Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly People
10.5535/arm.2019.43.2.187
- Author:
Ho Young LEE
1
;
Il Hwan JUNG
;
Eunsil CHA
;
Jimin SONG
;
Kwang Ik JUNG
;
Woo Kyoung YOO
;
Suk Hoon OHN
Author Information
1. Department of Physical Medicine and Rehabilitation, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. ohnsh@hallym.ac.kr
- Publication Type:Original Article
- Keywords:
Deglutition disorders;
Pharynx;
Elderly;
Aspiration;
Dysphagia
- MeSH:
Adult;
Aged;
Deglutition Disorders;
Dioctyl Sulfosuccinic Acid;
Humans;
Pharynx;
ROC Curve;
Spine
- From:Annals of Rehabilitation Medicine
2019;43(2):187-194
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To develop a new tool for aspiration risk prediction based on pharyngeal width at rest in older adults with symptoms of aspiration. METHODS: Lateral cervical spine roentgenograms were obtained from 33 older adult patients who complained of dysphagia and from 33 healthy, age-matched controls. Pharyngeal width at rest was measured at two points. We named the average of these two pharyngeal widths ‘JOSCYL Width’, calculated ‘JOSCYL Scale’, and compared these parameters between dysphagia and control groups. Correlations of individual JOSCYL Width and JOSCYL Scale, with Penetration Aspiration Scale (PAS) and Dysphagia Outcome and Severity Scale (DOSS) scores were analyzed for the dysphagia group. To determine optimal cutoff points for predicting aspiration, a receiver operating characteristic curve analysis was performed on JOSCYL Width and JOSCYL Scale. RESULTS: Both JOSCYL Width and JOSCYL Scale of the dysphagia group were larger than those of the control group (p<0.001). The correlation between JOSCYL Width and severity of dysphagia was significant for the dysphagia group (PAS p=0.007; DOSS p=0.012). The correlation between JOSCYL Scale and the severity of dysphagia was also significant for the dysphagia group (PAS p=0.009; DOSS p=0.011). Optimal cutoffs for JOSCYL Width and JOSCYL Scale for predicting aspiration were 20.0 mm and 5.9, respectively. CONCLUSION: JOSCYL Width and JOSCYL Scale can be new indicators for predicting aspiration in older adults. They are both precise and easy to use.
