American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review

The Cochrane Collaboration; Royal Children's Hospital Foundation, Brisbane Australia
Restriction of Oral Intake of Water for Aspiration Lung Disease in Children

Weir, K., McMahon, S., et al. (2005).
Cochrane Database of Systematic Reviews(4).

Indicators of Review Quality:

The review addresses a clearly focused question No
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes

Description: This is a systematic review of randomized controlled trials investigating the restriction of oral ingestion of water on the pulmonary status of children identified with aspiration of thin liquids.

Question(s) Addressed:

Question not specifically stated.

Population: Pediatric population with children older than 14 years of age.

Intervention/Assessment: Oral water ingestion or restriction

Number of Studies Included: 1

Years Included: 1994 - 2005

Findings:

Conclusions:

  • Treatment
    • Swallowing/Feeding
      • Diet Modification - "Given the lack of evidence, it is not possible to either recommend total restriction or liberalization of oral water ingestion to ‘protect’ the pulmonary status of children with thin fluid aspiration demonstrated on a modified barium swallow study. Clinicians should be cognizant that water (with a neutral pH) significantly differs from other fluids and this review did not examine the effect of non-water fluids” (p. 6).

Keywords: Swallowing Disorders, Diet Modification

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Added to Compendium: March 2012

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