Identifying paediatric populations at risk for oropharyngeal dysphagia in acute and critical care settings: A scoping review.
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Digital posters
Acute care – paediatric
Dysphagia
Infant feeding
| Monday, May 27, 2024 |
| 2:30 PM - 2:45 PM |
| Knowledge Hub |
Overview
Christie Grunke
Presenter
Christie Grunke
Queensland Children's Hospital
Identifying paediatric populations at risk for oropharyngeal dysphagia in acute and critical care settings: A scoping review.
2:10 PM - 2:25 PMPresentation summary
Paediatric dysphagia is commonly observed in acute and critical care settings, but there is little evidence with regards to prevalence to guide service design in this area. This presentation discusses findings from a recent scoping review of documented risk and/or prevalence statistics for oropharyngeal dysphagia in paediatric populations within acute and critical care settings.
Five electronic databases were searched. Inclusion criteria were paediatrics, oropharyngeal dysphagia, and studies outlining risk statistics or prevalence data for oropharyngeal dysphagia within acute or critical care settings. Peer-reviewed journal articles, case series >50 participants and systematic/scoping reviews were included. A data extraction tool was designed and piloted amongst three team members before being used to synthesise information from all included studies.
A total of 6,841 papers were reviewed and 86 papers met criteria. Most papers were published in America (62%), written by medical doctors (28%) or medical doctors and speech pathologists (20%) and had a participant average age of <90 days (33%). Papers were predominantly observational cohort study designs (81%) with <200 participants (79%). Dysphagia definitions and assessment methods varied greatly amongst papers. The most researched populations included infants and children with congenital heart disease, followed by posterior fossa tumours, respiratory diseases, stroke, traumatic brain injury, and prematurity. Preliminary interpretation of collated data suggested common underlying risk factors for dysphagia to include younger age, lower weight, longer intubation period, and presence of vocal cord dysfunction, with final results to be available at the time of presentation.
Overall, documented risk statistics for dysphagia were reported among several paediatric populations within acute and critical care settings, with many of these papers citing common underlying risk factors including lower age, weight, longer intubation period and presence of vocal cord dysfunction. More rigorous research into identification and assessment of dysphagia in these settings is warranted to refine care standards.
Five electronic databases were searched. Inclusion criteria were paediatrics, oropharyngeal dysphagia, and studies outlining risk statistics or prevalence data for oropharyngeal dysphagia within acute or critical care settings. Peer-reviewed journal articles, case series >50 participants and systematic/scoping reviews were included. A data extraction tool was designed and piloted amongst three team members before being used to synthesise information from all included studies.
A total of 6,841 papers were reviewed and 86 papers met criteria. Most papers were published in America (62%), written by medical doctors (28%) or medical doctors and speech pathologists (20%) and had a participant average age of <90 days (33%). Papers were predominantly observational cohort study designs (81%) with <200 participants (79%). Dysphagia definitions and assessment methods varied greatly amongst papers. The most researched populations included infants and children with congenital heart disease, followed by posterior fossa tumours, respiratory diseases, stroke, traumatic brain injury, and prematurity. Preliminary interpretation of collated data suggested common underlying risk factors for dysphagia to include younger age, lower weight, longer intubation period, and presence of vocal cord dysfunction, with final results to be available at the time of presentation.
Overall, documented risk statistics for dysphagia were reported among several paediatric populations within acute and critical care settings, with many of these papers citing common underlying risk factors including lower age, weight, longer intubation period and presence of vocal cord dysfunction. More rigorous research into identification and assessment of dysphagia in these settings is warranted to refine care standards.
Key messages
At the conclusion of this presentation, attendees will take away:
1. The most reported populations of infants and children with demonstrated risk for oropharyngeal dysphagia within the acute and critical care settings included congenital heart disease, posterior fossa tumours, respiratory diseases, stroke, traumatic brain injury and prematurity.
2. Exact risk statistics were extremely varied amongst papers due to varying dysphagia definitions employed, study designs, participant numbers and assessment methods (e.g., bedside versus instrumental assessment).
3. Preliminary interpretation of collated data suggests common underlying risk factors for dysphagia to include younger age, lower weight, longer intubation period, and presence of vocal cord dysfunction.
1. The most reported populations of infants and children with demonstrated risk for oropharyngeal dysphagia within the acute and critical care settings included congenital heart disease, posterior fossa tumours, respiratory diseases, stroke, traumatic brain injury and prematurity.
2. Exact risk statistics were extremely varied amongst papers due to varying dysphagia definitions employed, study designs, participant numbers and assessment methods (e.g., bedside versus instrumental assessment).
3. Preliminary interpretation of collated data suggests common underlying risk factors for dysphagia to include younger age, lower weight, longer intubation period, and presence of vocal cord dysfunction.
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Christie Grunke is an early career researcher and clinician. Over the past seven years, she has worked clinically and developed skills across primary and tertiary health services. Christie discovered her passion for working with children with acute and chronic dysphagia whilst employed at Perth Children’s Hospital and has since specialised further within this area. Christie is currently employed at the Queensland Children’s Hospital and has commencing a PhD through the University of Queensland focusing on better identification of paediatric dysphagia within acute and critical care settings. This presentation forms the first project within her program of research.
Student volunteer(s)
Atika Brasha
Volunteer
Curtin University
The information contained in this program is current at of the time of publishing but is subject to changes made without notice.
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