Accuracy of clinical swallowing evaluation for oropharyngeal dysphagia in cerebral palsy
Acurácia da avaliação clínica da disfagia orofaríngea na encefalopatia crônica não progressiva
Rarissa Rubia Dallaqua dos Santos; André Vinicius Marcondes Natel Sales; Paula Cristina Cola; Adriana Gomes Jorge; Fernanda Matias Peres; Ana Maria Furkim; Larissa Cristina Berti; Roberta Gonçalves da Silva
Abstract
Purpose: to evaluate the accuracy of clinical evaluation of oropharyngeal dysphagia in cerebral palsy (CP).
Methods: the study included 45 patients with oropharyngeal dysphagia and CP, 28 males and 17 females, age ranging from 3 to 19 years old. The clinical evaluation used specific protocol and swallowing videofluoroscopy was used as gold standard.
Results: we found that 80.0% sensitivity (95% CI[82.7,100]), specificity of 46.67% (95% CI[18.1,75.3]), positive predictive value of 77.78% (95% CI[62.8,92.8]) and negative predictive value of 77.78% (95% CI[45.1,100]).
Conclusion: we found that the clinical evaluation of oropharyngeal dysphagia in CP has a higher sensitivity than specificity.
Keywords
Resumo
Objetivo: analisar a acurácia da avaliação clínica da disfagia orofaríngea para detectar penetração e aspiração laringotraqueal na encefalopatia crônica não progressiva.
Métodos: participaram deste estudo 45 indivíduos com ECNP e disfagia orofaríngea, sendo 28 do sexo masculino e 17 do sexo feminino, faixa etária variando de 3 a 19 anos. A avaliação clínica da deglutição utilizou protocolo específico e a videofluoroscopia de deglutição (VFD) foi utilizada como padrão ouro.
Resultados: verificou-se que houve sensibilidade de 80,0% (IC 95%: [82,7;100]), especificidade de 46,67% (IC 95%: [18,1;75,3]), valor preditivo positivo de 77,78% (IC 95%: [62,8;92,8]) e valor preditivo negativo de 77,78% (IC 95%: [45,1;100]).
Conclusão: constatou-se que a avaliação fonoaudiológica clínica da disfagia orofaríngea na ECNP apresenta maior sensibilidade que especificidade.
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References
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Submitted date:
07/17/2012
Accepted date:
12/06/2012
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