Loading…
Comparison between clinical and videofluoroscopic evaluation of swallowing in children with suspected dysphagia
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 an...
Saved in:
Published in: | CoDAS (São Paulo) 2015-03, Vol.27 (2), p.186-192 |
---|---|
Main Authors: | , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c461t-383d6a073613f4245af96555359527f3c0720939183306c211ab57484a987b603 |
---|---|
cites | cdi_FETCH-LOGICAL-c461t-383d6a073613f4245af96555359527f3c0720939183306c211ab57484a987b603 |
container_end_page | 192 |
container_issue | 2 |
container_start_page | 186 |
container_title | CoDAS (São Paulo) |
container_volume | 27 |
creator | Silva-Munhoz, Lenice de Fatima da Bühler, Karina Elena Bernardis Limongi, Suelly Cecilia Olivan |
description | 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.
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.
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%.
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. |
doi_str_mv | 10.1590/2317-1782/20152014149 |
format | article |
fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_48f7f3c55a3a4e689549f99a0a4f1a1b</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><scielo_id>S2317_17822015000200186</scielo_id><doaj_id>oai_doaj_org_article_48f7f3c55a3a4e689549f99a0a4f1a1b</doaj_id><sourcerecordid>1691596164</sourcerecordid><originalsourceid>FETCH-LOGICAL-c461t-383d6a073613f4245af96555359527f3c0720939183306c211ab57484a987b603</originalsourceid><addsrcrecordid>eNpNkU9P3DAQxSPUqiDKRyjKsZcFj_8lPlarliIhcaA9WxPH3vXKG6d2wopvj8PSFQdrrNH83ozeq6pvQG5AKHJLGTQraFp6SwmI8jhwdVZdnPqfPvzPq6ucd4QQACoYJ1-qcyqBNKQVF1Vcx_2Iyec41J2dDtYOtQl-8AZDjUNfP_veRhfmmGI2cfSmts8YZpx8IaKr8wFDiAc_bGpf0K0PfSoaBz9t6zzn0ZrJ9nX_ksctbjx-rT47DNlevdfL6u-vn3_Wv1cPj3f36x8PK8MlTCvWsl4iaZgE5jjlAp2SQggmlKCNY4Y0lCimoGWMSEMBsBMNbzmqtukkYZfV_VG3j7jTY_J7TC86otdvjZg2GtPkTbCat25RFAIZcitbJbhySiFB7gChK1o3R61svA1R7-KchnK8flo81ovHSwzFYVpMbmUBvh-BMcV_s82T3vtsbAg42DhnDVKVGCVIXkbFcdQUf3Oy7nQrEL1krU879IesC3f9vmLu9rY_Uf-TZa8owqDi</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1691596164</pqid></control><display><type>article</type><title>Comparison between clinical and videofluoroscopic evaluation of swallowing in children with suspected dysphagia</title><source>SciELO Brazil</source><creator>Silva-Munhoz, Lenice de Fatima da ; Bühler, Karina Elena Bernardis ; Limongi, Suelly Cecilia Olivan</creator><creatorcontrib>Silva-Munhoz, Lenice de Fatima da ; Bühler, Karina Elena Bernardis ; Limongi, Suelly Cecilia Olivan</creatorcontrib><description>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.
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.
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%.
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.</description><identifier>ISSN: 2317-1782</identifier><identifier>EISSN: 2317-1782</identifier><identifier>DOI: 10.1590/2317-1782/20152014149</identifier><identifier>PMID: 26107085</identifier><language>eng</language><publisher>Brazil: Sociedade Brasileira de Fonoaudiologia</publisher><subject>AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY ; Avaliação Sensibilidade e Especificidade ; Child ; Child, Preschool ; Criança Fluoroscopia ; Deglutition Disorders - diagnosis ; Deglutition Disorders - physiopathology ; Female ; Fluoroscopy ; Humans ; Infant ; Lactente ; Larynx ; Male ; REHABILITATION ; Retrospective Studies ; Sensitivity and Specificity ; Transtornos de Deglutição</subject><ispartof>CoDAS (São Paulo), 2015-03, Vol.27 (2), p.186-192</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-383d6a073613f4245af96555359527f3c0720939183306c211ab57484a987b603</citedby><cites>FETCH-LOGICAL-c461t-383d6a073613f4245af96555359527f3c0720939183306c211ab57484a987b603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,24150,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26107085$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silva-Munhoz, Lenice de Fatima da</creatorcontrib><creatorcontrib>Bühler, Karina Elena Bernardis</creatorcontrib><creatorcontrib>Limongi, Suelly Cecilia Olivan</creatorcontrib><title>Comparison between clinical and videofluoroscopic evaluation of swallowing in children with suspected dysphagia</title><title>CoDAS (São Paulo)</title><addtitle>Codas</addtitle><description>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.
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.
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%.
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.</description><subject>AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY</subject><subject>Avaliação Sensibilidade e Especificidade</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Criança Fluoroscopia</subject><subject>Deglutition Disorders - diagnosis</subject><subject>Deglutition Disorders - physiopathology</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Infant</subject><subject>Lactente</subject><subject>Larynx</subject><subject>Male</subject><subject>REHABILITATION</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Transtornos de Deglutição</subject><issn>2317-1782</issn><issn>2317-1782</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpNkU9P3DAQxSPUqiDKRyjKsZcFj_8lPlarliIhcaA9WxPH3vXKG6d2wopvj8PSFQdrrNH83ozeq6pvQG5AKHJLGTQraFp6SwmI8jhwdVZdnPqfPvzPq6ucd4QQACoYJ1-qcyqBNKQVF1Vcx_2Iyec41J2dDtYOtQl-8AZDjUNfP_veRhfmmGI2cfSmts8YZpx8IaKr8wFDiAc_bGpf0K0PfSoaBz9t6zzn0ZrJ9nX_ksctbjx-rT47DNlevdfL6u-vn3_Wv1cPj3f36x8PK8MlTCvWsl4iaZgE5jjlAp2SQggmlKCNY4Y0lCimoGWMSEMBsBMNbzmqtukkYZfV_VG3j7jTY_J7TC86otdvjZg2GtPkTbCat25RFAIZcitbJbhySiFB7gChK1o3R61svA1R7-KchnK8flo81ovHSwzFYVpMbmUBvh-BMcV_s82T3vtsbAg42DhnDVKVGCVIXkbFcdQUf3Oy7nQrEL1krU879IesC3f9vmLu9rY_Uf-TZa8owqDi</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Silva-Munhoz, Lenice de Fatima da</creator><creator>Bühler, Karina Elena Bernardis</creator><creator>Limongi, Suelly Cecilia Olivan</creator><general>Sociedade Brasileira de Fonoaudiologia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>GPN</scope><scope>DOA</scope></search><sort><creationdate>20150301</creationdate><title>Comparison between clinical and videofluoroscopic evaluation of swallowing in children with suspected dysphagia</title><author>Silva-Munhoz, Lenice de Fatima da ; Bühler, Karina Elena Bernardis ; Limongi, Suelly Cecilia Olivan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-383d6a073613f4245af96555359527f3c0720939183306c211ab57484a987b603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY</topic><topic>Avaliação Sensibilidade e Especificidade</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Criança Fluoroscopia</topic><topic>Deglutition Disorders - diagnosis</topic><topic>Deglutition Disorders - physiopathology</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Humans</topic><topic>Infant</topic><topic>Lactente</topic><topic>Larynx</topic><topic>Male</topic><topic>REHABILITATION</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Transtornos de Deglutição</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silva-Munhoz, Lenice de Fatima da</creatorcontrib><creatorcontrib>Bühler, Karina Elena Bernardis</creatorcontrib><creatorcontrib>Limongi, Suelly Cecilia Olivan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><collection>Directory of Open Access Journals</collection><jtitle>CoDAS (São Paulo)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silva-Munhoz, Lenice de Fatima da</au><au>Bühler, Karina Elena Bernardis</au><au>Limongi, Suelly Cecilia Olivan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison between clinical and videofluoroscopic evaluation of swallowing in children with suspected dysphagia</atitle><jtitle>CoDAS (São Paulo)</jtitle><addtitle>Codas</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>27</volume><issue>2</issue><spage>186</spage><epage>192</epage><pages>186-192</pages><issn>2317-1782</issn><eissn>2317-1782</eissn><abstract>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.
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.
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%.
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.</abstract><cop>Brazil</cop><pub>Sociedade Brasileira de Fonoaudiologia</pub><pmid>26107085</pmid><doi>10.1590/2317-1782/20152014149</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2317-1782 |
ispartof | CoDAS (São Paulo), 2015-03, Vol.27 (2), p.186-192 |
issn | 2317-1782 2317-1782 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_48f7f3c55a3a4e689549f99a0a4f1a1b |
source | SciELO Brazil |
subjects | AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Avaliação Sensibilidade e Especificidade Child Child, Preschool Criança Fluoroscopia Deglutition Disorders - diagnosis Deglutition Disorders - physiopathology Female Fluoroscopy Humans Infant Lactente Larynx Male REHABILITATION Retrospective Studies Sensitivity and Specificity Transtornos de Deglutição |
title | Comparison between clinical and videofluoroscopic evaluation of swallowing in children with suspected dysphagia |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T21%3A08%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20between%20clinical%20and%20videofluoroscopic%20evaluation%20of%20swallowing%20in%20children%20with%20suspected%20dysphagia&rft.jtitle=CoDAS%20(Sa%CC%83o%20Paulo)&rft.au=Silva-Munhoz,%20Lenice%20de%20Fatima%20da&rft.date=2015-03-01&rft.volume=27&rft.issue=2&rft.spage=186&rft.epage=192&rft.pages=186-192&rft.issn=2317-1782&rft.eissn=2317-1782&rft_id=info:doi/10.1590/2317-1782/20152014149&rft_dat=%3Cproquest_doaj_%3E1691596164%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c461t-383d6a073613f4245af96555359527f3c0720939183306c211ab57484a987b603%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1691596164&rft_id=info:pmid/26107085&rft_scielo_id=S2317_17822015000200186&rfr_iscdi=true |