[Dysphagia] logemann study

[Wilma.Clancy at cdha.nshealth.ca (Wilma Clancy)]

I'd like to respond to the discussion regarding the Logemann study about
aspiration of thick liquids.  We must keep in mind that the participants
in this study all had dementia, Parkinson's disease or Parkinson's
disease with dementia.  Therefore broad statements for all dysphagia
patients are inappropriate.  
 
Furthermore, when you look at the definition of honey consistency in
this trial of 3000 cP, we are in fact talking about what the National
Dysphagia Diet would call puree, not what most of us consider to be
honey consistency as in the Novartis thickened liquids.  When you read
the information with this in mind, we are talking about profoundly
dysphagic patients not those that only aspirate thick liquids. 
Therefore, of course there is going to be more trouble with pneumonia if
the patient is aspirating puree rather than nectar consistency.  I am
looking forward to reading this study.  To my knowledge it has not yet
been published, (I recently did a search) but I have seen the
presentation slides used by Dr. Logemann.  
 
Sincerely,
Wilma Clancy
Neurology Dietitian