A comparative study of two bedside swallowing assessment scales for dysphagia screening after acute cerebral infarction
10.3760/cma.j.issn.0254-1424.2009.09.009
- VernacularTitle:脑卒中后吞咽困难两种床旁评估量表比较
- Author:
Ying HOU
;
Xiangming WANG
;
Juan LIU
;
Yong LI
;
Wen LI
- Publication Type:Journal Article
- Keywords:
Dysphagia;
Bedside assessments;
Videofluoroscopy;
Stroke
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2009;31(9):607-609
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the diagnostic value of the Standardized Bedside Swallowing Assessment (SSA)and the Scottish Intercollegiate Guidelines(SIC)for bedside dysphagia screening of patients after acute cerebral infarction(ACI). Methods Eighty-six ACI patients within 24 h of stroke onset were enrolled in the study.Within 48 h after hospitalization,swallowing function assessments and dysphagia screenings were carried out with the SSA and SIG,as well as video fluroseopic swallowing studies(VFSSs).The SSA and SIG assessments generated sensitivities,specificities,positive predict values(PPVs),negative predict values(NPVs),positive likelihood ratios (PLRs)and negative likelihood ratios(NLRs).These were compared with the VFSS results. Results The SSA showed a sensitivity of 89.1%,specificity of 75%,PPV of 0.804,NPV of 0.833,PLR of 3.56,NLR of 0.15,and Kappa of 0.648 compared to the VFSS results.The SIG showed a sensitivity of 60.9%,specificity of 82.5%,PPV of 0.800,NPV of 0.647,PLR of 3.44,NLR of 0.47 and Kappa of 0.425 compared to the VFSS.The sensitivity of of the SIG.Both assessments correlated well with the VFSS results. Conclusions Both the SSA and the SIG are elfective in dysphagia screening.The SSA is more sensitive than the SIG and is more suitable for early screening.The SIG is helpful in guiding dysphagia management and evaluating curative effects.
