PMID: 11322570Apr 27, 2001Paper

Sensitivity and specificity of clinical/bedside examination signs for detecting aspiration in adults subsequent to stroke

Journal of Communication Disorders
G H McCulloughJ C Rosenbek

Abstract

While detecting the presence of aspiration is only one aspect of a noninstrumented examination of swallowing function, it is an important component due to its potential health status consequences. The purpose of this investigation was to investigate the sensitivity and specificity of clinical/bedside examination signs for predicting aspiration on videofluoroscopic examination of swallowing. Sixty consecutive, acute stroke patients were investigated with clinical/bedside and videofluoroscopic exams. Clinical signs consisted of history, oral motor/speech praxis, voice, and trial swallow ratings. Results confirm that more work needs to be done if data collected from noninstrumented examinations are to be strongly predictive of aspiration on VFSE. However, comparisons of the current results with previous investigations provides a promising framework for future research. (1) To understand the use of sensitivity and specificity in detecting disease; (2) To understand the current evidence regarding clinical signs of aspiration.

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Citations

Jul 5, 2007·Dysphagia·Youngsun Kim, Gary H McCullough
Dec 7, 2007·Dysphagia·Debra M Suiter, Steven B Leder
Jul 3, 2008·Dysphagia·Yoko WakasugiHiroshi Uematsu
Aug 6, 2009·Dysphagia·Youngsun Kim, Gary H McCullough
Nov 19, 2010·Dysphagia·Elizabeth Rachel OommenGary McCullough
Jun 7, 2006·Postgraduate Medical Journal·S Singh, S Hamdy
Feb 11, 2016·Developmental Medicine and Child Neurology·Irene CalvoMargaret Walshe
Feb 26, 2016·International Journal of Pharmaceutics·Jose Manuel Serrano SantosTimothy Longmore
Nov 23, 2013·Otolaryngologic Clinics of North America·Renée Speyer
Dec 3, 2014·Chest·Madison MachtMarc Moss
Feb 3, 2016·Journal of Alzheimer's Disease : JAD·Virginia BoccardiLuigi Marano
Jun 23, 2012·Archives of Physical Medicine and Rehabilitation·Hui-Ya ChangYeun-Chung Chang
Dec 27, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Richard D Wilson, Evan C Howe
Oct 23, 2008·Physical Medicine and Rehabilitation Clinics of North America·Giselle Carnaby-Mann, Kerry Lenius
Oct 23, 2008·Physical Medicine and Rehabilitation Clinics of North America·Marlís González-Fernández, Stephanie K Daniels
Aug 13, 2008·Geriatric Nursing·Caryn S Easterling, Elizabeth Robbins
Feb 21, 2006·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·R Terré, F Mearin
Jun 10, 2014·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·L RofesP Clavé
Jan 13, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·John C O'HoroNasia Safdar
Mar 1, 2016·NeuroRehabilitation·Mariana Mendes BahiaRegina Yu Shon Chun
Sep 11, 2008·Topics in Stroke Rehabilitation·Charles Henrique Dias MarquesCharles André
Oct 23, 2012·Journal of Critical Care·Madison MachtMarc Moss
May 23, 2012·Archives of Gerontology and Geriatrics·Kannayiram AlagiakrishnanMini Kurian
Sep 4, 2013·Respiratory Physiology & Neurobiology·Teresa PittsDonald C Bolser
Mar 31, 2011·Topics in Stroke Rehabilitation·Donna C Tippett
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Dec 7, 2017·CoDAS·Karoline Weber Dos SantosMauriceia Cassol
Mar 15, 2015·American Journal of Physical Medicine & Rehabilitation·Youngsun KimGary McCullough
Apr 5, 2003·Stroke; a Journal of Cerebral Circulation·Deborah J C RamseyLalit Kalra
Feb 7, 2012·Stroke; a Journal of Cerebral Circulation·Stephanie K DanielsPamela C Willson

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