Comparison of Validated Videofluoroscopic Outcomes of Pharyngeal Residue: Concordance Between a Perceptual, Ordinal, and Bolus-Based Rating Scale and a Normalized Pixel-Based Quantitative Outcome.
Comparison of Validated Videofluoroscopic Outcomes of Pharyngeal Residue: Concordance Between a Perceptual, Ordinal, and Bolus-Based Rating Scale and a Normalized Pixel-Based Quantitative Outcome.
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经验证的咽部残留物视频透视结果的比较：基于知觉、顺序和推注的评定量表与标准化的基于像素的定量结果之间的一致性。
DOI：
10.1044/2022_jslhr-21-00659
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Plowman,EmilyK
中科院分区：
文献类型：
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作者：
Donohue,Cara;Robison,Raele;DiBiase,Lauren;Anderson,Amber;Vasilopoulos,Terrie;Plowman,EmilyK
目的本研究比较了临床和研究环境中使用的两种经验证的视频荧光镜咽部残留物结局量表之间的一致性：吞咽毒性的动态成像分级（DIGEST）和吞咽生理学分析：事件，运动和时间（ASPEKT）两名经过培训的评估者完成了对DIGEST效率和ASPEKT咽部残留物百分比结果的独立和盲法视频荧光镜评级，5cc Varibar稀液体（n= 223）、稀液体舒适杯啜（n= 223）和5cc Varibar稀蜂蜜（n= 223）的推注试验。斯皮尔曼的rho和Kruskal-Wallis分析进行了每一个丸type. ResultsDIGEST和ASPEKT咽残留物的结果之间的显着关联，指出5毫升薄（r= 0.54，p <0.001），杯小口薄（r= 0.41，p <0.001），5毫升薄蜂蜜（r= 0.60，p <0.001）丸试验。ASPEKT残留百分比在恶化的消化效率顺序量表水平上增加，每种推注类型都有主效应。事后分析显示，薄杯小口推注试验的每个DIGEST成对比较之间的ASPEKT残留百分比值存在显著差异，除中度至重度（小于一半对大多数）5cc薄和5cc蜂蜜丸试验的顺序水平，p<0.05。结论感知、顺序（DIGEST）和定量，基于像素（ASPEKT）的视频荧光镜咽部残留物结果与669个团注试验的数据集相关。未来的研究需要证实这些结果。
PurposeThis study compared the concordance between two validated videofluoroscopic pharyngeal residue outcome scales used in clinical and research settings: the Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) and the Analysis of Swallowing Physiology: Events, Kinematics and Timing (ASPEKT) percent residue metric.MethodTwo trained raters completed independent and blinded videofluoroscopic ratings of both DIGEST efficiency and ASPEKT percent pharyngeal residue outcomes for bolus trials of 5 cc Varibar thin liquid (n= 223), thin liquid comfortable cup sips (n= 223), and 5 cc Varibar thin honey (n= 223). Spearman's rho and Kruskal–Wallis analyses were performed for each bolus type.ResultsSignificant associations between DIGEST and ASPEKT pharyngeal residue outcomes were noted for 5 cc thin (r= .54,p< .001), cup sip thin (r= .41,p< .001), and 5 cc thin honey (r= .60,p< .001) bolus trials. ASPEKT percent residue increased across worsening DIGEST efficiency ordinal scale levels, with a main effect for each bolus type. Post hoc analysis revealed significant differences in the ASPEKT percent residue values between each DIGEST pairwise comparison for the thin cup sip bolus trial and for each pairwise comparison except between the moderate-to-severe (less than half vs. majority) ordinal levels for the 5 cc thin and 5 cc honey bolus trials,p< .05.ConclusionsPerceptual, ordinal (DIGEST) and quantitative, pixel-based (ASPEKT) videofluoroscopic pharyngeal residue outcomes were associated in this data set of 669 bolus trials. Future research is warranted to confirm these results.