Article

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 All published and unpublished studies in all languages assessing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.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS