Predictive Roles of the Repetitive Saliva Swallowing Test (RSST) in Aspiration Pneumonia and Other Respiratory Diseases: Does the RSST Have a Predictive Role in Aspiration Pneumonia and Other Respiratory Diseases?
Predictive Roles of the Repetitive Saliva Swallowing Test (RSST) in Aspiration Pneumonia and Other Respiratory Diseases: Does the RSST Have a Predictive Role in Aspiration Pneumonia and Other Respiratory Diseases?
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DOI：
10.1007/978-981-15-4506-1_13
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发表时间：
2020-04-01
期刊：
影响因子：
--
通讯作者：
Yoshimatsu Y
中科院分区：
文献类型：
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作者：
Yoshimatsu Y
吞咽困难患者并不总是表现出主观症状。然而，无症状吞咽困难也会引起临床问题，特别是那些有呼吸系统疾病的人。因此，适当的筛查是对他们进行护理的必要开始。重复唾液吞咽试验（RSST）是最安全的吞咽困难筛查方法之一；它可以很容易地由非专业人员在任何环境下进行。有证据表明其在吸入性肺炎、慢性阻塞性肺疾病（COPD）、人工通气和其他疾病中的预测价值。此外，最近发现它是未来COPD恶化风险的一个强有力的预测因子。成本效益，无害和简单性使其成为大量呼吸系统疾病患者的最佳筛查方法，尽管不同的截止值可能对不同的人群有用。它还考虑了吞咽能力的多个方面，如呼吸、肌肉组织、认知和一般健康。
Patients with dysphagia do not always present with subjective symptoms. However, asymptomatic dysphagia can also cause clinical issues, especially in those with respiratory conditions. Therefore, adequate screening is an essential beginning to their care. The repetitive saliva swallowing test (RSST) is one of the safest screening methods for dysphagia; it can be easily performed by nonprofessionals in any setting. There is evidence of its predictive values in aspiration pneumonia, chronic obstructive pulmonary disease (COPD), artificial ventilation, and other conditions. Additionaly, it has recently been found to be a strong predictor of the risk of future COPD exacerbation. The cost-effectiveness, harmlessness, and simplicity make it an optimal screening method for the large population of patients with respiratory conditions, although different cutoff values may be useful in different populations. It also takes into account multiple aspects of the swallowing ability, such as respiration, musculature, cognition, and general well-being.