Clinical and videofluoroscopic diagnosis of dysphagia in chronic encephalopathy of childhood

Radiologia brasileira
Brenda Carla Lima AraújoClaudia Marina Tavares de Araújo

Abstract

To evaluate the contribution of deglutition videofluoroscopy in the clinical diagnosis of dysphagia in chronic encephalopathy of childhood. The study sample consisted of 93 children diagnosed with chronic encephalopathy, in the age range between two and five years, selected by convenience among patients referred to the authors' institution by speech therapists, neurologists and gastroenterologists in the period from March 2010 to September 2011. The data collection was made at two different moments, by different investigators who were blind to each other. The method presented low sensitivity for detecting aspiration with puree consistency (p = 0.04). Specificity and negative predictive value were high for clinical diagnosis of dysphagia with puree consistency. In the present study, the value for sensitivity in the clinical diagnosis of dysphagia demonstrates that this diagnostic procedure may not detect any change in the swallowing process regardless of the food consistency used during the investigation. Thus, the addition of the videofluoroscopic method can significantly contribute to the diagnosis of dysphagia.

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Citations

Jan 20, 2017·Radiologia brasileira·Jose Luiz de Oliveira SchiavonHenrique Manoel Lederman
Jan 27, 2016·Radiologia brasileira·Gabriel Antonio de OliveiraJamine Ronacher Passos Silva
Jan 1, 2020·International Journal of Nursing Knowledge·Renan Alves SilvaAna Railka Oliveira-Kumakura
Feb 11, 2016·Developmental Medicine and Child Neurology·Irene CalvoMargaret Walshe

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