seung )
University of Ulsan College of Medicine Asan Medical Center Children’s Hospital Departments of Nuclear Medicine
최경효 ( Choi Kyoung-Hyo )
University of Ulsan College of Medicine Asan Medical Center Children’s Hospital Departments of Rehabilitation Medicine
조영아 ( Cho Young-Ah )
University of Ulsan College of Medicine Asan Medical Center Children’s Hospital Department of Radiology
김경모 ( Kim Kyung-Mo )
University of Ulsan College of Medicine Asan Medical Center Children’s Hospital Department of Pediatrics
KMID : 0816120120150030160
Abstract
Purpose: To compare the abilities of radionuclide salivagrams (RS) and videofluoroscopic swallow studies (VFSS) to diagnose aspiration in children with aspiration pneumonia.
Methods: The records of children who were referred to the Asan Medical Center between April, 2006 and April, 2012 and who underwent both VFSS and RS to evaluate their recurrent aspiration pneumonia were reviewed (n=67). The aspiration positivity rates of the two tests were determined. The agreement between the tests was assessed by using the kappa statistic.
Results: VFSS was more frequently positive (n=26, 39%) than RS (n=23, 34%) (p=0.68). In the 11 children who repeat two test, Repeated examination increased positive rate in each tests (n=11), repeated RS (54%, p=1) is more frequent positive than repeated VFSS (46%, p=0.37). If a cumulative positive test had been defined as at least one positive result, the positive rate of two test was 56% (p＜0.05). There was a fair agreement between RS and VFSS (kappa=0.26).
Conclusion: The RS and VFSS positivity rates in children with aspiration pneumonia were similar but there was fair agreement between the two tests. This result suggests that these investigations to demonstrate aspiration are not interchangeable but complementary.
키워드
Aspiration; Pneumonia; Radionuclide salivagrams; Videofluoroscopic swallow studies
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