Comparing videofluoroscopy and endoscopy to assess swallowing in bottle-fed young infants in the neonatal intensive care unit

Date
2019-07
Authors
Armstrong, Erika S.
Reynolds, Jenny
Carroll, Sandra
Sturdivant, Chrysty
Suterwala, Mustafa S.
Journal Title
Journal ISSN
Volume Title
Publisher
Springer Nature
Abstract

Objective To determine the diagnostic accuracy of videofluoroscopy (VFSS) and endoscopy (FEES) in detecting laryngeal penetration and tracheal aspiration in bottle-fed young infants in the NICU.

Study design VFSS and FEES findings of 22 infants were compared to each other and to a composite reference standard in this prospective study. Sensitivity, specificity, positive and negative predictive values were calculated for each assessment.

Result Agreement between VFSS and FEES was high (92%) for aspiration and moderate (56%) for penetration, with FEES detecting more instances of penetration. Compared to the composite reference standard, FEES had greater sensitivity and a higher negative predictive value for penetration than VFSS. Because of the low prevalence of aspiration, diagnostic accuracy could not be determined for aspiration for either assessment.

Conclusion FEES appears to be more accurate in detecting penetration in this population, and both assessments are valuable tools in a comprehensive feeding and swallowing evaluation.

Description
Article originally published in the Journal of Perinatology, 39(9), 1249–1256 English. Published online July 2019. http://doi.org/10.1038/s41372-019-0438-2
Keywords
Diagnosis, Translational research
Citation
This is a post-print version of a paper that is available at: https://doi.org/10.1038/s41372-019-0438-2. Recommended citation: Armstrong, E. S., Reynolds, J., Carroll, S., Sturdivant, C., & Suterwala, M. S. (2019). Comparing videofluoroscopy and endoscopy to assess swallowing in bottle-fed young infants in the neonatal intensive care unit. Journal of Perinatology, 39(9), 1249–1256. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.