+ Site Statistics
References:
52,654,530
Abstracts:
29,560,856
PMIDs:
28,072,755
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Dying for a Meal: An Integrative Review of Characteristics of Choking Incidents and Recommendations to Prevent Fatal and Nonfatal Choking Across Populations



Dying for a Meal: An Integrative Review of Characteristics of Choking Incidents and Recommendations to Prevent Fatal and Nonfatal Choking Across Populations



American Journal of Speech-Language Pathology 2019: 1-15



Purpose The purpose of this study was to conduct an integrative review of original research, across adult populations relating to fatal or nonfatal choking on food, to understand ways to respond to and prevent choking incidents. Method Four scientific databases (CINAHL, Medline, Web of Science, and EMBASE) were searched for original peer-reviewed research relating to fatal or nonfatal choking on foods. Data were extracted on study characteristics; factors leading up to, events at the time of, and actions taken after the choking incident; and impacts of choking incidents. An integrative review of the findings across studies identified several risk factors and recommendations to reduce the risk of choking. Results In total, 52 studies met the criteria for inclusion in this review, of which 31 were quantitative, 17 were qualitative, and 4 were of a mixed methods design. Studies reported the observations and narratives of bystanders or researchers, or else were large-scale autopsy studies, and included both the general public and people at risk of dysphagia. A range of food types were involved, and several actions were reported in response to food choking. Strategies to reduce the risk of choking were identified in the studies and are presented in 5 main categories. Conclusions Factors leading up to choking incidents extend well beyond the individual to the environment for mealtimes; the provision of appropriate mealtime assistance and oral care; and regular monitoring of general health, oral health, and medications. Bystanders' increased awareness and knowledge of how to respond to choking are vital. The results of this review could be used to inform service policy and training, for individuals at risk of choking, the people who support them, and the general public. Further research is needed to explore choking prevention and airway protection in individuals with dysphagia. Supplemental Material https://doi.org/10.23641/asha.8121131.

(PDF emailed within 1 workday: $29.90)

Accession: 066790186

Download citation: RISBibTeXText

PMID: 31095917


Related references

Teatime Threats. Choking Incidents at the Evening Meal. Journal of Applied Research in Intellectual Disabilities 30(1): 47-60, 2015

Characteristics of Polar Opposites An Exploratory Investigation of Choking-Resistant and Choking-Susceptible Athletes. Journal of Applied Sport Psychology 25(1): 72-91, 2013

Vertical pneumatic conveying: a flow regime diagram and a review of choking versus non-choking systems. Powder Technology 25(2): 185-190, 1980

A mathematical definition of choking phenomenon and a mathematical model for predicting choking velocity and choking voidage. Aiche Journal 21(5): 1013-1015, 1975

Choking on toilet paper: an unusual case of suicide and a review of the literature on suicide by smothering, strangulation, and choking. American Journal of Forensic Medicine and Pathology 27(2): 173-174, 2006

A pre-performance routine to alleviate choking in choking-susceptible athletes. Sport Psychologist: 4, 439-457, 2008

Choking on food: a rare case of alexander leukodystrophy and choking. American Journal of Forensic Medicine and Pathology 29(4): 364-367, 2009

Nonfatal choking-related episodes among children--United States, 2001. Mmwr. Morbidity and Mortality Weekly Report 51(42): 945-948, 2002

A study of choking/obstructed airway incidents. Qrb. Quality Review Bulletin 9(3): 87-88, 1983

Nonfatal choking on food among children 14 years or younger in the United States, 2001-2009. Pediatrics 132(2): 275-281, 2013

Care staff perceptions of choking incidents: what details are reported?. Journal of Applied Research in Intellectual Disabilities 28(2): 121-132, 2015

From the Centers for Disease Control and Prevention. Nonfatal choking-related episodes among children--United States, 2001. JAMA 288(19): 2400-2402, 2002

Pediatric exposure to choking hazards is associated with parental knowledge of choking hazards. International Journal of Pediatric Otorhinolaryngology 76(2): 169-173, 2012

Choking incidents among psychiatric inpatients: a retrospective study in Chutung Veterans General Hospital. Journal of the Chinese Medical Association 73(8): 419-424, 2011

Prevent you child from choking. Fda Consumer 39(5): 27-39, 2006