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Development of the Pediatric Dysphagia Risk Screening Instrument (PDRSI)
Camila Lucia Etges1, Lisiane De Rosa Barbosa1, Maria Cristina de Almeida Freitas Cardoso1
1Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.
Codas
|October 14, 2020
Summary
A new screening tool, the Pediatric Dysphagia Risk Screening Tool (IRRD-Ped), was developed to identify hospitalized children at risk for dysphagia. The tool demonstrated good internal consistency and accuracy in identifying at-risk children.
Area of Science:
- Pediatric Medicine
- Speech-Language Pathology
- Clinical Assessment
Background:
- Dysphagia in hospitalized children poses significant health risks.
- Early identification of dysphagia risk is crucial for timely intervention.
- Existing screening methods may not be optimized for the hospital setting.
Purpose of the Study:
- To develop and validate a screening instrument for identifying children at risk of dysphagia in a hospital setting.
- To create the Pediatric Dysphagia Risk Screening Tool (IRRD-Ped).
Main Methods:
- The IRRD-Ped, comprising 23 questions, was developed by speech-language pathologists after a literature review.
- Criterion validity was assessed by comparing IRRD-Ped results with clinical swallowing evaluations (PAD-PED) in hospitalized children.
- Statistical analyses included chi-square or Fisher's exact test, ROC curve analysis, and Cronbach's alpha for reliability.
Main Results:
- The study included 40 children with a median age of 3.7 months.
- Eight items showed a statistically significant association with dysphagia risk.
- The IRRD-Ped demonstrated good internal consistency (Cronbach's alpha = 0.828), with a cutoff score of five points yielding 100% sensitivity and 80% specificity.
Conclusions:
- The IRRD-Ped shows promising results for screening pediatric dysphagia risk in hospitals.
- Further validation studies are recommended to confirm its clinical utility.
- The tool can aid in the early detection and management of dysphagia in pediatric patients.
