'Dysphagia Severity Score' system: clinical outcomes in paediatric dysphagia

Clinical evaluation and analysis of therapeutic intervention, by means of a user-friendly outcome measure system, is essential in the management of a paediatric dysphagia caseload. The objective of this study was to design a Dysphagia Severity Score (DSS) system and to evaluate its usefulness in profiling dysphagia outcomes. Clinical outcome data, based on ten clinical parameters describing dysphagic status pre- and post-intervention, were collated for 23 concurrent cases and recorded on a data base. Results indicate that all subjects scored an improvement in DSS percentage post-intervention, with an average improvement of 21%. Dysphagia Severity Score profiles are presented for two patients and the limitations and applications are discussed.