Utility of clinical swallowing examination measures for detecting aspiration post-stroke
Utility of clinical swallowing examination measures for detecting aspiration post-stroke
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DOI：
10.1044/1092-4388(2005/089
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发表时间：
2005-12-01
影响因子：
2.6
通讯作者：
McCullough, K
中科院分区：
文献类型：
--
作者：
McCullough, GH;Rosenbek, JC;McCullough, K
本研究的目的是确定临床吞咽检查（CSE）措施检测误吸的效用，如视频透视吞咽检查（VFSE）所定义的。这项研究涉及165名参与者，是对之前发表的60名参与者的调查的后续研究。研究结果与该调查以及其他关于cse的研究进行了比较。结果表明，临床医生可以准确判断大多数脑卒中后患者误吸的发生。然而，在没有愿望的情况下排除愿望似乎更成问题。如果从非仪器检查中收集的数据能够强有力地预测VFSE是否存在误吸，则需要做更多的工作。目前，没有数据表明CSEs可以用于量化误吸或对患者护理提出适当的建议。
The purpose of this investigation was to determine the utility of clinical swallowing examination (CSE) measures for detecting aspiration as defined by videofluoroscopic swallowing examination (VFSE). This study, involving 165 participants, is a follow-up to a previously published investigation of 60 participants. Findings are compared with that investigation as well as with other research on CSEs. The results suggest that clinicians can make an accurate judgment of the occurrence of aspiration in most poststroke patients. However, ruling out aspiration when it is absent appears more problematic. More work needs to be done if data collected from noninstrumented examinations are to be strongly predictive of the presence and absence of aspiration on VFSE. At present, there are no data to suggest that CSEs can be used to quantify aspiration or make adequate recommendations regarding patient care.