A Swallowing Clinical Assessment Score (SCAS) to evaluate outpatients with Parkinson’s disease
A Swallowing Clinical Assessment Score (SCAS) to evaluate outpatients with Parkinson’s disease
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用于评估帕金森病门诊患者的吞咽临床评估评分 (SCAS)
DOI：
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
I. Gomes
中科院分区：
文献类型：
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作者：
Fernanda Loureiro;A. C. Nóbrega;Marília Sampaio;N. Argolo;A. Dalbem;A. Melo;I. Gomes
目的：本研究提出了 PD 的标准化吞咽临床评估评分 (SCAS)。方法：在一项横向研究中对 174 名特发性 PD 患者和 22 名对照者进行了评估。 SCAS 由 12 个项目组成，用于识别口腔和咽阶段特定变化的发生。每个改变都根据其与吞咽行为相关性而被赋予权重。结果：SCAS 遵循从 0 到 354 分的理论评分系统，其中零对应于没有改变的吞咽能力。评分≤2分表示吞咽正常；吞咽功能评分范围为≥2分且≤15分；轻度改变范围为 ≥15 分和 ≤35 分；适度改变的范围为 ≥35 分和 ≤60 分。分数超过60分表明发生了严重的改变。结论：这里提出的 SCAS 只是吞咽困难全球评估的一部分。其主要应用是：筛查PD吞咽困难，即使没有主诉，从而促进早期诊断；以客观的方式监测吞咽改变的发展；并评估吞咽康复策略的有效性。
Aims: This study proposes a standardized Swallowing Clinical Assessment Score (SCAS) in PD. Methods: 174 idiopathic PD patients and 22 controls were evaluated in a transversal study. The SCAS comprised of twelve items that identify the occurrence of specific alterations in the oral and pharyngeal phases. Each alteration was given a weight in accordance to its relevance in compromising the act of swallowing. Results: The SCAS follows a theoretical scoring system ranging from 0 to 354 points, where zero corresponds to the ability to swallow without alteration. Scores ≤2 points indicate normal swallowing; functional swallowing ranges from ≥2 and ≤15 points; mildly altered ranges from ≥15 and ≤35 points; moderately altered ranges from ≥35 and ≤60 points. Scores in excess of 60 points indicate severe alteration. Conclusions: The SCAS proposed here is only part of the global assessment of dysphagia. Its main applications are: to screen swallowing difficulties in PD, even with no complaints, thus facilitating early diagnosis; to monitor the development of alterations in swallowing in an objective manner; and to assess the effectiveness of strategies for swallowing rehabilitation.