dc.contributor.author | Frakking, TT | |
dc.contributor.author | Chang, AB | |
dc.contributor.author | David, M | |
dc.contributor.author | Orbell-Smith, J | |
dc.contributor.author | Weir, KA | |
dc.date.accessioned | 2020-07-02T03:14:37Z | |
dc.date.available | 2020-07-02T03:14:37Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 1749-4478 | |
dc.identifier.doi | 10.1111/coa.13402 | |
dc.identifier.uri | http://hdl.handle.net/10072/395087 | |
dc.description.abstract | Background: Cervical auscultation (i.e. listening to swallowing sounds) is the most commonly used technique in adjuvant to the clinical feeding examination by speech-language pathologists worldwide to assess for oropharyngeal aspiration risk in children. Despite its relative popularity in clinical practice, little is known on the clinical utility of cervical auscultation within a paediatric population.
Objective: To determine the diagnostic test accuracy of the clinical feeding examination with cervical auscultation in the detection of aspiration in children.
Type of review: Narrative review. Prospero Registration: CRD42017081467 Search strategy: Medline/Pub Med, Embase, CINAHL, AustHealth, Cochrane and UQ (Scopus) were searched up until October 2017. Specifically, the search terms used were: (((oropharyngeal OR respiratory) aspiration) AND (child* OR pediatr* OR paediatr*) and (cervical auscultation OR swallow sounds OR swallowing sounds OR accelerometry OR swallowing acoustics)). The search strategy also included scanning reference lists and citations of retrieved studies.
Evaluation method: Extracted studies were reviewed by two independent reviewers. Methodological quality of studies was assessed using the QUADAS-2 tool.
Results: Only one study met inclusion criteria for this review, which had a bias for flow and timing. Use of cervical auscultation in conjunction with the clinical feeding examination to predict aspiration had a positive predictor value (PPV) of only 0.49 (0.31-0.66), indicating potential over-prediction of aspiration when cervical auscultation is used. In contrast a high NPV of 0.92 (0.78-0.98) was reported indicating that cervical auscultation is useful at ruling out aspiration in children.
Conclusion: This review highlights the paucity of research studies assessing the accuracy of cervical auscultation as an adjuvant to the clinical feeding examination in aspiration detection within the paediatric population. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Wiley | |
dc.relation.ispartofpagefrom | 927 | |
dc.relation.ispartofpageto | 934 | |
dc.relation.ispartofissue | 6 | |
dc.relation.ispartofjournal | Clinical Otolaryngology | |
dc.relation.ispartofvolume | 44 | |
dc.subject.fieldofresearch | Allied health and rehabilitation science | |
dc.subject.fieldofresearch | Speech pathology | |
dc.subject.fieldofresearch | Paediatrics | |
dc.subject.fieldofresearch | Respiratory diseases | |
dc.subject.fieldofresearchcode | 4201 | |
dc.subject.fieldofresearchcode | 420110 | |
dc.subject.fieldofresearchcode | 3213 | |
dc.subject.fieldofresearchcode | 320103 | |
dc.subject.keywords | cervical auscultation | |
dc.subject.keywords | child | |
dc.subject.keywords | deglutition | |
dc.subject.keywords | deglutition disorders | |
dc.subject.keywords | oropharyngeal aspiration | |
dc.title | Clinical feeding examination with cervical auscultation for detecting oropharyngeal aspiration: A systematic review of the evidence | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Frakking, TT; Chang, AB; David, M; Orbell-Smith, J; Weir, KA, Clinical feeding examination with cervical auscultation for detecting oropharyngeal aspiration: A systematic review of the evidence, Clinical Otolaryngology, 2019, 44 (6), pp. 927-934 | |
dcterms.dateAccepted | 2019-07-07 | |
dc.date.updated | 2020-07-02T03:13:06Z | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Weir, Kelly A. | |