Diagnostic accuracy of the clinical feeding evaluation in detecting aspiration in children: a systematic review
| Autor: | Aifric Conway, Margaret Walshe, Irene Calvo, Filipa Henriques |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Adolescent MEDLINE Quality care Diagnostic accuracy Pediatrics 03 medical and health sciences 0302 clinical medicine Developmental Neuroscience Swallowing medicine Humans Medical physics 030212 general & internal medicine Child Methodological quality Diagnostic Techniques and Procedures business.industry Infant Newborn Respiratory Aspiration Infant Dysphagia Surgery Sample size determination Child Preschool Pediatrics Perinatology and Child Health Neurology (clinical) medicine.symptom Deglutition Disorders business Liquid consistencies 030217 neurology & neurosurgery |
| Zdroj: | Developmental Medicine & Child Neurology. 58:541-553 |
| ISSN: | 0012-1622 |
| Popis: | The aim of this systematic review is to determine the diagnostic accuracy of clinical feeding evaluation (CFE) compared to instrumental assessments in detecting oropharyngeal aspiration (OPA) in children. This is important to support clinical decision-making and to provide safe, cost-effective, higher quality care. All published and unpublished studies in all languages assessing the diagnostic accuracy of CFE compared to videofluoroscopic swallowing study (VFSS) and/or fibre-optic endoscopic examination of swallowing (FEES) in detecting OPA in paediatric populations were sought. Databases were searched from inception to April 2015. Grey literature, citations, and references were also searched. Two independent reviewers extracted and analysed data. Accuracy estimates were calculated. Research reports were translated into English as required. Six studies examining the diagnostic accuracy of CFE using VFSS and/or FEES were eligible for inclusion. Sample sizes, populations studied, and CFE characteristics varied widely. The overall methodological quality of the studies, assessed with QUADAS-2, was considered 'low'. Results suggested that CFEs trialling liquid consistencies might provide better accuracy estimates than CFEs trialling solids exclusively. This systematic review highlights the critical lack of evidence on the accuracy of CFE in detecting OPA in children. Larger well-designed primary diagnostic test accuracy studies in this area are needed to inform dysphagia assessment in paediatrics. |
| Databáze: | OpenAIRE |
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