Cervical Auscultation for Detecting Oropharyngeal Aspiration in Paediatric and Adult Populations: A Systematic Review and Meta-Analysis

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2024-08-08 DOI:10.1111/coa.14202

Annelise C. Cron, Michael David, Jane Orbell-Smith, Anne B. Chang, Kelly A. Weir, Thuy T. Frakking

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引用次数: 0

Abstract

Background

Cervical auscultation (CA) involves listening to swallowing and respiratory sounds and/or vibrations to detect oropharyngeal aspiration (OPA). CA has shown promising diagnostic test accuracy when used with the clinical swallowing examination and is gaining popularity in clinical practise. There has not been a review to date analysing the accuracy of CA in paediatric and adult populations with meta-analyses.

Objectives

To determine the accuracy of CA in detecting OPA in paediatric and adult populations, when compared to instrumental assessments.

Search Methods

Databases searched included MEDLINE, PubMed, Embase, CINAHL, AustHealth, Cochrane and Web of Science. The search was restricted between 01 October 2012 and 01 October 2022.

Selection Criteria

Inclusion criteria included (a) all clinical populations of all ages, (b) who have had an instrumental assessment and (c) CA. All study types were included.

Data Collection and Analysis

Studies were reviewed independently by two authors. The methodological quality of the studies was analysed using the QUADAS-2.

Main Results

Ten studies met the inclusion criteria for this review and meta-analyses. The pooled diagnostic performance of CA in detecting OPA was 0.91 for sensitivity and 0.79 for specificity. The area under the curve summary receiver operating curve (sROC) was estimated to be 0.86, thereby indicating good discrimination of OPA. Most studies scored high for risk of bias in at least one domain in the QUADAS-2, likely attributed to a lack of high-quality prospectively designed studies.

Conclusions

There are promising diagnostic test accuracies for the use of CA in detection of OPA. Future research could include using CA in specific clinical populations and settings, and identifying standardised criteria for CA.

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查看原文本刊更多论文

用于检测儿童和成人口咽吸入的颈部听诊：系统综述与元分析》。

背景：颈部听诊（CA）是通过倾听吞咽和呼吸的声音和/或振动来检测口咽吸入（OPA）。当与临床吞咽检查一起使用时，CA 已显示出良好的诊断测试准确性，并在临床实践中越来越受欢迎。迄今为止，还没有一篇综述对CA在儿科和成人人群中的准确性进行荟萃分析：目的：确定与仪器评估相比，CA 检测儿童和成人 OPA 的准确性：检索的数据库包括 MEDLINE、PubMed、Embase、CINAHL、AustHealth、Cochrane 和 Web of Science。检索时间限于 2012 年 10 月 1 日至 2022 年 10 月 1 日：纳入标准包括：(a) 所有年龄段的所有临床人群；(b) 已进行仪器评估的人群；(c) CA。数据收集与分析：研究由两位作者独立审查。主要结果：10 项研究符合本研究的纳入标准：10项研究符合本综述和荟萃分析的纳入标准。CA在检测OPA方面的总体诊断性能为敏感性0.91，特异性0.79。据估计，曲线下的接收者操作曲线汇总面积（sROC）为 0.86，从而表明 OPA 具有良好的分辨能力。大多数研究在QUADAS-2中至少有一个领域的偏倚风险得分较高，这可能是由于缺乏高质量的前瞻性设计研究：结论：使用 CA 检测 OPA 的诊断测试准确性很有希望。未来的研究可包括在特定的临床人群和环境中使用 CA，以及确定 CA 的标准化标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.