Predicting prolonged dysphagia in acute stroke: the Royal Adelaide Prognostic Index for Dysphagic Stroke (RAPIDS).

Dysphagia
S BroadleyPhilip Thompson

Abstract

Dysphagia is common after stroke and is associated with increased morbidity and mortality. Predicting those who are likely to have significant prolonged dysphagia is not possible at present. This study was undertaken to validate the Royal Adelaide Prognostic Index for Dysphagic Stroke (RAPIDS) in the prediction of prolonged dysphagia following acute stroke using clinical and radiographic features. A prospective study of unselected, consecutive admissions to the Royal Adelaide Hospital acute stroke unit was undertaken. Clinical and radiographic features applicable to the RAPIDS test were calculated and the sensitivity, specificity, and likelihood ratio for predicting prolonged dysphagia were calculated with 95% confidence intervals (CI). Of 104 subjects admitted with acute stroke, 55 (53%) had dysphagia and 20 (19%) had dysphagia requiring nonoral feeding/hydration for 14 days or more or died while dysphagic prior to 14 days. The RAPIDS test had sensitivity of 90% (95% CI = 70-97%) and specificity of 92% (95% CI - 84-96%) for predicting this latter group of patients. We conclude that the RAPIDS test can be used early to identify patients likely to have prolonged dysphagia. This test could form a basis for selection of patients f...Continue Reading

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References

Dec 1, 1992·Archives of Neurology·K L DePippoM J Reding
Feb 1, 1989·Journal of Neurology, Neurosurgery, and Psychiatry·D H Barer
Jan 1, 1989·Journal of Clinical Epidemiology·S ShahB Cooper
Aug 15, 1987·British Medical Journal·C GordonD T Wade
Sep 1, 1988·Neurology·J HornerK N Chase
Jul 1, 1997·Dysphagia·S K Daniels, A L Foundas
Aug 13, 1998·The American Journal of Clinical Nutrition·S E GariballaC M Castleden
Apr 3, 1999·Stroke; a Journal of Cerebral Circulation·G MannD Cameron
Sep 11, 1999·Annals of Neurology·D H Zald, J V Pardo
May 5, 2000·The Cochrane Database of Systematic Reviews·P M BathD G Smithard
May 24, 2003·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·S BroadleyP D Thompson
Apr 10, 2004·European Neurology·Maurizio PaciaroniVirgilio Gallai
Sep 29, 2004·Journal of the Neurological Sciences·Pedro J ModregoLaura Turull

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Citations

Jul 3, 2010·Journal of Gastroenterology and Hepatology·Shiro YokohamaJunichi Maruyama
Jul 25, 2008·BMC Neurology·Rainer DziewasWolf R Schaebitz
Oct 22, 2013·Critical Care : the Official Journal of the Critical Care Forum·Danielle Pedroni MoraesClaudia Regina Furquim de Andrade
Apr 10, 2014·Clinical Medicine : Journal of the Royal College of Physicians of London·Fintan O'RourkeDaniel Chan
Jul 3, 2007·Dysphagia·Tai Ryoon HanBum Sun Kwon
Aug 6, 2009·Dysphagia·Makoto NakajimaKazuo Minematsu
Jan 19, 2010·Disability and Rehabilitation·Betty L McMickenSean Calahan
Nov 3, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Joanna GhaliSimon A Broadley
Feb 4, 2010·Journal of the American Geriatrics Society·Veronique GuyomardPhyo K Myint
Jun 16, 2011·Australasian Journal on Ageing·UNKNOWN Australian and New Zealand Society for Geriatric Medicine
Jun 23, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Simon A BroadleyRal Antic
Jul 22, 2014·Journal of Oral Rehabilitation·E NakayamaK Ueda
Apr 12, 2014·Neurology Research International·Mary Hägg, Lita Tibbling
May 7, 2010·Acta Oto-laryngologica·Mary Hägg, Matti Anniko
Jan 22, 2017·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yasunori IkenagaYasuo Katsuki
Jul 7, 2012·Arquivos De Gastroenterologia·Anna Flávia Ferraz Barros BaroniRoberto Oliveira Dantas
Jan 5, 2012·Internal Medicine·Makoto NakajimaMakoto Uchino
Jul 3, 2013·British Journal of Community Nursing·Emma Hutchinson, Neil Wilson
Apr 21, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Carlo GandolfoAndrea Zini
Feb 13, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Massimiliano ToscanoVittorio Di Piero
Jul 20, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Sachiyo HotaEiichi Saitoh

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