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Validation of the choking risk assessment and pneumonia risk assessment for adults with intellectual and developmental disability (IDD)
journal contribution
posted on 2017-10-01, 00:00 authored by J J Sheppard, G A Malandraki, P Pifer, J Cuff, M Troche, B Hemsley, Susan BalandinSusan Balandin, A Mishra, R HochmanBACKGROUND: Risk assessments are needed to identify adults with intellectual and developmental disability (IDD) at high risk of choking and pneumonia. AIM: To describe the development and validation of the Choking Risk Assessment (CRA) and the Pneumonia Risk Assessment (PRA) for adults with IDD. METHODS: Test items were identified through literature review and focus groups. Five-year retrospective chart reviews identified a positive choking group (PCG), a negative choking group (NCG), a positive pneumonia group (PPG), and a negative pneumonia group (NPG). Participants were tested with the CRA and PRA by clinicians blind to these testing conditions. RESULTS: The CRA and PRA differentiated the PCG (n=93) from the NCG (n=526) and the PPG (n=63) from the NPG (n=209) with high specificity (0.91 and 0.92 respectively) and moderate to average sensitivity (0.53 and 0.62 respectively). Further analyses revealed associations between clinical diagnoses of dysphagia and choking (p=0.043), and pneumonia (p<0.001). CONCLUSIONS: The CRA and PRA are reliable, valid risk indicators for choking and pneumonia in adults with IDD. Precautions for mitigating choking and pneumonia risks can be applied selectively thus avoiding undue impacts on quality of life and unnecessary interventions for low risk individuals.
History
Journal
Research in developmental disabilitiesVolume
69Pagination
61 - 76Publisher
ElsevierLocation
Amsterdam, The NetherlandsPublisher DOI
eISSN
1873-3379Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2017, Elsevier Ltd.Usage metrics
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No categories selectedKeywords
AdultsChokingDysphagiaIntellectual disabilityPneumoniaRisk assessmentSocial SciencesScience & TechnologyLife Sciences & BiomedicineEducation, SpecialRehabilitationEducation & Educational ResearchASPIRATION PNEUMONIASILENT ASPIRATIONASSESSMENT TOOLSSCREENING-TOOLLONG-TERMPREDICTORSCOMMUNITYASPHYXIATIONPOPULATION
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