Pediatric dysphagia overview: best practice recommendation study by multidisciplinary experts

Umay, Ebru; Eyigör, Sibel; Giray, Esra; Saygı, Evrim Karadağ; Karadağ, Bülent; Kocaaslan, Nihal Durmus; Yüksel, Deniz; Demir, Arzu Meltem; Tutar, Engin; Tıkız, Canan; Gürçay, Eda; Ünlü, Zeliha; Çelik, Pelin; Akyüz, Ece Ünlü; Mengü, Güven; Bengisu, Serkan; Alıcura, Sibel; Unver, Necati; Yekteusaklari, Nida; Uz, Cuma; Uytun, Merve Çıkılı; Bağcıer, Fatih; Tarihci, Elif; Akaltun, Mazlum Serdar; Sucaklı, İclal Ayrancı; Cankurtaran, Damla; Aykın, Zeynep; Aydın, Resa; Nazlı, Fatma

doi:10.1007/s12519-022-00584-8

Cited by 15 publications

(13 citation statements)

References 45 publications

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“…Providing early intervention to reduce the negative outcomes of FSD is well documented in the literature [ 11 , 17 , 18 , 19 ]. According to the European Society for Swallowing Disorders [ 20 ] and the American Speech–Language–Hearing Association (ASHA 2016), screening tools must be the first step when treating patients with dysphagia.…”

Section: Discussionmentioning

confidence: 99%

“…Ebru Umay et al, in a 2022 review of best practice recommendations for pediatric dysphagia, highlighted three formal screening tests (Neo—EAT, Pedi EAT and Pediatric Dysphagia risk screening test), all of which are age-specific [ 18 ]. So far, in the literature, there are limited screening tools for feeding and swallowing disorders, which mainly involve direct clinical assessments of the patient or are based on adult screening tools such as the 3-ounce (90-cc) water swallow challenge [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

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Development and Pilot Study of a Pediatric Screening for Feeding and Swallowing Disorders in Infants and Children: The Pediatric Screening–Priority Evaluation Dysphagia (PS–PED)

et al. 2023

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Feeding and swallowing disorders (FSD) are common during childhood, with a prevalence of 85% in children with neurodevelopmental disorders. A comprehensive screening is essential to identify FSD and improve health outcomes in a clinical setting. This study aims to develop a new Pediatric Screening tool capable of identifying FSD. This screening tool was developed in three steps: selecting variables based on clinical experience, searching the literature and finding agreement between experts with a two-round Delphi study. This process, which reached 97% of agreement between experts, led to the development of the Pediatric Screening–Priority Evaluation Dysphagia (PS–PED). PS–PED comprises 14 items divided into three main domains: clinical history, health status and feeding condition. We also carried out a pilot test for measuring internal consistency, as measured with Cronbach Coefficient alpha. Concurrent validity, as measured with Pearson correlation coefficient, was tested using a videofluoroscopy swallow study (VFSS) classified with the Penetration Aspiration Scale (PAS). The pilot test was conducted on 59 children with different health conditions. Our findings showed good internal consistency (alpha = 0.731), and a strong linear correlation with PAS (Pearson 0.824). Furthermore, comparing PS–PED and PAS scores, we find preliminary strong discriminant validity to identify children with FSD (p < 0.01). Our results provide evidence on using the 14-item PS–PED as a screening tool for FSD in a clinical sample of children with heterogeneous disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Development and Pilot Study of a Pediatric Screening for Feeding and Swallowing Disorders in Infants and Children: The Pediatric Screening–Priority Evaluation Dysphagia (PS–PED)

et al. 2023

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“…Feeding and swallowing difficulties are common in the pediatric population. The complexities surrounding pediatric dysphagia necessitate a thorough, structured, and multidisciplinary approach, including the otolaryngologist, to help with timely diagnosis and treatment for patients [64]. Awake diagnostics can be employed to help characterize the swallowing dysfunction and, in combination with evaluation under anesthesia, can help identify the etiology for dysphagia.…”

Section: Discussionmentioning

confidence: 99%

Current opinion in otolaryngology and head and neck surgery: the role of the otolaryngologist in the management of pediatric dysphagia

Farrell,

Raol

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review Dysphagia affects at least 1% of the pediatric population. This prevalence further increases in patients who are born prematurely or who have underlying neuromuscular or cardiopulmonary disorders. A multidisciplinary team approach, including an Otolaryngologist, can help promote an expedited diagnosis and therapeutic regimen, ensuring that the patient receives adequate nutrition needed for growth and development. Recent findings The development and growth of multidisciplinary aerodigestive clinics have improved outcomes in pediatric patients with dysphagia. If a structural concern is noted on examination, there remain a multitude of medical and surgical options to help improve patient outcomes and swallow. These treatment options are usually multimodality and specific interventions may be employed to target a specific and notable abnormality. Summary Pediatric dysphagia is a complex concern. For the otolaryngologist, etiologies with surgical targets may include ankyloglossia, tonsillar hypertrophy, laryngomalacia, laryngo-esophageal cleft, vocal fold movement impairment, and cricopharyngeal achalasia. The development and formalization of a multidisciplinary approach has streamlined and broadened treatment options for these patients. An otolaryngologist is integral as part of the treatment team of these patients.

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“…Videos without any such pertinent information were considered neither accurate nor misleading, and those that contained both inaccurate and accurate information were categorized as misleading. The accuracy of the included videos was evaluated based on a review article written by Umay et al [ 6 ]. This previous study, using a seven-step process and a third-modified Delphi survey, provided comprehensive and detailed answers and recommendations to all issues that may arise in clinical practice for the management of dysphagia in children from the perspective of an experienced multidisciplinary expert.…”

Section: Methodsmentioning

confidence: 99%

“…Feeding therapy, performed by an occupational therapist or an experienced speech and language pathologist, is often the first-line treatment for pediatric patients with swallowing difficulty [ 4 , 5 ]. This therapy may include altering the feeding position, changing the means of food delivery, including nipple flow, milk bottle, or spoon, or adjusting the speed of feeds to improve the suck–swallow–breathe pattern [ 6 ]. Motor exercise and sensory stimulation performed by a trained speech and language pathologist or occupational therapist also improve movement, strength, and coordination of the tongue, lips, hard and soft palates, and laryngeal and pharyngeal muscles [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

The Quality, Reliability, and Accuracy of Videos Regarding Exercises and Management for Dysphagia in Pediatric Populations Uploaded on YouTube

2022

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Objectives: YouTube is well known for providing easy access to various kinds of video content. In this study, we investigated the quality and reliability of videos on YouTube addressing exercise or dysphagia management in the pediatric population. Methods: Video quality and reliability were assessed by using the Global Quality Scale (GQS) and a modified DISCERN tool, respectively. The accuracy of the information in each video was also evaluated. Other information, including the video source, length, date of upload, as well as the number of views, likes, dislikes, and comments were investigated, and statistical significance was determined. Results: In total, 22 videos on exercises and dysphagia management in pediatric populations were evaluated; 36.4% and 72.7% of these videos did not have high quality or reliability, respectively. Moreover, half of the videos did not contain accurate information. Even when videos were created by medical specialists, many of these YouTube videos were of low quality, reliability, and accuracy. Conclusion: The reliability, quality, and accuracy of many videos on exercise or dysphagia management in the pediatric population were low. Video creators, especially medical specialists, should strive to create videos with high quality, reliability, and accuracy.

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Pediatric dysphagia overview: best practice recommendation study by multidisciplinary experts

Cited by 15 publications

References 45 publications

Development and Pilot Study of a Pediatric Screening for Feeding and Swallowing Disorders in Infants and Children: The Pediatric Screening–Priority Evaluation Dysphagia (PS–PED)

Development and Pilot Study of a Pediatric Screening for Feeding and Swallowing Disorders in Infants and Children: The Pediatric Screening–Priority Evaluation Dysphagia (PS–PED)

Current opinion in otolaryngology and head and neck surgery: the role of the otolaryngologist in the management of pediatric dysphagia

The Quality, Reliability, and Accuracy of Videos Regarding Exercises and Management for Dysphagia in Pediatric Populations Uploaded on YouTube

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