The secretion severity rating scale: a potentially useful tool for management of acute-phase fasting stroke patients

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Kikuo OtaShigeru Sonoda

Abstract

This retrospective clinical investigation was conducted to evaluate the usefulness of the Secretion Severity Rating Scale (Secretion Scale) in predicting the risk of pneumonia in acute-phase fasting stroke patients. Videoendoscopic (VE) evaluation of swallowing was performed in 72 consecutive stroke patients with a nonoral status. The patients were classified into 2 groups based on the Secretion Scale: the pharyngeal residual group (n=38; Secretion Scale level 0, 8 [11.1%]; level 1, 30 [41.7%]) and the laryngeal residual group (n=34: Secretion Scale level 2, 13 [18.1%]; level 3, 21 [29.2%]). The higher the Secretion Scale score, the more severe the swallowing dysfunction. The results of the evaluation were compared with the frequency of aspiration as well as with the incidence of pneumonia in the period from VE examination to discharge. In addition, the incidence of pneumonia was compared in the aspiration-positive and aspiration-negative groups. After VE evaluation, 4 patients (10.5%) in the pharyngeal residual group developed pneumonia versus 12 (35.3%) in the laryngeal residual group; the incidence of pneumonia was significantly higher in the laryngeal residual group (P < .05; Fisher's exact test). Our data indicate that the...Continue Reading

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Citations

Apr 15, 2014·HNO·H Schröter-Morasch, S Graf
May 14, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Petra PluschinskiChristiane Hey
Jun 8, 2018·International Journal of Speech-language Pathology·Anna Miles, Alexandra Hunting
Aug 14, 2013·Critical Care Medicine·Madison MachtMarc Moss
Apr 11, 2015·Stroke; a Journal of Cerebral Circulation·Amit K KishoreCraig J Smith
Sep 17, 2020·International Journal of Speech-language Pathology·Anna MilesLejla Brkic
Aug 24, 2017·Dysphagia·Anna MilesSamantha Scott
Jul 29, 2021·Current Opinion in Otolaryngology & Head and Neck Surgery·Anna MilesJacqueline E Allen

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