{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T21:10:15Z","timestamp":1789506615646,"version":"build-2803163510"},"reference-count":64,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,7,18]],"date-time":"2027-07-18T00:00:00Z","timestamp":1815868800000},"content-version":"am","delay-in-days":290,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100006823","name":"Boston Children's Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006823","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpeds.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Pediatrics"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.jpeds.2026.115212","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:14:43Z","timestamp":1782918883000},"page":"115212","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Association Between Salivary Substance P and Aspiration on Videofluoroscopic Swallow Study in Infants and Toddlers"],"prefix":"10.1016","volume":"297","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4771-8901","authenticated-orcid":false,"given":"Daniel R.","family":"Duncan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Golden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina L.","family":"Samuels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Vandenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikki","family":"Johnston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel L.","family":"Rosen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpeds.2026.115212_bib1","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1007\/s00455-018-9884-9","article-title":"Temporal trends of pediatric dysphagia in hospitalized patients","volume":"33","author":"Horton","year":"2018","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115212_bib2","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.jpeds.2020.07.047","article-title":"Pediatric feeding disorder: a nationwide prevalence study","volume":"228","author":"Kovacic","year":"2021","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib3","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1007\/s00455-024-10683-5","article-title":"Global state of the art and science of childhood dysphagia: similarities and disparities in burden","volume":"39","author":"Lefton-Greif","year":"2024","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115212_bib4","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1002\/ppul.21587","article-title":"Bronchiectasis in chronic pulmonary aspiration: risk factors and clinical implications","volume":"47","author":"Piccione","year":"2012","journal-title":"Pediatr Pulmonol"},{"key":"10.1016\/j.jpeds.2026.115212_bib5","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1007\/s00431-025-05980-6","article-title":"Outcomes for infants with BRUE diagnosed with oropharyngeal dysphagia or gastroesophageal reflux disease: a multicenter study from the Pediatric Health Information System Database","volume":"184","author":"Duncan","year":"2025","journal-title":"Eur J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib6","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1002\/jpn3.12465","article-title":"A prospective study of diagnostic testing and charges after brief resolved unexplained event","volume":"80","author":"Duncan","year":"2025","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpeds.2026.115212_bib7","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.jpeds.2018.05.030","article-title":"Presenting signs and symptoms do not predict aspiration risk in children","volume":"201","author":"Duncan","year":"2018","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib8","doi-asserted-by":"crossref","first-page":"1952","DOI":"10.1002\/lary.27070","article-title":"Silent aspiration: who is at risk?","volume":"128","author":"Velayutham","year":"2018","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jpeds.2026.115212_bib9","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1378\/chest.10-1618","article-title":"Oropharyngeal aspiration and silent aspiration in children","volume":"140","author":"Weir","year":"2011","journal-title":"Chest"},{"key":"10.1016\/j.jpeds.2026.115212_bib10","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1097\/MPG.0000000000002987","article-title":"Overlapping symptoms of gastroesophageal reflux and aspiration highlight the limitations of validated questionnaires","volume":"72","author":"Duncan","year":"2021","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpeds.2026.115212_bib11","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1378\/chest.120.4.1190","article-title":"Chronic aspiration without gastroesophageal reflux as a cause of chronic respiratory symptoms in neurologically normal infants","volume":"120","author":"Sheikh","year":"2001","journal-title":"Chest"},{"key":"10.1016\/j.jpeds.2026.115212_bib12","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1542\/hpeds.2022-006550","article-title":"A prospective study of brief resolved unexplained events: risk factors for persistent symptoms","volume":"12","author":"Duncan","year":"2022","journal-title":"Hosp Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib13","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/ppul.26788","article-title":"Breastfeeding in infants who aspirate may increase risk of pulmonary inflammation","volume":"59","author":"Duncan","year":"2023","journal-title":"Pediatr Pulmonol"},{"key":"10.1016\/j.jpeds.2026.115212_bib14","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.ijporl.2016.07.032","article-title":"Radiation exposure from videofluoroscopic swallow studies in children with a type 1 laryngeal cleft and pharyngeal dysphagia: a retrospective review","volume":"89","author":"Hersh","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"10.1016\/j.jpeds.2026.115212_bib15","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.pmr.2008.06.004","article-title":"The videofluorographic swallowing study","volume":"19","author":"Martin-Harris","year":"2008","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"10.1016\/j.jpeds.2026.115212_bib16","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/MPG.0000000000001439","article-title":"Oropharyngeal dysphagia is strongly correlated with apparent life-threatening events","volume":"65","author":"Duncan","year":"2017","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpeds.2026.115212_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpeds.2024.114128","article-title":"Brief resolved unexplained events symptoms frequently result in inappropriate gastrointestinal diagnoses and treatment","volume":"272","author":"Duncan","year":"2024","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib18","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.jpeds.2019.04.007","article-title":"The impact of the American Academy of Pediatrics brief resolved unexplained event guidelines on gastrointestinal testing and prescribing practices","volume":"211","author":"Duncan","year":"2019","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib19","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/BF00417897","article-title":"A penetration-aspiration scale","volume":"11","author":"Rosenbek","year":"1996","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115212_bib20","doi-asserted-by":"crossref","first-page":"3454","DOI":"10.1044\/2025_AJSLP-25-00203","article-title":"Using the BaByVFSS impairment profile to characterize the impact of thin and mildly thick liquid consistencies on validated physiological components of swallowing in bottle-fed children","volume":"34","author":"Lefton-Greif","year":"2025","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.jpeds.2026.115212_bib21","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.jpeds.2019.05.025","article-title":"Challenges to eating, swallowing, and aerodigestive functions in infants: a burning platform that needs attention!","volume":"211","author":"Jadcherla","year":"2019","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib22","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1089\/ped.2020.1201","article-title":"Clinical management of children with oropharyngeal aspiration\u2014physician survey","volume":"33","author":"Dy","year":"2020","journal-title":"Pediatr Allergy Immunol Pulmonol"},{"key":"10.1016\/j.jpeds.2026.115212_bib23","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1007\/s00455-023-10578-x","article-title":"Brain and pharyngeal responses associated with pharmacological treatments for oropharyngeal dysphagia in older patients","volume":"38","author":"Clav\u00e9","year":"2023","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115212_bib24","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.14220","article-title":"Effects of pharmacological agents for neurogenic oropharyngeal dysphagia: a systematic review and meta-analysis","volume":"34","author":"Cheng","year":"2022","journal-title":"Neurogastroenterol Motil"},{"key":"10.1016\/j.jpeds.2026.115212_bib25","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1007\/s00455-021-10248-w","article-title":"Oropharyngeal dysphagia in older people is associated with reduced pharyngeal sensitivity and low substance P and CGRP concentration in saliva","volume":"37","author":"Tomsen","year":"2022","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115212_bib26","doi-asserted-by":"crossref","first-page":"386","DOI":"10.3389\/fneur.2019.00386","article-title":"Substance P saliva reduction predicts pharyngeal dysphagia in Parkinson's disease","volume":"10","author":"Schr\u00f6der","year":"2019","journal-title":"Front Neurol"},{"key":"10.1016\/j.jpeds.2026.115212_bib27","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1016\/S0140-6736(95)92638-0","article-title":"Sputum substance P in aspiration pneumonia","volume":"345","author":"Nakagawa","year":"1995","journal-title":"Lancet"},{"key":"10.1016\/j.jpeds.2026.115212_bib28","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1007\/s13311-020-00996-2","article-title":"Effect of capsaicinoids on neurophysiological, biochemical, and mechanical parameters of swallowing function","volume":"18","author":"Suntrup-Krueger","year":"2021","journal-title":"Neurotherapeutics"},{"key":"10.1016\/j.jpeds.2026.115212_bib29","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpeds.2023.113510","article-title":"A prospective study of parental experience with thickening feeds for children with oropharyngeal dysphagia and gastroesophageal reflux","volume":"260","author":"Duncan","year":"2023","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib30","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1097\/MPG.0000000000002167","article-title":"Feeding interventions are associated with improved outcomes in children with laryngeal penetration","volume":"68","author":"Duncan","year":"2019","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpeds.2026.115212_bib31","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1007\/s11894-019-0697-2","article-title":"Clinical aspects of thickeners for pediatric gastroesophageal reflux and oropharyngeal dysphagia","volume":"21","author":"Duncan","year":"2019","journal-title":"Curr Gastroenterol Rep"},{"key":"10.1016\/j.jpeds.2026.115212_bib32","doi-asserted-by":"crossref","DOI":"10.1002\/ppul.71363","article-title":"Thickened liquids improve infant swallow function as measured by penetration-aspiration scale score on videofluoroscopic swallow study","volume":"60","author":"Golden","year":"2025","journal-title":"Pediatr Pulmonol"},{"key":"10.1016\/j.jpeds.2026.115212_bib33","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1097\/MOO.0b013e32834029de","article-title":"Management of oropharyngeal dysphagia in the neurologically intact and developmentally normal child","volume":"18","author":"Richter","year":"2010","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jpeds.2026.115212_bib34","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1001\/jamaoto.2015.2266","article-title":"Evaluation and management of chronic aspiration in children with normal upper airway anatomy","volume":"141","author":"Adil","year":"2015","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jpeds.2026.115212_bib35","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.clp.2020.02.005","article-title":"Feeding and swallowing difficulties in neonates: developmental physiology and pathophysiology","volume":"47","author":"Viswanathan","year":"2020","journal-title":"Clin Perinatol"},{"key":"10.1016\/j.jpeds.2026.115212_bib36","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1002\/lary.27888","article-title":"Aspiration in the otherwise healthy Infant\u2014is there a natural course for improvement?","volume":"130","author":"Casazza","year":"2020","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jpeds.2026.115212_bib37","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1097\/MPG.0b013e3182a9392d","article-title":"Feeding immaturity in preterm neonates: risk factors for oropharyngeal aspiration and timing of maturation","volume":"57","author":"Davis","year":"2013","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpeds.2026.115212_bib38","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.otc.2014.06.004","article-title":"Oropharyngeal dysphagia in children: mechanism, source, and management","volume":"47","author":"Durvasula","year":"2014","journal-title":"Otolaryngol Clin North Am"},{"key":"10.1016\/j.jpeds.2026.115212_bib39","doi-asserted-by":"crossref","DOI":"10.1002\/ppul.27435","article-title":"Prevalence of oropharyngeal dysphagia in children: a systematic review and meta-analysis","volume":"60","author":"Duca","year":"2025","journal-title":"Pediatr Pulmonol"},{"key":"10.1016\/j.jpeds.2026.115212_bib40","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1046\/j.1467-0658.2001.00139.x","article-title":"Persistent early feeding difficulties and subsequent growth and developmental outcomes","volume":"7","author":"Motion","year":"2001","journal-title":"Ambul Child Health"},{"key":"10.1016\/j.jpeds.2026.115212_bib41","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1002\/lary.24931","article-title":"The prevalence of pediatric voice and swallowing problems in the United States","volume":"125","author":"Bhattacharyya","year":"2015","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jpeds.2026.115212_bib42","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1007\/s00455-024-10795-y","article-title":"Identifying paediatric populations with increased risk for oropharyngeal dysphagia in acute and critical care settings: a scoping review","volume":"40","author":"Grunke","year":"2025","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115212_bib43","doi-asserted-by":"crossref","first-page":"e55","DOI":"10.1016\/j.pedn.2019.11.010","article-title":"Efficacy of sucrose in reducing pain during immunization among 10- to 18-month-old infants and young children: a randomized controlled trial","volume":"50","author":"Kassab","year":"2020","journal-title":"J Pediatr Nurs"},{"key":"10.1016\/j.jpeds.2026.115212_bib44","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1007\/s00455-017-9867-2","article-title":"Relationship between frequency of spontaneous swallowing and salivary substance P level in patients with acute stroke","volume":"33","author":"Niimi","year":"2018","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115212_bib45","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1152\/jn.00063.2022","article-title":"Oropharyngeal capsaicin exposure improves infant feeding performance in an animal model of superior laryngeal nerve damage","volume":"128","author":"Edmonds","year":"2022","journal-title":"J Neurophysiol"},{"key":"10.1016\/j.jpeds.2026.115212_bib46","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1007\/s00455-005-0018-9","article-title":"Silent aspiration: what do we know?","volume":"20","author":"Ramsey","year":"2005","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115212_bib47","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1212\/01.WNL.0000096395.80826.23","article-title":"Serum substance P concentrations and silent aspiration in elderly patients with stroke","volume":"61","author":"Arai","year":"2003","journal-title":"Neurology"},{"key":"10.1016\/j.jpeds.2026.115212_bib48","doi-asserted-by":"crossref","first-page":"3796","DOI":"10.1002\/ppul.25694","article-title":"Laryngeal sensation and its association with aspiration and cough in children with neurological impairment","volume":"56","author":"Freitag","year":"2021","journal-title":"Pediatr Pulmonol"},{"key":"10.1016\/j.jpeds.2026.115212_bib49","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.clinph.2024.03.030","article-title":"Neurophysiological characterization of oropharyngeal dysphagia in older patients","volume":"162","author":"Guanyabens","year":"2024","journal-title":"Clin Neurophysiol"},{"key":"10.1016\/j.jpeds.2026.115212_bib50","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1113\/expphysiol.1987.sp003037","article-title":"The ontogeny of vasoactive intestinal polypeptide-like and substance P-like immunoreactivity in the digestive tract of the sheep","volume":"72","author":"Wathuta","year":"1987","journal-title":"Q J Exp Physiol"},{"key":"10.1016\/j.jpeds.2026.115212_bib51","first-page":"173","article-title":"Distribution of substance P-like immunoreactive nervous structures in the duck gut during development","volume":"37","author":"Lucini","year":"1993","journal-title":"Eur J Histochem"},{"key":"10.1016\/j.jpeds.2026.115212_bib52","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1016\/S0022-3468(97)90552-2","article-title":"Abnormalities of neuropeptides and neural markers in the esophagus of fetal rats with adriamycin-induced esophageal atresia","volume":"32","author":"Cheng","year":"1997","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpeds.2026.115212_bib53","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/0736-5748(95)00005-2","article-title":"Innervation of the rat gastrointestinal sphincters: changes during development and aging","volume":"13","author":"Belai","year":"1995","journal-title":"Int J Dev Neurosci"},{"key":"10.1016\/j.jpeds.2026.115212_bib54","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1016\/0016-5085(92)90167-W","article-title":"The ontogeny and distribution of neuropeptides in the human fetal and infant esophagus","volume":"102","author":"Hitchcock","year":"1992","journal-title":"Gastroenterology"},{"key":"10.1016\/j.jpeds.2026.115212_bib55","doi-asserted-by":"crossref","DOI":"10.1155\/2012\/195153","article-title":"Insights into neonatal oral feeding through the salivary transcriptome","volume":"2012","author":"Maron","year":"2012","journal-title":"Int J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib56","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1044\/2019_AJSLP-CSW18-19-0027","article-title":"The utility of speech-language biomarkers to predict oral feeding outcomes in the premature newborn","volume":"29","author":"Bartolome","year":"2020","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.jpeds.2026.115212_bib57","article-title":"Technical considerations and protocol optimization for neonatal salivary biomarker discovery and analysis","volume":"8","author":"Yen","year":"2020","journal-title":"Front Pediatr"},{"key":"10.1016\/j.jpeds.2026.115212_bib58","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.otc.2024.02.010","article-title":"Pediatric dysphagia","volume":"57","author":"McClain","year":"2024","journal-title":"Otolaryngol Clin North Am"},{"key":"10.1016\/j.jpeds.2026.115212_bib59","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/j.otc.2024.03.006","article-title":"Dysphagia in the aging population","volume":"57","author":"Hunter","year":"2024","journal-title":"Otolaryngol Clin North Am"},{"key":"10.1016\/j.jpeds.2026.115212_bib60","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1007\/s00247-006-0124-3","article-title":"Current practice in paediatric videofluoroscopy","volume":"36","author":"Hiorns","year":"2006","journal-title":"Pediatr Radiol"},{"key":"10.1016\/j.jpeds.2026.115212_bib61","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1016\/j.ijporl.2015.08.016","article-title":"Laryngeal penetration on videofluoroscopic swallowing study is associated with increased pneumonia in children","volume":"79","author":"Gurberg","year":"2015","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"10.1016\/j.jpeds.2026.115212_bib62","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1111\/crj.12592","article-title":"Both pharyngeal and esophageal phases of swallowing are associated with recurrent pneumonia in pediatric patients","volume":"12","author":"Serel Arslan","year":"2018","journal-title":"Clin Respir J"},{"key":"10.1016\/j.jpeds.2026.115212_bib63","doi-asserted-by":"crossref","first-page":"4087","DOI":"10.3390\/jcm12124087","article-title":"Laryngeal penetration and risk of aspiration pneumonia in children with dysphagia\u2014a systematic review","volume":"12","author":"Imdad","year":"2023","journal-title":"J Clin Med"},{"key":"10.1016\/j.jpeds.2026.115212_bib64","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s00455-023-10589-8","article-title":"Predictive value of laryngeal penetration to aspiration in a cohort of pediatric patients","volume":"39","author":"Miller","year":"2024","journal-title":"Dysphagia"}],"container-title":["The Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347626002404?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347626002404?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T20:31:59Z","timestamp":1789504319000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022347626002404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":64,"alternative-id":["S0022347626002404"],"URL":"https:\/\/doi.org\/10.1016\/j.jpeds.2026.115212","relation":{},"ISSN":["0022-3476"],"issn-type":[{"value":"0022-3476","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association Between Salivary Substance P and Aspiration on Videofluoroscopic Swallow Study in Infants and Toddlers","name":"articletitle","label":"Article Title"},{"value":"The Journal of Pediatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpeds.2026.115212","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"115212"}}