Temporal variability in the deglutition literature.

Temporal variability in the deglutition literature.
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DOI:
10.1007/s00455-012-9397-x
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发表时间:
2012-06
期刊:
影响因子:
2.6
通讯作者:
Steele, Catriona M.
Steele, Catriona M.
中科院分区:
医学3区
文献类型:
--
作者:
Molfenter, Sonja M.;Steele, Catriona M.

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对健康个体的吞咽时间测量进行了文献回顾,目的是确定文献中这些测量中存在的变异性程度。共有46项研究符合纳入标准。对所有报告的时间参数的定义和描述性统计进行荟萃分析。在文献中总共发现了119种不同的时间参数。三种最常见的持续措施是:UES打开,喉关闭和舌骨运动。三个最常见的间隔测量是:阶段过渡时间,咽通过时间和从喉闭合到UES打开的时间。注意到不同研究中操作定义的细微差异,使得数据比较具有挑战性。对编制各研究间描述性统计数据(平均值和95%置信区间)的森林样地进行的分析显示,不同持续时间和间隔的变异性程度不同。两个参数(UES开启持续时间和喉部关闭至UES开启间隔)表现出最小的变异性,反映在平均值的小范围和紧密的置信区间上。一些变量的剂量和参与者年龄因素出现了趋势。还讨论了其他潜在的变异源。
A literature review was conducted on temporal measures of swallowing in healthy individuals with the purpose of determining the degree of variability present in such measures within the literature. A total of 46 studies that met inclusion criteria were reviewed. The definitions and descriptive statistics for all reported temporal parameters were compiled for meta-analysis. In total, 119 different temporal parameters were found in the literature. The three most-frequently occurring durational measures were: UES opening, laryngeal closure and hyoid movement. The three most-frequently occurring interval measures were: stage transition duration, pharyngeal transit time and duration from laryngeal closure to UES opening. Subtle variations in operational definitions across studies were noted, making the comparison of data challenging. Analysis of forest plots compiling descriptive statistical data (means and 95% confidence intervals) across studies revealed differing degrees of variability across durations and intervals. Two parameters (UES opening duration and the laryngeal-closure-to-UES-opening interval) demonstrated the least variability, reflected by small ranges for mean values and tight confidence intervals. Trends emerged for factors of bolus size and participant age for some variables. Other potential sources of variability are discussed.
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影响因子: --
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