Revised classification of aspiration before, during, and after the swallow and its reliability
Revised classification of aspiration before, during, and after the swallow and its reliability
复制标题
吞咽前、吞咽中和吞咽后误吸的修订分类及其可靠性
DOI：
10.11336/jjcrs.7.51
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
E. Saitoh
中科院分区：
文献类型：
--
作者：
Takashi Tanaka;H. Kagaya;Yasunori Ozeki;W. Fujii;Takatoshi Iida;S. Shibata;Saki Tomita;Yuriko Ishiguro;K. Ota;E. Saitoh
doi.org/10.11336/jjcrs.7.51 Jpn J Compr Rehabil Sci Vol 7, 2016 摘要 Tanaka T, Kagaya H, Ozeki Y, Fujii W, Iida T, Shibata S, Tomita S, Ishiguro Y, Ota K, Saitoh E. 修订了吞咽之前、期间和之后的误吸分类及其可靠性。 Jpn J Compr Rehabil Sci 2016; 7：51-54。目的：本研究的目的是重新评估吞咽前、吞咽中和吞咽后误吸的分类，并验证修订后的分类的可靠性。方法：将吞咽反射过程中发生的误吸分为吞咽时误吸；第一次吞咽反射时的误吸被分类为D-1型，第二次或随后的吞咽反射时的误吸被分类为D-2型；在第一次吞咽反射之前发生的误吸被归类为吞咽前（B 型）；除上述类型以外的愿望被归类为吞咽后（A型）。在 212 名接受吞咽荧光透视检查的患者（平均年龄 66 岁）（400 次检查）中，对误吸进行了回顾性分类。使用由日本吞咽困难康复学会认可的四名观察员对 20 名误吸患者进行评估所获得的数据，对评估者之间的可靠性进行了分析。结果：愿望次数顺序为D-1>D-2>A>B。频率随推注而变化。平均评估者间和内部 kappa 系数分别为 0.68 和 0.85。结论：我们修订后的吞咽前、吞咽中和吞咽后误吸分类简单且足够可靠。
doi.org/10.11336/jjcrs.7.51 Jpn J Compr Rehabil Sci Vol 7, 2016 ABSTRACT Tanaka T, Kagaya H, Ozeki Y, Fujii W, Iida T, Shibata S, Tomita S, Ishiguro Y, Ota K, Saitoh E. Revised classification of aspiration before, during, and after the swallow and its reliability. Jpn J Compr Rehabil Sci 2016; 7: 51-54. Objective: The purpose of this study was to reevaluate the classification of aspiration before, during, and after the swallow, and to verify the reliability of the revised classification. Methods: Aspirations occurring during swallowing reflex were classified as during the swallow; aspiration during the first swallowing reflex was subclassified as type D-1, and aspiration during the second or subsequent swallowing reflex as type D-2; aspirations occurring prior to the first swallowing reflex were classified as before swallow (type B); and aspirations other than the above types were classified as after the swallow (type A). In 212 patients (mean age, 66 years) who underwent videofluoroscopic examinations of swallowing (400 examinations), aspiration was classified retrospectively. Interand intra-rater reliability was analyzed using the data obtained from the evaluation of 20 patients with aspiration by four observers accredited by the Japanese Society of Dysphagia Rehabilitation. Results: The numbers of aspirations were in the order of D-1>D-2>A>B. The frequency showed variability depending on the bolus. The mean interand intrarater kappa coefficients were 0.68 and 0.85, respectively. Conclusion: Our revised classification for aspiration before, during, and after the swallow is easy and adequately reliable.
影响因子：
29.4
作者：
KAHRILAS, PJ;LOGEMANN, JA;ERGUN, GA
通讯作者：
ERGUN, GA