Development of a Dysphagia Screening Test for Preterm Infants (DST-PI)
Annals of Rehabilitation Medicine
;
: 434-440, 2017.
Article
in English
| WPRIM
| ID: wpr-64570
ABSTRACT
OBJECTIVE:
To explore both the early prediction and diagnosis of dysphagia in preterm infants as an important developmental aspect as well as the prevention of respiratory complications, we developed the simple and-easy-to-apply Dysphagia Screening Test for Preterm Infants (DST-PI) to predict supraglottic penetration and subglottic aspiration.METHODS:
Fifty-two infants were enrolled in a videofluoroscopic swallowing study (VFSS) due to clinical suspicions of dysphagia. Thirteen items related to supraglottic penetration or subglottic aspiration were initially selected from previous studies for the DST-PI. Finally, 7 items were determined by linear logistic regression analysis. Cutoff values, sensitivity, specificity, and the area under the ROC curve (AUC) of the DST-PI for predicting supraglottic penetration or subglottic aspiration were calculated using a ROC curve. For inter-rater reliability, the kappa coefficient was calculated.RESULTS:
Seven items were selected ‘gestational age,’‘history of apnea,’‘history of cyanosis during feeding,’‘swallowing pattern,’‘coughs during or after feeding,’‘decreased oxygen saturation within 3 minutes of feeding,’ and ‘voice change after feeding.’ The Spearman correlation coefficient between the DST-PI and the penetration-aspiration scale (PAS) was 0.807 (p<0.001). The sensitivity and specificity at different cutoff values for detecting supraglottic penetration and subglottic aspiration were 96.6% and 76.9% at 3.25, and 88.9% and 75.8% at 6.25, respectively.CONCLUSION:
The DST-PI is a valid and reliable dysphagia screening test for supraglottic penetration or subglottic aspiration in preterm infants that is easy to apply in a clinical context.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Infant, Premature
/
Deglutition Disorders
/
Logistic Models
/
Mass Screening
/
ROC Curve
/
Sensitivity and Specificity
/
Cyanosis
/
Deglutition
/
Diagnosis
Type of study:
Diagnostic study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Humans
/
Infant
/
Infant, Newborn
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2017
Type:
Article
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