{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T16:17:32Z","timestamp":1786465052627,"version":"build-2736575974"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Dysphagia"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1007\/s00455-026-10930-x","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T10:49:24Z","timestamp":1770029364000},"page":"788-798","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development and Validation of a Clinical Risk Score for Post-extubation Dysphagia (CRISPED) in Critically Ill Children"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7284-1683","authenticated-orcid":false,"given":"Paulo S\u00e9rgio Lucas","family":"da Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2331-4828","authenticated-orcid":false,"given":"Emerson Yukio","family":"Kubo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0803-3715","authenticated-orcid":false,"given":"Marcelo Cunio Machado","family":"Fonseca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"issue":"1","key":"10930_CR1","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1186\/s13054-022-03971-4","volume":"26","author":"T Hongo","year":"2022","unstructured":"Hongo T, Yamamoto R, Liu K, et al. Association between timing of speech and Language therapy initiation and outcomes among post-extubation dysphagia patients: a multicenter retrospective cohort study. Crit Care. 2022;26(1):98. https:\/\/doi.org\/10.1186\/s13054-022-03971-4.","journal-title":"Crit Care"},{"issue":"6","key":"10930_CR2","doi-asserted-by":"publisher","first-page":"e1292","DOI":"10.1097\/CCM.0000000000006551","volume":"53","author":"C Donohue","year":"2025","unstructured":"Donohue C, Raye K, Pandharipande P, Dittus RS, Ely EW. A systematic review of the prevalence and characteristics of oropharyngeal dysphagia in critically ill patients during the acute and postacute recovery phase. Crit Care Med. 2025;53(6):e1292\u2013302. https:\/\/doi.org\/10.1097\/CCM.0000000000006551.","journal-title":"Crit Care Med"},{"issue":"1","key":"10930_CR3","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1186\/s40001-024-02036-3","volume":"29","author":"W Yu","year":"2024","unstructured":"Yu W, Dan L, Cai J, et al. Incidence of post-extubation dysphagia among critical care patients undergoing orotracheal intubation: a systematic review and meta-analysis. Eur J Med Res. 2024;29(1):444. https:\/\/doi.org\/10.1186\/s40001-024-02036-3.","journal-title":"Eur J Med Res"},{"issue":"4","key":"10930_CR4","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1002\/ppul.23962","volume":"53","author":"FC Sassi","year":"2018","unstructured":"Sassi FC, Buhler KCB, Juste FS, et al. Dysphagia and associated clinical markers in neurologically intact children with respiratory disease. Pediatr Pulmonol. 2018;53(4):517\u201325. https:\/\/doi.org\/10.1002\/ppul.23962.","journal-title":"Pediatr Pulmonol"},{"key":"10930_CR5","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1016\/j.jpeds.2019.04.033","volume":"211","author":"J Hoffmeister","year":"2019","unstructured":"Hoffmeister J, Zaborek N, Thibeault SL. Postextubation dysphagia in pediatric populations: incidence, risk factors, and outcomes. J Pediatr. 2019;211:126\u2013e1331. https:\/\/doi.org\/10.1016\/j.jpeds.2019.04.033.","journal-title":"J Pediatr"},{"issue":"1","key":"10930_CR6","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1002\/ppul.26191","volume":"58","author":"PSL da Silva","year":"2023","unstructured":"da Silva PSL, Reis ME, Fonseca TSM, Kubo EY, Fonseca MCM. Postextubation dysphagia in critically ill children: a prospective cohort study. Pediatr Pulmonol. 2023;58(1):315\u201324. https:\/\/doi.org\/10.1002\/ppul.26191.","journal-title":"Pediatr Pulmonol"},{"issue":"1","key":"10930_CR7","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1186\/s13054-025-05521-4","volume":"29","author":"D Bertschi","year":"2025","unstructured":"Bertschi D, Rotondo F, Waskowski J, Venetz P, Pfortmueller CA, Schefold JC. Post-extubation dysphagia in the ICU-a narrative review: epidemiology, mechanisms and clinical management (update 2025). Crit Care. 2025;29(1):244. https:\/\/doi.org\/10.1186\/s13054-025-05521-4.","journal-title":"Crit Care"},{"issue":"10","key":"10930_CR8","doi-asserted-by":"publisher","first-page":"e538","DOI":"10.1097\/PCC.0000000000001675","volume":"19","author":"PSL da Silva","year":"2018","unstructured":"da Silva PSL, Lobrigate NL, Fonseca MCM. Postextubation dysphagia in children: the role of speech-language pathologists. Pediatr Crit Care Med. 2018;19(10):e538\u201346. https:\/\/doi.org\/10.1097\/PCC.0000000000001675.","journal-title":"Pediatr Crit Care Med"},{"issue":"2","key":"10930_CR9","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1001\/jamaoto.2019.3622","volume":"146","author":"CM Lawlor","year":"2020","unstructured":"Lawlor CM, Choi S. Diagnosis and management of pediatric dysphagia: a review. JAMA Otolaryngol Head Neck Surg. 2020;146(2):183\u201391. https:\/\/doi.org\/10.1001\/jamaoto.2019.3622.","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"5","key":"10930_CR10","doi-asserted-by":"publisher","first-page":"e70031","DOI":"10.1111\/aas.70031","volume":"69","author":"A Schandl","year":"2025","unstructured":"Schandl A, Bergstrom L, Selg J, et al. Identifying dysphagia in the intensive care unit: validation of the Swedish version of the gugging swallowing screen-intensive care unit. Acta Anaesthesiol Scand. 2025;69(5):e70031. https:\/\/doi.org\/10.1111\/aas.70031.","journal-title":"Acta Anaesthesiol Scand"},{"issue":"1","key":"10930_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1590\/s2317-17822013000100002","volume":"25","author":"AR Padovani","year":"2013","unstructured":"Padovani AR, Moraes DP, Sassi FC, Andrade CR. Clinical swallowing assessment in intensive care unit. Codas. 2013;25(1):1\u20137. https:\/\/doi.org\/10.1590\/s2317-17822013000100002.","journal-title":"Codas"},{"issue":"10","key":"10930_CR12","doi-asserted-by":"publisher","first-page":"2396","DOI":"10.1097\/CCM.0b013e31829caf33","volume":"41","author":"M Macht","year":"2013","unstructured":"Macht M, Wimbish T, Bodine C, Moss M. ICU-acquired swallowing disorders. Crit Care Med. 2013;41(10):2396\u2013405. https:\/\/doi.org\/10.1097\/CCM.0b013e31829caf33.","journal-title":"Crit Care Med"},{"issue":"1","key":"10930_CR13","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1186\/s13054-019-2400-2","volume":"23","author":"P Zuercher","year":"2019","unstructured":"Zuercher P, Moret CS, Dziewas R, Schefold JC. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. Crit Care. 2019;23(1):103. https:\/\/doi.org\/10.1186\/s13054-019-2400-2.","journal-title":"Crit Care"},{"issue":"2","key":"10930_CR14","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1016\/j.ccc.2024.09.006","volume":"41","author":"A Freeman-Sanderson","year":"2025","unstructured":"Freeman-Sanderson A, Clayton NA, Zaga CJ, Sutt AL, Brodsky MB. Navigating nutrition complexity in critical care: a focus on swallowing function and rehabilitation. Crit Care Clin. 2025;41(2):327\u201344. https:\/\/doi.org\/10.1016\/j.ccc.2024.09.006.","journal-title":"Crit Care Clin"},{"issue":"2","key":"10930_CR15","doi-asserted-by":"publisher","first-page":"89","DOI":"10.4037\/ajcc2018520","volume":"27","author":"KL Johnson","year":"2018","unstructured":"Johnson KL, Speirs L, Mitchell A, et al. Validation of a postextubation dysphagia screening tool for patients after prolonged endotracheal intubation. Am J Crit Care. 2018;27(2):89\u201396. https:\/\/doi.org\/10.4037\/ajcc2018520.","journal-title":"Am J Crit Care"},{"issue":"1","key":"10930_CR16","doi-asserted-by":"publisher","first-page":"55","DOI":"10.7326\/M14-0697","volume":"162","author":"GS Collins","year":"2015","unstructured":"Collins GS, Reitsma JB, Altman DG, Moons KG. Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): the TRIPOD statement. Ann Intern Med. 2015;162(1):55\u201363. https:\/\/doi.org\/10.7326\/M14-0697.","journal-title":"Ann Intern Med"},{"key":"10930_CR17","doi-asserted-by":"crossref","unstructured":"Dodrill P. Evaluating feeding and swallowing in infants and children. In: Groher M, Crary M, editors. Dysphagia: clinical management in adults and children. 2nd ed. Elsevier; 2016. pp. 445\u201367.","DOI":"10.1016\/B978-0-323-18701-5.00014-2"},{"issue":"5","key":"10930_CR18","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1097\/MPG.0000000000002881","volume":"71","author":"YG Yi","year":"2020","unstructured":"Yi YG, Shin HI. Psychometrics of the functional oral intake scale for children with dysphagia. J Pediatr Gastroenterol Nutr. 2020;71(5):686\u201391. https:\/\/doi.org\/10.1097\/MPG.0000000000002881.","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"7","key":"10930_CR19","doi-asserted-by":"publisher","first-page":"2196","DOI":"10.1097\/CCM.0b013e31824e68cf","volume":"40","author":"JD Edwards","year":"2012","unstructured":"Edwards JD, Houtrow AJ, Vasilevskis EE, et al. Chronic conditions among children admitted to U.S. Pediatric intensive care units: their prevalence and impact on risk for mortality and prolonged length of stay. Crit Care Med. 2012;40(7):2196\u2013203. https:\/\/doi.org\/10.1097\/CCM.0b013e31824e68cf.","journal-title":"Crit Care Med"},{"issue":"11","key":"10930_CR20","doi-asserted-by":"publisher","first-page":"1110","DOI":"10.1097\/00003246-198811000-00006","volume":"16","author":"MM Pollack","year":"1988","unstructured":"Pollack MM, Ruttimann UE, Getson PR. Pediatric risk of mortality (PRISM) score. Crit Care Med. 1988;16(11):1110\u20136. https:\/\/doi.org\/10.1097\/00003246-198811000-00006.","journal-title":"Crit Care Med"},{"issue":"9379","key":"10930_CR21","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1016\/S0140-6736(03)13908-6","volume":"362","author":"S Leteurtre","year":"2003","unstructured":"Leteurtre S, Martinot A, Duhamel A, et al. Validation of the paediatric logistic organ dysfunction (PELOD) score: prospective, observational, multicentre study. Lancet. 2003;362(9379):192\u20137. https:\/\/doi.org\/10.1016\/S0140-6736(03)13908-6.","journal-title":"Lancet"},{"issue":"6","key":"10930_CR22","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1007\/s00134-009-1487-y","volume":"35","author":"E Ista","year":"2009","unstructured":"Ista E, van Dijk M, de Hoog M, Tibboel D, Duivenvoorden HJ. Construction of the Sophia observation withdrawal Symptoms-scale (SOS) for critically ill children. Intensive Care Med. 2009;35(6):1075\u201381. https:\/\/doi.org\/10.1007\/s00134-009-1487-y.","journal-title":"Intensive Care Med"},{"issue":"1","key":"10930_CR23","doi-asserted-by":"publisher","first-page":"3475","DOI":"10.1038\/s41598-024-54093-0","volume":"14","author":"N Yogo","year":"2024","unstructured":"Yogo N, Abe T, Kano K, et al. Post-extubation dysphagia in pediatric trauma patients: a single-center case-series study. Sci Rep. 2024;14(1):3475. https:\/\/doi.org\/10.1038\/s41598-024-54093-0.","journal-title":"Sci Rep"},{"key":"10930_CR24","doi-asserted-by":"publisher","first-page":"m441","DOI":"10.1136\/bmj.m441","volume":"368","author":"RD Riley","year":"2020","unstructured":"Riley RD, Ensor J, Snell KIE, et al. Calculating the sample size required for developing a clinical prediction model. BMJ. 2020;368:m441. https:\/\/doi.org\/10.1136\/bmj.m441.","journal-title":"BMJ"},{"issue":"2","key":"10930_CR25","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1002\/lary.30919","volume":"134","author":"J Chen","year":"2024","unstructured":"Chen J, Lu G, Wang Z, et al. Prediction models for dysphagia in intensive care unit after mechanical ventilation: a systematic review and meta-analysis. Laryngoscope. 2024;134(2):517\u201325. https:\/\/doi.org\/10.1002\/lary.30919.","journal-title":"Laryngoscope"},{"issue":"1","key":"10930_CR26","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1186\/s13054-016-1500-9","volume":"20","author":"KC See","year":"2016","unstructured":"See KC, Peng SY, Phua J, Sum CL, Concepcion J. Nurse-performed screening for postextubation dysphagia: a retrospective cohort study in critically ill medical patients. Crit Care. 2016;20(1):326. https:\/\/doi.org\/10.1186\/s13054-016-1500-9.","journal-title":"Crit Care"},{"key":"10930_CR27","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/s41512-019-0064-7","volume":"3","author":"AJ Vickers","year":"2019","unstructured":"Vickers AJ, van Calster B, Steyerberg EW. A simple, step-by-step guide to interpreting decision curve analysis. Diagn Progn Res. 2019;3:18. https:\/\/doi.org\/10.1186\/s41512-019-0064-7.","journal-title":"Diagn Progn Res"}],"container-title":["Dysphagia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00455-026-10930-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00455-026-10930-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00455-026-10930-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T14:02:59Z","timestamp":1786456979000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00455-026-10930-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,2]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10930"],"URL":"https:\/\/doi.org\/10.1007\/s00455-026-10930-x","relation":{},"ISSN":["0179-051X","1432-0460"],"issn-type":[{"value":"0179-051X","type":"print"},{"value":"1432-0460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,2]]},"assertion":[{"value":"31 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 December 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 January 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 February 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no conflicts of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was conducted in accordance with the Declaration of Helsinki and was approved by the Hospital Estadual de Diadema-HSPM Institutional Review (CAAE 38933814300005442).","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}