Psychometric assessment and validation of the dysphagia severity rating scale in stroke patients
Psychometric assessment and validation of the dysphagia severity rating scale in stroke patients
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DOI：
10.1038/s41598-020-64208-9
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发表时间：
2020-04-29
影响因子：
4.6
通讯作者：
Hamdy, Shaheen
中科院分区：
文献类型：
--
作者：
Everton, Lisa F.;Benfield, Jacqueline K.;Hamdy, Shaheen
卒中后吞咽困难（PSD）是常见的，并与不良预后相关。吞咽困难严重程度评定量表（DSRS），根据液体和饮食的改变以及喂养的监督要求来评定吞咽困难的严重程度，用于临床研究，但发表的验证信息有限。采用多种方法来验证DSRS，包括并发和预测标准效度，内部一致性，评分间和评分内的信度以及对变化的敏感性。这项研究使用了四项研究的数据，涉及急性卒中吞咽困难患者的咽电刺激，个体患者数据荟萃分析和未发表的研究（NCT03499574, NCT03700853）。此外，通过发送给英国语音和语言治疗师（SLTs）的匿名调查，评估了共识效度和内容效度以及最小临床重要差异（MCID）。在大多数情况下，共识效度的得分大多是中等（62.5-78%）到高或优秀（89-100%）。除了两项内容效度评估外，所有评估都是优秀的。在同时进行的标准效度评估中，DSRS与放射吸入测量(穿透吸入量表，Spearman秩rs=0.49, p
Post stroke dysphagia (PSD) is common and associated with poor outcome. The Dysphagia Severity Rating Scale (DSRS), which grades how severe dysphagia is based on fluid and diet modification and supervision requirements for feeding, is used for clinical research but has limited published validation information. Multiple approaches were taken to validate the DSRS, including concurrent- and predictive criterion validity, internal consistency, inter- and intra-rater reliability and sensitivity to change. This was done using data from four studies involving pharyngeal electrical stimulation in acute stroke patients with dysphagia, an individual patient data meta-analysis and unpublished studies (NCT03499574, NCT03700853). In addition, consensual- and content validity and the Minimal Clinically Important Difference (MCID) were assessed using anonymous surveys sent to UK-based Speech and Language Therapists (SLTs). Scores for consensual validity were mostly moderate (62.5-78%) to high or excellent (89-100%) for most scenarios. All but two assessments of content validity were excellent. In concurrent criterion validity assessments, DSRS was most closely associated with measures of radiological aspiration (penetration aspiration scale, Spearman rank rs=0.49, p