MBS measurement tool for swallow impairment--MBSImp: establishing a standard.
MBS measurement tool for swallow impairment--MBSImp: establishing a standard.
复制标题
DOI：
10.1007/s00455-008-9185-9
复制
发表时间：
2008-12
期刊：
影响因子：
2.6
通讯作者：
Blair, Julie
中科院分区：
文献类型：
--
作者：
Martin-Harris, Bonnie;Brodsky, Martin B.;Michel, Yvonne;Castell, Donald O.;Schleicher, Melanie;Sandidge, John;Maxwell, Rebekah;Blair, Julie
本研究的目的是测试一种新的改良钡吞咽研究（MBSS）工具（MBSImp）的可靠性，内容，结构和外部效度，该工具用于量化吞咽障碍。多元回归，验证性因素和相关性分析被用来分析300在和门诊异质性的医疗和手术诊断谁是顺序转介MBS考试在一所大学的医疗中心和私人三级保健社区医院。主要结果指标为MBSImp和吸气指数评分、健康状况和生活质量。对于MBSS的盲法评分，动物间和动物内一致性为80%或更高。回归分析显示，9种吞咽类型中有8种对总体吞咽障碍印象有贡献（p ≤ 0.05）。因子分析揭示了13个显著的组成部分（载荷≥ 0.5），形成两个损害组（口腔和咽）。口腔和咽部损伤评分与渗透-吸气量表评分、摄入状况、营养、健康状况和生活质量指标之间存在显著相关性。MBSImp证明了临床实用性，良好的内部和内部的信度标准化培训，内容和外部效度。这项研究反映了建立一个新的标准，定量和比较口咽吞咽障碍的患者诊断MBSS测量的潜力。
The aim of this study was to test reliability, content, construct, and external validity of a new modified barium swallowing study (MBSS) tool (MBSImp) that is used to quantify swallowing impairment. Multiple regression, confirmatory factor, and correlation analyses were used to analyze 300 in- and outpatients with heterogeneous medical and surgical diagnoses who were sequentially referred for MBS exams at a university medical center and private tertiary care community hospital. Main outcome measures were the MBSImp and index scores of aspiration, health status, and quality of life. Inter- and intrarater concordance were 80% or greater for blinded scoring of MBSSs. Regression analysis revealed contributions of eight of nine swallow types to impressions of overall swallowing impairment (p ≤ 0.05). Factor analysis revealed 13 significant components (loadings ≥ 0.5) that formed two impairment groupings (oral and pharyngeal). Significant correlations were found between Oral and Pharyngeal Impairment scores and Penetration-Aspiration Scale scores, and indexes of intake status, nutrition, health status, and quality of life. The MBSImp demonstrated clinical practicality, favorable inter- and intrarater reliability following standardized training, content, and external validity. This study reflects potential for establishment of a new standard for quantification and comparison of oropharyngeal swallowing impairment across patient diagnoses as measured on MBSS.
登录
查看更多内容
影响因子：
--
作者：
CASTELL, JA;DALTON, CB;CASTELL, DO
通讯作者：
CASTELL, DO
影响因子：
29.4
作者：
Kahrilas, PJ;Lin, SZ;Logemann, JA
通讯作者：
Logemann, JA
影响因子：
29.4
作者：
ERGUN, GA;KAHRILAS, PJ;HARIG, JM
通讯作者：
HARIG, JM
影响因子：
3.4
作者：
CERENKO, D;MCCONNEL, MS;JACKSON, RT
通讯作者：
JACKSON, RT
影响因子：
29.4
作者：
KAHRILAS, PJ;LOGEMANN, JA;ERGUN, GA
通讯作者：
ERGUN, GA