Comparison for Risk Estimate of Aspiration between the Revised Dysphagia Assessment Tool and Videofluoroscopy in Post-Stroke Patients.
10.4040/jkan.2010.40.3.359
- Author:
Kyung Hee MOON
1
;
Hyun Sook SOHN
;
Eun Seok LEE
;
Eun Kyung PAEK
;
Eun Ju KANG
;
Seung Hee LEE
;
Na Ri HAN
;
Meen Hye LEE
;
Deog Young KIM
;
Chang Gi PARK
;
Ji Soo YOO
Author Information
1. Division of Nursing, Severance Hospital, Seoul, Korea.
- Publication Type:Original Article ; Comparative Study ; English Abstract
- Keywords:
Deglutition disorders;
Risk assessment;
Aspiration;
Fluoroscopy
- MeSH:
Adult;
Aged;
Cough;
Deglutition;
Deglutition Disorders/complications/*diagnosis;
Facial Asymmetry;
Female;
Fluoroscopy/methods;
Humans;
Inhalation;
Male;
Middle Aged;
Risk Assessment;
Stroke/*complications/radiography/therapy
- From:Journal of Korean Academy of Nursing
2010;40(3):359-366
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to determine the significant factors for risk estimate of aspiration and to evaluate the efficiency of the dysphagia assessment tool. METHODS: A consecutive series of 210 stroke patients with aspiration symptoms such as cough and dysphagia who had soft or regular diet without tube feeding were examined. The dysphagia assessment tool for aspiration was compared with videofluoroscopy using Classification and Regression Tree (CART) analysis. RESULTS: In CART analysis, of 34 factors, the significant factors for estimating risk of aspiration were cough during swallowing, oral stasis, facial symmetry, salivary drooling, and cough after swallowing. The risk estimate error of the revised dysphagia assessment tool was 25.2%, equal to that of videofluoroscopy. CONCLUSION: The results indicate that the dysphagia assessment tool developed and examined in this study was potentially useful in the clinical field and the primary risk estimating factor was cough during swallowing. Oral stasis, facial symmetry, salivary drooling, cough after swallowing were other significant factors, and based on these results, the dysphagia assessment tool for aspiration was revised and complemented.
