caa a22 4500 469050594 CHVBK 20180323132829.0 cr unu---uuuuu 170328e19921201xx s 000 0 eng 10.1007/BF02493471 doi (NATIONALLICENCE)springer-10.1007/BF02493471 Clinical and demographic data in 75 patients with near-fatal choking episodes [Elektronische Daten] [Olle Ekberg, Michael Feinberg] The clinical background and circumstances of 75 patients who had survived a near-fatal choking episode, i.e., had undergone a Heimlich maneuver, oropharyngeal suctioning, or intubation, is reported. Sixty had choked on a solid bolus (often of a complex texture like sandwiches and chicken soup). Four patients had choked on mashed banana. In 30 patients neurologic disease (such as cerebrovascular disease, Parkinson disease, or dementia) was present. Choking occurred during breakfast (16 patients), lunch (21), dinner (26), and snacks (12). Twenty-five choked at home, 18 in nursing homes, 14 in hospitals, nine in restaurants, and nine in drinking establishments. Twelve were being fed at the time of choking. Fifty-eight of the individuals had oral, pharyngeal, or esophageal abnormalities on radiographic examination that could explain the choking episode. Fourteen patients who were able to vocalize during the choking episode had probably suffered from esophageal impaction. Our study indicates that elderly individuals and those with neurogenic dysphagia are at risk for choking. Dysphagia diet (semisolids) may actually contribute to the risk in these patients. Young adults may also be at risk during episodes of consumption of alcohol and snacks. Springer-Verlag New York Inc, 1992 Deglutition nationallicence Deglutition disorders nationallicence Esophagus, stenosis or obstruction nationallicence Foreign bodies, in air and food passages nationallicence Pharynx, stenosis or obstruction nationallicence Ekberg Olle Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, Pennsylvania, USA aut Feinberg Michael Department of Radiology, Albert Einstein Medical Center, York and Tabor Rds, 19141, Philadelphia, Pennsylvania, USA aut Dysphagia Springer-Verlag 7/4(1992-12-01), 205-208 0179-051X 7:4<205 1992 7 455 https://doi.org/10.1007/BF02493471 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02493471 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ekberg Olle Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, Pennsylvania, USA aut NATIONALLICENCE 700 1- Feinberg Michael Department of Radiology, Albert Einstein Medical Center, York and Tabor Rds, 19141, Philadelphia, Pennsylvania, USA aut NATIONALLICENCE 773 0- Dysphagia Springer-Verlag 7/4(1992-12-01), 205-208 0179-051X 7:4<205 1992 7 455 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer