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Journal article

A screening procedure for oropharyngeal dysphagia.

Logemann J, Veis S, Colangelo L...(+3 more)

Dysphagia, vol. 14, issue 1 pp. 44-51

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Abstract

The present study was designed to examine the sensitivity and specificity of a 28-item screening test in identifying patients who aspirate, have an oral stage disorder, a pharyngeal delay, or a pharyngeal stage disorder. The screening test includes 28 items divided into 5 categories: (1) 4 medical history variables; (2) 6 behavioral variables; (3) 2 gross motor variables; (4) 9 observations from oromotor testing; and (5) 7 observations during trial swallows. Results identified variables that were able to classify patients correctly as having or not having aspiration 71% of the time, an oral stage disorder 69% of the time, a pharyngeal delay 72% of the time, and a pharyngeal stage swallowing problem 70% of the time. Sensitivity and specificity for each of these judgments and all 28 items on the test are also provided. Results are discussed relative to statistical, clinical, and third-party perspectives on the goals of screening, data from other screening tests, and the role of screening versus diagnostic testing in care of dysphagic patients.

Author-supplied keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cerebrovascular Disorders
  • Deglutition
  • Deglutition Disorders
  • Head and Neck Neoplasms
  • Humans
  • Mass Screening
  • Medical History Taking
  • Mental Processes
  • Middle Aged
  • Mouth Diseases
  • Oropharynx
  • Pharyngeal Diseases
  • Pneumonia, Aspiration
  • Psychomotor Performance
  • Risk Factors
  • Sensitivity and Specificity
  • Spinal Cord Injuries

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