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Oropharyngeal dysphagia in children with multiple disabilities

Published online by Cambridge University Press:  05 April 2024

Emeline Chane-Law
Affiliation:
Pediatric Department, Rouen Normandy University Hospital, Rouen, France
Grégoire Prum
Affiliation:
Pediatric Department, Rouen Normandy University Hospital, Rouen, France CHU Rouen Rehabilitation Department, Rouen Normandy University Hospital, Rouen, France
Remi Mallart
Affiliation:
Pediatric Department, Rouen Normandy University Hospital, Rouen, France
Eric Verin*
Affiliation:
Pediatric Department, Rouen Normandy University Hospital, Rouen, France CHU Rouen Rehabilitation Department, Rouen Normandy University Hospital, Rouen, France
*
Corresponding author: Eric Verin Email: eric.verin@univ-rouen.fr

Abstract

Objective

This study aimed to investigate the prevalence of oropharyngeal dysphagia among institutionalised children with multiple disabilities, a topic with limited literature coverage.

Methods

The study employed a questionnaire, specifically the F-PEDI-EAT-10, to screen for dysphagia in children. Trained nurses administered the questionnaire to the participants.

Results

The study included 117 children with multiple disabilities (51.3 per cent boys and 48.7 per cent girls) with an average age of 14 ± 4.7 years. The questionnaire revealed that 53 per cent (n = 62) of the children had a positive score and, surprisingly, 29 per cent of them (n = 18) did not have a confirmed diagnosis of oropharyngeal dysphagia. Notably, children with a positive F-PEDI-EAT-10 score had a significantly higher prevalence of pneumopathy and undernutrition compared with those with a negative score.

Conclusion

This study underscores the high prevalence of oropharyngeal dysphagia among children with multiple disabilities, a condition that is often underdiagnosed.

Type
Main Article
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Eric Verin takes responsibility for the integrity of the content of the paper

References

Bhattacharyya, N. The prevalence of pediatric voice and swallowing problems in the United States. Laryngoscope 2015;125:746–50CrossRefGoogle ScholarPubMed
Benfer, KA, Weir, KA, Bell, KL, Ware, RS, Davies, PS, Boyd, RN. Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy. Pediatrics 2013;131:e1553–62CrossRefGoogle ScholarPubMed
Robertson, J, Chadwick, D, Baines, S, Emerson, E, Hatton, C. People with intellectual disabilities and dysphagia. Disabil Rehabil 2018;40:1345–60CrossRefGoogle ScholarPubMed
Serel Arslan, S, Demir, N, Karaduman, AA, Belafsky, PC. The Pediatric Version of the Eating Assessment Tool: a caregiver administered dyphagia-specific outcome instrument for children. Disabil Rehabil 2018;40:2088–92CrossRefGoogle Scholar
Belaala, M. Adaptation en français et évaluation de la fiabilité du questionnaire PEDI-EAT-10 spécifique aux troubles de la déglutition chez l'enfant. Physical and Rehabilitation Medicine Thesis: Rouen University, 2019Google Scholar
Strauss, DJ, Shavelle, RM, Anderson, TW. Life expectancy of children with cerebral palsy. Pediatr Neurol 1998;18:143–9CrossRefGoogle ScholarPubMed
Reddihough, DS, Baikie, G, Walstab, JE. Cerebral palsy in Victoria, Australia: mortality and causes of death. J Paediatr Child Health 2001;37:183–6CrossRefGoogle ScholarPubMed
Dziewas, R, Warnecke, T, Schnabel, M, Ritter, M, Nabavi, DG, Schilling, M et al. Neuroleptic-induced dysphagia: case report and literature review. Dysphagia 2007;22:63–7CrossRefGoogle ScholarPubMed