Feeding interventions
Following CFE, feeding interventions were suggested by the OT,
consisting of any combination of texture adaptation, interface
adaptation, oromotor stimulation, positioning or a recommendation to
remain on enteral feeds only. When more than one CFE was carried out,
the assessment closest to the VFSS was used for comparison.
The mode of feeding recommended was noted following the CFE (pre -VFSS)
and again post - VFSS. It was categorized as oral, mixed oral with
nasogastric tube (NGT) or percutaneous endoscopic gastrostomy (PEG)
supplements, or enteral (NGT or PEG) only. For the purpose of
determining the transition from partially oral to enteral only, and vice
versa, we simplified the scoring to “oral” for exclusively orally fed
children and “enteral” for mixed and purely enterally fed children.