PURPOSE: To verify the accuracy of clinical evaluation compared with videofluoroscopic swallowing studies in the detection of isolated laryngeal penetration and laryngeal aspiration in children with suspected dysphagia; to identify clinical signs and symptoms associated with isolated laryngeal penetration and laryngeal aspiration; and to determine the sensitivity and specificity of the clinical signs and symptoms identified. METHODS: Retrospective analysis of data from clinical and videofluoroscopic evaluations carried out in 55 children from 1 month to 7 years and 11 months old. For clinical assessment, the Protocol for Clinical Assessment of Pediatric Dysphagia was used. The sensitivity, specificity, and positive and negative predictive values of clinical evaluation were analyzed. For statistical analysis, the Fisher's exact and χ2 tests were used. RESULTS: Clinical evaluation showed, in general, a sensitivity of 86% and a specificity of 32%. For isolated laryngeal penetration, clinical evaluation showed a sensitivity of 88%. For laryngeal aspiration, clinical evaluation showed a sensitivity of 86%. However, the specificity values were low for both alterations. There was no association between clinical evaluation and videofluoroscopic findings. Choking was the only clinical sign associated with isolated laryngeal penetration thin fluid and showed a sensitivity of 53% and a specificity of 77%. CONCLUSIONS: Clinical evaluation was sensible to detect isolated laryngeal penetration and laryngeal aspiration in children with suspected dysphagia. However, it showed a low specificity. Choking was the only clinical sign associated with isolated laryngeal penetration of thin fluid. More prospective studies are needed to confirm these findings in this population.
PURPOSE: To verify the accuracy of clinical evaluation compared with videofluoroscopic swallowing studies in the detection of isolated laryngeal penetration and laryngeal aspiration in children with suspected dysphagia; to identify clinical signs and symptoms associated with isolated laryngeal penetration and laryngeal aspiration; and to determine the sensitivity and specificity of the clinical signs and symptoms identified. METHODS: Retrospective analysis of data from clinical and videofluoroscopic evaluations carried out in 55 children from 1 month to 7 years and 11 months old. For clinical assessment, the Protocol for Clinical Assessment of Pediatric Dysphagia was used. The sensitivity, specificity, and positive and negative predictive values of clinical evaluation were analyzed. For statistical analysis, the Fisher's exact and χ2 tests were used. RESULTS: Clinical evaluation showed, in general, a sensitivity of 86% and a specificity of 32%. For isolated laryngeal penetration, clinical evaluation showed a sensitivity of 88%. For laryngeal aspiration, clinical evaluation showed a sensitivity of 86%. However, the specificity values were low for both alterations. There was no association between clinical evaluation and videofluoroscopic findings. Choking was the only clinical sign associated with isolated laryngeal penetration thin fluid and showed a sensitivity of 53% and a specificity of 77%. CONCLUSIONS: Clinical evaluation was sensible to detect isolated laryngeal penetration and laryngeal aspiration in children with suspected dysphagia. However, it showed a low specificity. Choking was the only clinical sign associated with isolated laryngeal penetration of thin fluid. More prospective studies are needed to confirm these findings in this population.
Authors: Daniel R Duncan; Janine Amirault; Paul D Mitchell; Kara Larson; Rachel L Rosen Journal: J Pediatr Gastroenterol Nutr Date: 2017-08 Impact factor: 2.839
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Authors: Anete Antunes de Oliveira Branco; Camila de Castro Corrêa; Daniela de Souza Neves; Tais Huehara; Silke Anna Theresa Weber Journal: Pediatr Investig Date: 2019-09-26
Authors: Danielle Maria da Silva Oliveira; Demócrito de Barros Miranda-Filho; Ricardo Arraes de Alencar Ximenes; Ulisses Ramos Montarroyos; Celina Maria Turchi Martelli; Elizabeth B Brickley; Mariana de Carvalho Leal Gouveia; Regina Coeli Ramos; Maria Ângela Wanderley Rocha; Thalia Velho Barreto de Araujo; Sophie Helena Eickmann; Laura Cunha Rodrigues; Jeyse Polliane de Oliveira Soares Bernardes; Maria Helena Teixeira Pinto; Karina Polo Norte Danda Soares; Claudia Marina Tavares de Araújo; Maria de Fátima Pessoa Militão-Albuquerque; Ana Célia Oliveira Dos Santos Journal: Dysphagia Date: 2020-09-04 Impact factor: 3.438
Authors: Jana Jančíková; Denisa Bezděková; Petra Urbanová; Lucie Dohnalová; Petr Jabandžiev; Miroslav Tedla; Žofia Frajková; Jiří Jarkovský; Milan Urík Journal: Children (Basel) Date: 2021-12-01