000			02965nab a2200337 a 4500
003			AR-ReUNN
005			20260702004711.0
008			260701s2021 ag |||||||||||||||||eng
041	0		_aeng
100	1		_aWatanabe, Satoshi _9197093
700	1		_aOh-Shige, Hideo _9197094
700	1		_aOh-Iwa, Ichiro _9197095
700	1		_aMiyachi, Hitoshi _9197096
700	1		_aShimozato, Kazuo _9197097
700	1		_aNagao, Toru _9197098
245	1	0	_aReconsideración de tres pruebas de detección de disfagia en pacientes con enfermedad cerebrovascular realizadas por examinadores no expertos
246	1	3	_aReconsideration of three screening tests for dysphagia in patients with cerebrovascular disease performed by Non-Expert examiners
264		1	_c2021
300			_a7 páginas
520			_aDysphagia prevalence has increased with increasing elderly population worldwide. Therefore, early detection of dysphagia has become increasingly important. Repetitive saliva swallowing test (RSST), modified water swallowing test (MWST), and cervical auscultation, which are convenient for non-experts to assess eating and swallowing and have been frequently used in Japan since 20 years. Using aspiration and pharyngeal residues, the objective of this study was to elucidate the efficacy of the three screening tests performed by non-experts in patients who had swallowing disorders. In total, 102 patients with cerebrovascular diseases who were suspected of having dysphagia were assessed. A swallowing team assessed their swallowing capabilities; videofluoroscopy and screening tests were performed. RSST, MWST, and cervical auscultation were performed by junior dentists who were non-experts in dysphagia. Sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, and negative likelihood ratio in each examination were evaluated using results of aspiration in videofluoroscopy and pharyngeal residues. For aspiration, the highest sensitivity with cervical auscultation (VES) was 93.7%. For pharyngeal residue, the highest sensitivity with cervical auscultation (VES) was 84.3%. For piriform sinus residue, the highest sensitivity with cervical auscultation (VES) was 86.4%. Despite being evaluated by a non-expert, the sensitivity of cervical auscultation (VES) and MWST was?=?80%, suggesting their effectiveness as prescreening tests, although the range of specificity was 25.5–68.4% in all examinations. These tests are easy to perform and useful to screen for aspiration or pharyngeal residues before precision tests.
650		4	_aPrueba de Ingestion de Agua _9197099
650		4	_aPrueba Repetitiva de Saliva _9197100
650		4	_aPrueba de Degluciòn _9197101
650		4	_aAuscultacion Cervical _9197102
650		4	_aAspiracion _9174217
650		4	_aAgua Modificada _9197103
773	0		_tOdontology _x1618-1247 _gv. 108 n. 1 (2020) _w257190
942			_cART
035			_a(ODN)64338
001			265460
999			_c265460 _d265460
040			_aAR-ReUNN _bspa _cAR-ReUNN _eaacr2