Your browser doesn't support javascript.
Enhanced rapid review of the applicability of ultrasound in the assessment of sucking, swallowing and laryngeal function in the paediatric population.
Viviers, Mari; Edwards, Louise; Asir, Maya; Hibberd, Judi; Rowe, Rebecca; Phillips, Sophie; Thomas, Victoria; Keesing, Melissa; Sugar, Analou; Allen, Jodi.
  • Viviers M; Evelina London Children's Hospital, Guy's & St Thomas' NHS Foundation Trust, London, UK.
  • Edwards L; The Children's Trust, Tadworth, UK.
  • Asir M; Evelina London Children's Hospital, Guy's & St Thomas' NHS Foundation Trust, London, UK.
  • Hibberd J; Independent Practice, West Midlands, UK.
  • Rowe R; Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.
  • Phillips S; Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
  • Thomas V; Leeds Teaching Hospitals NHS Trust, Leeds, UK.
  • Keesing M; Nelson Marlborough District Health Board, Nelson, New Zealand.
  • Sugar A; Chelsea and Westminster Hospital, Chelsea & Westminster Hospital Foundation Trust, London, UK.
  • Allen J; The National Hospital for Neurology & Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Int J Lang Commun Disord ; 57(2): 422-440, 2022 03.
Article in English | MEDLINE | ID: covidwho-1642574
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic has renewed interest in the use of ultrasound (US) amongst dysphagia-trained clinicians working with infants and children. US is a portable, minimally intrusive tool which carries reduced risk of aerosol-generation provoked by other instrumental swallowing assessment tools such as fibreoptic endoscopic evaluation of swallowing (FEES). For this reason, US could be a valuable addition to the dysphagia assessment toolkit. A recently published rapid review of US evidence for the assessment of swallowing and laryngeal function in the adult population provided a framework for this neonatal and paediatric review.

AIMS:

This enhanced rapid review aimed to establish the applicability of US as an instrumental assessment tool for sucking, swallowing and laryngeal function in the neonatal and paediatric populations. METHODS & PROCEDURES A rapid review of six electronic databases was conducted to identify articles using US to assess sucking, swallowing or laryngeal function in the selected populations, compared with varied reference tests. Abstract screening was completed according to pre-defined inclusion/exclusion criteria with 10% of articles assessed by a second screener. Data was extracted from the included studies using a pre-developed form. A modified QUADAS-2 tool was used to assess study quality. Results from the included studies were summarised and grouped into sucking, swallowing and laryngeal function data. OUTCOMES &

RESULTS:

Twelve studies using US in the assessment of swallowing and/or laryngeal function met inclusion criteria. No studies using US for assessment of sucking met the inclusion criteria. All were peer-reviewed, primary studies across a range of clinical populations and with a wide geographical spread. Five studies had an overall low risk of bias. Seven studies had at least one domain where risk of bias was judged as high. All studies had high applicability. The two studies assessing swallowing differed in terms of aims and use of US. The studies assessing laryngeal function predominately investigated vocal fold movement and laryngeal pathology. Sensitivity and specificity data were provided or calculated from raw data for nine of the laryngeal function studies (respective ranges of 75%-100% and 80%-100%). CONCLUSIONS & IMPLICATIONS Emerging evidence exists to support the use of US as adjunct to clinical assessment of swallowing and laryngeal function in the neonatal and paediatric population. A paucity of evidence to support use of US in the assessment of sucking exists. Further research is needed to establish evidence-based assessment and analysis protocols as well as development of paediatric data.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Deglutition Disorders / COVID-19 / Larynx Type of study: Diagnostic study / Experimental Studies / Prognostic study / Reviews Limits: Adult / Child / Humans / Infant / Infant, Newborn Language: English Journal: Int J Lang Commun Disord Journal subject: Speech-Language Pathology Year: 2022 Document Type: Article Affiliation country: 1460-6984.12695

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Deglutition Disorders / COVID-19 / Larynx Type of study: Diagnostic study / Experimental Studies / Prognostic study / Reviews Limits: Adult / Child / Humans / Infant / Infant, Newborn Language: English Journal: Int J Lang Commun Disord Journal subject: Speech-Language Pathology Year: 2022 Document Type: Article Affiliation country: 1460-6984.12695