Trial reportDysphagia2016
The Use of Cervical Auscultation to Predict Oropharyngeal Aspiration in Children: A Randomized Controlled Trial.
Trial report in Dysphagia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06785220 (The Effects of Oral Facial Facilitation and Oral Motor Therapy in Dysphagia with Spastic Cerebral Palsy), which is not on this map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effects of Oral Facial Facilitation and Oral Motor Therapy in Dysphagia with Spastic Cerebral Palsy
Who cites it
21 citing papers in PubMed, 33 citations in OpenAlex.
- The Influence of Liquid Consistency and Food Texture on Swallowing: A Systematic Review Update.Dysphagia · 2026Review
- Acoustic and Perceptual Parameters of Swallow Sounds Associated with and Without Aspiration in Preterm Neonates: A Pilot Study.Dysphagia · 2026Article
- Diagnostic Accuracy of Cervical Auscultation for Aspiration Detection in Adult Dysphagia: Implications for FEES Prioritization.Laryngoscope investigative otolaryngology · 2026Article
- Oral Feeding and Aspiration Risk in Preterm Infants Receiving Nasal High-Flow Respiratory Support: A Cross-Sectional Study.Dysphagia · 2026Article
- Using Machine Learning for the Automated Segmentation and Detection of Swallows Obtained by Digital Cervical Auscultation in Preterm Neonates.Dysphagia · 2026Article
- Conformal Swallowing Accelerometry: Reimagining the Acquisition and Characterization of Swallowing Mechano-Acoustic Signals.Sensors (Basel, Switzerland) · 2025Article
- Use of Transfer Learning for the Automated Segmentation and Detection of Swallows via Digital Cervical Auscultation in Children.Dysphagia · 2025Article
- Respiratory-swallow assessment protocol for adult dysphagia management.BMC research notes · 2025Article
- Telehealth Delivery of Speech-Language Pathology Services for Children with Cleft Palate and Velopharyngeal Dysfunction: A Systematic Review.Children (Basel, Switzerland) · 2025Review
- Acoustic and Perceptual Profiles of Swallowing Sounds in Preterm Neonates: A Cross-Sectional Study Cohort.Dysphagia · 2025Article
- Dysphagia Management and Cervical Auscultation: Reliability and Validity Against FEES.Dysphagia · 2023Article
- Article
- A study of acoustic characteristics of voluntary expiratory sounds produced before and immediately after swallowing.Scientific reports · 2022Article
- Assessment of cough in head and neck cancer patients at risk for dysphagia-An overview.Cancer reports (Hoboken, N.J.) · 2021Review
- Decision making and the bedside assessment: The Speech Language Therapists' thinking when making a diagnosis at the bed.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2021Article
- The Long-Term Effects of COVID-19 on Dysphagia Evaluation and Treatment.Archives of physical medicine and rehabilitation · 2020Article
- Development and validation of a screening tool for feeding/swallowing difficulties and undernutrition in children with cerebral palsy.Developmental medicine and child neurology · 2019Observational
- Presenting Signs and Symptoms do not Predict Aspiration Risk in Children.The Journal of pediatrics · 2018Article
- Feeding Problems and Their Underlying Mechanisms in the Esophageal Atresia-Tracheoesophageal Fistula Patient.Frontiers in pediatrics · 2017Review
- Working With School-Aged Children With Neurodisability and Oropharyngeal Dysphagia Who Require Mealtime Assistance: A Survey of Speech and Language Therapists' Clinical Practice.International journal of language & communication disordersArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In this study, we aimed to determine if the use of cervical auscultation (CA) as an adjunct to the clinical feeding evaluation (CFE + CA) improves the reliability of predicting oropharyngeal aspiration (abbreviated to aspiration) in children. The design of the study is based on open label, randomized controlled trial with concealed allocation. Results from children (<18 years) randomized to either CFE or CFE + CA were compared to videofluoroscopic swallow study (VFSS), the reference standard data. Aspiration was defined using the Penetration-Aspiration Scale. All assessments were undertaken at a single tertiary pediatric hospital. 155 children referred for a feeding/swallowing assessment were randomized into the CFE n = 83 [38 males; mean age = 34.9 months (SD 34.4)] or CFE + CA n = 72 [43 males; mean age = 39.6 months (SD 39.3)] group. kappa statistic, sensitivity, and specificity values, area under receiver operating curve (aROC). No significant differences between groups were found, although CFE + CA (kappa = 0.41, 95 % CI 0.2-0.62) had higher agreement for aspiration detection by VFSS, compared to the clinical feeding exam alone (kappa = 0.31, 95 % CI 0.10-0.52). Sensitivity was 85 % (95 % CI 62.1-96.8) for CFE + CA and 63.6 % (95 % CI 45.1-79.6) for CFE. aROC was not significantly greater for CFE + CA (0.75, 95 % CI 0.65-0.86) than CFE (0.66, 95 % CI 0.55-0.76) across all age groups. Although using CA as an adjunct to the clinical feeding evaluation improves the sensitivity of predicting aspiration in children, it is not sensitive enough as a diagnostic tool in isolation. Given the serious implications of missing the diagnosis of aspiration, instrumental assessments (e.g., VFSS), remain the preferred standard.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.