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Comparison for Risk Estimate of Aspiration between the Revised Dysphagia Assessment Tool and Videofluoroscopy in Post-Stroke Patients

 Kyung Hee Moon  ;  Hyun Sook Sohn  ;  Eun Seok Lee  ;  Eun Kyung Paek  ;  Eun Ju Kang  ;  Seung Hee Lee  ;  Na Ri Han  ;  Meen Hye Lee  ;  Deog Young Kim  ;  Chang Gi Park  ;  Ji-Soo Yoo 
 Journal of Korean Academy of Nursing (대한간호학회지), Vol.40(3) : 359-366, 2010 
Journal Title
 Journal of Korean Academy of Nursing (대한간호학회지) 
Issue Date
Adult ; Aged ; Cough ; Deglutition ; Deglutition Disorders/complications ; Deglutition Disorders/diagnosis* ; Facial Asymmetry ; Female ; Fluoroscopy/methods ; Humans ; Inhalation ; Male ; Middle Aged ; Risk Assessment ; Stroke/complications* ; Stroke/diagnostic imaging ; Stroke/therapy
PURPOSE: The purpose of this study was to determine the significant factors for risk estimate of aspiration and to evaluate the efficiency of the dysphagia assessment tool. METHODS: A consecutive series of 210 stroke patients with aspiration symptoms such as cough and dysphagia who had soft or regular diet without tube feeding were examined. The dysphagia assessment tool for aspiration was compared with videofluoroscopy using Classification and Regression Tree (CART) analysis. RESULTS: In CART analysis, of 34 factors, the significant factors for estimating risk of aspiration were cough during swallowing, oral stasis, facial symmetry, salivary drooling, and cough after swallowing. The risk estimate error of the revised dysphagia assessment tool was 25.2%, equal to that of videofluoroscopy. CONCLUSION: The results indicate that the dysphagia assessment tool developed and examined in this study was potentially useful in the clinical field and the primary risk estimating factor was cough during swallowing. Oral stasis, facial symmetry, salivary drooling, cough after swallowing were other significant factors, and based on these results, the dysphagia assessment tool for aspiration was revised and complemented.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Deog Young(김덕용) ORCID logo https://orcid.org/0000-0001-7622-6311
Yoo, Ji Soo(유지수)
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