{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T15:48:55Z","timestamp":1770738535609,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T00:00:00Z","timestamp":1567641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Describe augmentative communication tools and strategies used by pediatric patients referred to inpatient speech\u2010language pathologists prior to tracheostomy placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A review of patients who underwent initial tracheostomy placement from 2013\u20102016 was conducted at a tertiary pediatric center. Eligible patients were those who were referred to a specialized speech\u2010language pathologist prior to the date of the tracheostomy placement to support communication abilities. Patients were identified by surgical procedural and billing codes. Data collected included patient demographics, speech and language disorders, and interventions performed. Chart review and cross analysis of billing data for types of assessment and intervention procedures were conducted by two speech\u2010language pathologists for consensus agreement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010six patients (aged 1 month\u201327\u2009years, mean = 12.9\u2009years) were included in the study. Average time between the bedside communication assessment and tracheostomy procedure date was 17\u2009days. Baseline speech\u2010language disorders were identified in 11 patients (24%). Thirty\u2010eight (83%) patients were nonspeaking at the time of consultation. Thirty\u2010two (70%) patients utilized an electronic communication tool, and 36 (78%) utilized low\u2010technology communication strategies during the preoperative period. A total of 32 (70%) patients were documented as using no\u2010technology or speech\u2010enhancement strategies during the acute hospitalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Multidisciplinary tracheostomy teams should consider consultation to speech\u2010language pathologists for patients prior to tracheostomy placement to assess for utility of high\u2010technology, low\u2010technology, and no\u2010technology augmentative and alternative communication strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 130:1817\u20131822, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28288","type":"journal-article","created":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T14:17:41Z","timestamp":1567693061000},"page":"1817-1822","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Preoperative augmentative and alternative communication enhancement in pediatric tracheostomy"],"prefix":"10.1002","volume":"130","author":[{"given":"Rachel","family":"Santiago","sequence":"first","affiliation":[{"name":"Department of Otolaryngology and Communication Enhancement Boston Children's Hospital  Boston Massachusetts"},{"name":"Augmentative Communication Program Boston Children's Hospital  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communication Enhancement Boston Children's Hospital  Boston Massachusetts"},{"name":"Augmentative Communication Program Boston Children's Hospital  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0444-0065","authenticated-orcid":false,"given":"Natasha D.","family":"Dombrowski","sequence":"additional","affiliation":[{"name":"Department of 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