Observational studyDevelopmental medicine and child neurology2019
Development and validation of a screening tool for feeding/swallowing difficulties and undernutrition in children with cerebral palsy.
Observational study in Developmental medicine and child neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05764681 (Chronic Postsurgical Pain in Cerebral Palsy), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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.
Chronic Postsurgical Pain in Cerebral Palsy
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Swallowing disorders in cerebral palsy: a systematic review of oropharyngeal Dysphagia, nutritional impact, and health risks.Italian journal of pediatrics · 2025Pooled it
- Concurrent Use of Videofluoroscopic and Nutritional Intake Measures in the Assessment of Pediatric Patients With Dysphagia: A Scoping Review.American journal of speech-language pathology · 2026Article
- Undernutrition and Feeding Difficulties Among Children with Disabilities in Uganda: A Cross-Sectional Study.Nutrients · 2026Article
- Telemedicine follow-up and nutritional outcomes in children with neurological impairment: a longitudinal study.Frontiers in pediatrics · 2026Article
- Psychometric Properties of the Greek Version of the Pediatric Assessment Scale for Severe Feeding Problems (PASS-FP).Medical sciences (Basel, Switzerland) · 2025Article
- Article
- The evolution of nutrition management in children with severe neurological impairment with a focus on cerebral palsy.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Review
- Development and Validation of a Questionnaire to Measure Feeding Challenges and Nutritional Problems Associated With Long-Term Enteral Nutrition Among Children With Disabilities.Risk management and healthcare policy · 2025Article
- The nutritional and feeding status of children living in selected residential child care facilities in Zambia: implications for programs and policies.Frontiers in public health · 2024Article
- Eating and Drinking Ability Classification System to detect aspiration risk in children with cerebral palsy: a validation study.European journal of pediatrics · 2023Article
- Article
- Pain burden in children with cerebral palsy (CPPain) survey: Study protocol.Paediatric & neonatal pain · 2022Article
- Observational
- [Clinical effectiveness of Subjective Global Nutritional Assessment in hospitalized children with cerebral palsy].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2020Article
- Top-ten tips for managing nutritional issues and gastrointestinal symptoms in children with neurological impairment.Italian journal of pediatrics · 2020Review
- Evaluation and Management of Respiratory Illness in Children With Cerebral Palsy.Frontiers in pediatrics · 2020Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo develop and validate a screening tool for feeding/swallowing difficulties and/or undernutrition in children with cerebral palsy (CP).
methodThis cross-sectional, observational study included 89 children with CP (63 males, 26 females; median age 6y 0mo; interquartile range 4y 0mo-8y 11mo), across all Gross Motor Function Classification System levels. Children with feeding tubes were excluded. Children were classified as well-nourished or moderately to severely undernourished, using the paediatric Subjective Global Nutrition Assessment. Eating and drinking abilities were classified using the Eating and Drinking Ability Classification System (EDACS) from mealtime observation and videofluoroscopic swallow studies when indicated. Parents/caregivers answered 33 screening questions regarding their child's feeding/swallowing abilities and nutritional status. The diagnostic ability of each question for identifying children with feeding/swallowing difficulties and undernutrition was calculated and the combination of questions with the highest sensitivity and specificity identified.
resultsFeeding difficulties impacted on swallow safety in 26 children (29%) and 26 children (29%) were moderately or severely undernourished. The 4-item final tool had high sensitivity and specificity for identifying children with feeding/swallowing difficulties (81% and 79% respectively) and undernutrition (72% and 75% respectively). The tool successfully identified 100 per cent of children with severe undernutrition and 100 per cent of those classified as EDACS level IV or V.
interpretationScreening for feeding/swallowing difficulties and undernutrition will enable early identification, assessment, and management for those children in need. WHAT THIS PAPER ADDS: A screening tool with high sensitivities and specificities for identifying children with feeding/swallowing difficulties and undernutrition. The tool identified 100 per cent of children with severe undernutrition. The tool identified 100 per cent of children in Eating and Drinking Ability Classification System levels IV or V.
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