Multidisciplinary aerodigestive program at a children’s hospital: A protocol for a prospective observational study

<h4>Background</h4> Children with complex chronic multisystemic diseases frequently require care from multiple pediatric subspecialists. The aerodigestive program is a multidisciplinary program that diagnoses and treats pediatric patients with complex multi-systematic problems affecting...

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Autores principales: Mireu Park, Seung Kim, Eunyoung Kim, Ga Eun Kim, Jae Hwa Jung, Soo Yeon Kim, Min Jung Kim, Da Hee Kim, Sowon Park, In Geol Ho, Seung Ki Kim, Sangwon Hwang, Kyeong Hun Shin, Hosun Lee, Bobae Lee, Hyeyeon Lee, Minhwa Park, Hong Koh, Myung Hyun Sohn, Dong-Wook Rha, Kyung Won Kim
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:09fad19a7c814b2c8c3e90344d687ea92021-11-04T06:49:41ZMultidisciplinary aerodigestive program at a children’s hospital: A protocol for a prospective observational study1932-6203https://doaj.org/article/09fad19a7c814b2c8c3e90344d687ea92021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8550601/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> Children with complex chronic multisystemic diseases frequently require care from multiple pediatric subspecialists. The aerodigestive program is a multidisciplinary program that diagnoses and treats pediatric patients with complex multi-systematic problems affecting airway, breathing, feeding, swallowing, or growth. The aim of this study is to present the protocol of the aerodigestive program of a children’s hospital. <h4>Methods and design</h4> This study is a prospective study to evaluate and compare the overall improvement of patients’ objective and subjective conditions before and after the AeroDigestive Team (ADT) program. Among children from 1 month to 18 years of age, patients with complex problems of the airway, breathing, feeding, swallowing, or growth meeting at least two parameters of the inclusion criteria were enrolled. The overall process included referral based on the inclusion criteria, enrollment of ADT program with informed consents, interview and questionnaire for assessing patients’ medical condition, prescheduling appointment, multi-specialists’ evaluation, monthly team meetings, wrap-up discussion with the patients and family, therapeutic intervention, and follow-up at 6 months with the assessment of outcome measures. The outcome was evaluated objectively and subjectively. The objective outcome measure was divided into surgical or medical intervention, assessment of changes in medical condition, and follow-up study. Both caregiver interviews and questionnaires using a scoring system were used as subjective outcome measures before and after the ADT program. Children were scheduled to be followed-up at 6 months after the interventions or ADT meeting. <h4>Discussion</h4> The aerodigestive program is expected to provide comprehensive and multidisciplinary management of children with complex airway and digestive tract disorders.Mireu ParkSeung KimEunyoung KimGa Eun KimJae Hwa JungSoo Yeon KimMin Jung KimDa Hee KimSowon ParkIn Geol HoSeung Ki KimSangwon HwangKyeong Hun ShinHosun LeeBobae LeeHyeyeon LeeMinhwa ParkHong KohMyung Hyun SohnDong-Wook RhaKyung Won KimPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Mireu Park
Seung Kim
Eunyoung Kim
Ga Eun Kim
Jae Hwa Jung
Soo Yeon Kim
Min Jung Kim
Da Hee Kim
Sowon Park
In Geol Ho
Seung Ki Kim
Sangwon Hwang
Kyeong Hun Shin
Hosun Lee
Bobae Lee
Hyeyeon Lee
Minhwa Park
Hong Koh
Myung Hyun Sohn
Dong-Wook Rha
Kyung Won Kim
Multidisciplinary aerodigestive program at a children’s hospital: A protocol for a prospective observational study
description <h4>Background</h4> Children with complex chronic multisystemic diseases frequently require care from multiple pediatric subspecialists. The aerodigestive program is a multidisciplinary program that diagnoses and treats pediatric patients with complex multi-systematic problems affecting airway, breathing, feeding, swallowing, or growth. The aim of this study is to present the protocol of the aerodigestive program of a children’s hospital. <h4>Methods and design</h4> This study is a prospective study to evaluate and compare the overall improvement of patients’ objective and subjective conditions before and after the AeroDigestive Team (ADT) program. Among children from 1 month to 18 years of age, patients with complex problems of the airway, breathing, feeding, swallowing, or growth meeting at least two parameters of the inclusion criteria were enrolled. The overall process included referral based on the inclusion criteria, enrollment of ADT program with informed consents, interview and questionnaire for assessing patients’ medical condition, prescheduling appointment, multi-specialists’ evaluation, monthly team meetings, wrap-up discussion with the patients and family, therapeutic intervention, and follow-up at 6 months with the assessment of outcome measures. The outcome was evaluated objectively and subjectively. The objective outcome measure was divided into surgical or medical intervention, assessment of changes in medical condition, and follow-up study. Both caregiver interviews and questionnaires using a scoring system were used as subjective outcome measures before and after the ADT program. Children were scheduled to be followed-up at 6 months after the interventions or ADT meeting. <h4>Discussion</h4> The aerodigestive program is expected to provide comprehensive and multidisciplinary management of children with complex airway and digestive tract disorders.
format article
author Mireu Park
Seung Kim
Eunyoung Kim
Ga Eun Kim
Jae Hwa Jung
Soo Yeon Kim
Min Jung Kim
Da Hee Kim
Sowon Park
In Geol Ho
Seung Ki Kim
Sangwon Hwang
Kyeong Hun Shin
Hosun Lee
Bobae Lee
Hyeyeon Lee
Minhwa Park
Hong Koh
Myung Hyun Sohn
Dong-Wook Rha
Kyung Won Kim
author_facet Mireu Park
Seung Kim
Eunyoung Kim
Ga Eun Kim
Jae Hwa Jung
Soo Yeon Kim
Min Jung Kim
Da Hee Kim
Sowon Park
In Geol Ho
Seung Ki Kim
Sangwon Hwang
Kyeong Hun Shin
Hosun Lee
Bobae Lee
Hyeyeon Lee
Minhwa Park
Hong Koh
Myung Hyun Sohn
Dong-Wook Rha
Kyung Won Kim
author_sort Mireu Park
title Multidisciplinary aerodigestive program at a children’s hospital: A protocol for a prospective observational study
title_short Multidisciplinary aerodigestive program at a children’s hospital: A protocol for a prospective observational study
title_full Multidisciplinary aerodigestive program at a children’s hospital: A protocol for a prospective observational study
title_fullStr Multidisciplinary aerodigestive program at a children’s hospital: A protocol for a prospective observational study
title_full_unstemmed Multidisciplinary aerodigestive program at a children’s hospital: A protocol for a prospective observational study
title_sort multidisciplinary aerodigestive program at a children’s hospital: a protocol for a prospective observational study
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/09fad19a7c814b2c8c3e90344d687ea9
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