Reliability and Construct Validity of the Penetration‐Aspiration Scale for Quantifying Pediatric Outcomes after Interarytenoid Augmentation

Wick, Elizabeth H.; Johnson, Kaalan; DeMarre, Kim; Faherty, A.; Parikh, Sanjay R.; Horn, David L.

doi:10.1177/0194599819856299

Cited by 9 publications

(5 citation statements)

References 34 publications

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“…There are inherent limitations on the ability to blind any participants to patient characteristics such as the IAMH noted during surgery by the operating surgeon, and the post‐operative status of patients to the speech and language pathologist during VFSS review. The blinding of surgeons has been considered in previous blinded evaluations of IAAP videos, 14 and in blinded analysis of VFSS samples using the penetration aspiration scale by SLPs 33 ; these concerns will remain worthy of consideration in the interpretation of these data. Of note, we included in our analysis patients whose VFSS were completed over 3 months after their IAIA procedure, although these patients were very limited in number.…”

Section: Discussionmentioning

confidence: 99%

Beyond Laryngeal Clefts: Interarytenoid Injection Augmentation to Predict Success of Suture Augmentation in Children

et al. 2022

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Objective To assess the efficacy of interarytenoid injection augmentation (IAIA) and the ability of IAIA to predict response to interarytenoid suture augmentation (IASA) based on diet advancement on video fluoroscopic swallow studies (VFSS). Methods Retrospective cohort analysis of patients with persistent pharyngeal dysphagia at a tertiary children's hospital with VFSS pre‐ and post‐IAIA were included between March 2011 and June 2019. Results Median age of the 229 patients was 2.2 years (5.8 months–19 years). Interarytenoid mucosal height (IAMH) was found to be above the false vocal folds in 112 patients (53.4%) and at true vocal folds in 10 (4.9%) patients. On VFSS post‐IAIA, 95 (41.5%) patients were successfully advanced in recommended diet consistency, 115 (50.2%) were stable, and 19 (8.3%) needed thicker consistency. Paired t‐tests on pre‐ and post‐operative consistency scores showed significant improvement, p‐value of <0.0001, 95% confidence interval (CI; 0.50–0.85). Poisson regression found no covariates with significant association with improvement on IAIA. For IASA patients, 35/60 (58.3%) improved on post‐op VFSS. Paired t‐tests on pre‐ and post‐operative consistency scores showed significant improvement, p‐value of <0.0001, 95% CI (0.63–1.33). Positive predictive value for IAIA predicting response to IASA was 77% with positive likelihood ratio of 2.3. The response to IAIA versus no response to IAIA likelihood ratios were found to have a statistically significant difference (p < 0.05). Conclusions Our study suggests IAIA yields objective improvement in swallow function on VFSS in nearly half of our patients and may be a reliable diagnostic tool to predict response to IASA in patients with persistent pharyngeal dysphagia with or without a laryngeal cleft. Level of Evidence 3 Laryngoscope, 133:1749–1756, 2023

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Section: Discussionmentioning

confidence: 99%

Beyond Laryngeal Clefts: Interarytenoid Injection Augmentation to Predict Success of Suture Augmentation in Children

et al. 2022

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“…An SLP of this study collected a medical and developmental history, gave the Pedi -EAT -10, performed a clinical evaluation of dysphagia -bedside swallowing assessment, and evaluated instrumental assessments (FEES or VFSS) [1,[29][30]. During the instrumental assessment, the presence of residue and the penetration and aspiration score via the Penetration / Aspiration Scale (PAS Scale) were measured [24,[31][32]. After all, an interval period of 2 weeks was selected for the second administration of Pedi -EAT -10.…”

Section: Participantsmentioning

confidence: 99%

Validation and cultural adaptation of a Greek Version of Pediatric Eating Assessment Tool 10 (PEDI – EAT – 10) in Greek-Cypriot Parents

Georgiou,

Papaleontiou,

Voniati

et al. 2024

Disability and Rehabilitation

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Purpose:The Pediatric Eating Assessment Tool (Pedi -EAT -10) is a clinical screening tool that has been designed to assess pediatric patients at risk of penetration and/or aspiration symptoms of dysphagia, reported by parents or caregivers. The aim of this study was to translate and validate Pedi-EAT-10 in Greek language and to correlate its results with the Penetration and Aspiration scale (PAS) and pharyngeal residue.Methods: This study included sample of 222 parents or caregivers who have children with and without feeding and/or swallowing disorders. The children were randomly selected from cypriot public school, cypriot special public school, and the Speech, Language, and Hearing clinic of the European University of Cyprus; the children's parents lled out the Pedi-EAΤ-10 questionnaire. For test-retest reliability, all participants administered the Pedi-EAT-10 again once more 2 weeks after the initial administration.Results: Validity was established by comparing the scores of children with and without feeding and/or swallowing disorders. Internal consistency of Pedi-EAT-10 was high (Cronbach's alpha 0.801). The splithalf reliability technique demonstrated very good Pedi-EAT-10 internal consistency (split-half reliability coe cient = 0.789). A test-retest reliability measure showed strong correlation (r= 0.998). The cut-off point of Pedi-EAT-10 total score and PAS scale was 11.00. Finally, Pedi-EAT-10 total score in predicting pharyngeal residue observed a cut-off of 8.00. Conclusion:In conclusion, the Greek version of Pedi-EAT-10 is shown to be a clinically valid and reliable screening tool for the assessment of the pediatric population with a risk of dysphagia. What Is Known• Clinical questionnaires for pediatric dysphagia play a valuable role in the screening procedure by providing a rapid determination of the possible presence of dysphagia.• The Pediatric version of the Eating Assessment Tool (Pedi-EAT-10) is one of the clinical screening tools which has been designed to assess pediatric patients with risk of penetration and/or aspiration symptoms of dysphagia reported by parents or caregivers What is New:• This study provides the rst validated version of Pedi-EAT -10 in pediatric monolingual Greek-speaking populations in Cyprus, and the second validated and reliable Greek Pedi-EAT-10, in international literature.• The clinical impact of this study is that the Greek version of Pedi -EAT -10 will offer to clinicians in Greece and Cyprus another reliable tool that enhances the diagnosis of pediatric dysphagia and/ or feeding disorders.

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“…[29] The scale was originally validated in adults by Rosenbek et al, [26] and since then, its reliability and validity are well established so far. [29][30][31] We evaluated airway invasion by liquid material based on PAS scores, ranging from a minimum of 1 point to a maximum of 8 points. In this study, a PAS score within the 6 to 8 range indicated the patient was aspiration-positive, whereas a score in the 1 to 5 range indicated an aspiration-negative status.…”

Section: Subjects and Clinical Evaluationsmentioning

confidence: 99%

Prognosis prediction for impaired consciousness recovery in stroke patients using videofluoroscopic swallowing study: A retrospective observational study

2023

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Prognosis prediction of impaired consciousness is clinically important for establishing therapeutic strategies, determining a rehabilitative goal and functional outcome, and estimating rehabilitative therapy duration. In this study, we investigated the prognosis prediction value of videofluoroscopic swallowing study (VFSS) in recovery of impaired consciousness in stroke patients. Fifty-one patients with impaired consciousness who underwent VFSS during the early stage of stroke between 2017 and 2021 were recruited in this retrospective study. VFSS were performed using modified Logemann protocol, and bonorex was used as the liquid contrast medium. The penetration-aspiration scale (PAS) was graded for all patients, and they were classified into 2 groups depending on the presence of aspiration on liquid material: the aspiration-positive group with a PAS score ≥ 6, and the aspirationnegative group with a PAS score < 6. The coma recovery scale-revised (CRS-R) was used to evaluate patients' conscious state at the time of VFSS and 3 months after. Statistical analysis was performed using independent t test and Pearson's correlation. The increase in total CRS-R score from time of VFSS to 3 months later was greater in aspiration-negative group than in aspirationpositive group (P < .05). A moderate negative correlation was observed between liquid PAS score and the increase in total CRS-R score (r = −0.499, P < .05). Among 6 CRS-R subscales, a strong negative correlation was observed between liquid PAS score and the communication score increase (r = −0.563, P < .05), while moderate negative correlations were detected between liquid PAS score and the increases in auditory (r = −0.465, P < .05), motor (r = −0.372, P < .05), oromotor (r = −0.426, P < .05), and arousal (r = −0.368, P < .05) scores. We observed that patients without aspiration on videofluoroscopic swallowing study showed better recovery of impaired consciousness, and the degree of penetration and aspiration had a predictive value for impaired consciousness prognosis in the early stage of stroke.

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Reliability and Construct Validity of the Penetration‐Aspiration Scale for Quantifying Pediatric Outcomes after Interarytenoid Augmentation

Cited by 9 publications

References 34 publications

Beyond Laryngeal Clefts: Interarytenoid Injection Augmentation to Predict Success of Suture Augmentation in Children

Beyond Laryngeal Clefts: Interarytenoid Injection Augmentation to Predict Success of Suture Augmentation in Children

Validation and cultural adaptation of a Greek Version of Pediatric Eating Assessment Tool 10 (PEDI – EAT – 10) in Greek-Cypriot Parents

Prognosis prediction for impaired consciousness recovery in stroke patients using videofluoroscopic swallowing study: A retrospective observational study

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