Oropharyngeal dysphagia in children with multiple disabilities

Emeline Chane-Law1, Grégoire Prum1,2, Remi Mallart1

  • 1Pediatric Department, Rouen Normandy University Hospital, Rouen, France.

Insights

Oropharyngeal dysphagia is common in institutionalized children with multiple disabilities, often going undiagnosed. Early screening using tools like the F-PEDI-EAT-10 is crucial for identifying at-risk children.

Area of Science:

  • Pediatrics
  • Neurology
  • Gastroenterology

Background:

  • Oropharyngeal dysphagia is a significant concern in children with multiple disabilities.
  • Limited research exists on the prevalence of this condition in institutionalized pediatric populations.
  • Early identification and management are critical for improving health outcomes.

Purpose of the Study:

  • To determine the prevalence of oropharyngeal dysphagia in institutionalized children with multiple disabilities.
  • To assess the utility of the F-PEDI-EAT-10 screening tool in this population.
  • To highlight the underdiagnosis of dysphagia in this vulnerable group.

Main Methods:

  • A cross-sectional study involving 117 institutionalized children with multiple disabilities.
  • The Food Intake Behavior Scale for Pediatric Dysphagia (F-PEDI-EAT-10) questionnaire was used for screening.
  • Trained nurses administered the questionnaires to participants.

Main Results:

  • 53% of children screened positive for oropharyngeal dysphagia using the F-PEDI-EAT-10.
  • A significant proportion (29%) of those with positive scores lacked a formal dysphagia diagnosis.
  • Children with positive screening scores showed higher rates of pneumopathy and undernutrition.

Conclusions:

  • Oropharyngeal dysphagia is highly prevalent among institutionalized children with multiple disabilities.
  • The condition is frequently underdiagnosed, necessitating improved screening protocols.
  • Screening tools like the F-PEDI-EAT-10 can aid in identifying children requiring further evaluation and intervention.
Abstract

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