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Titre : | Rapid Aspiration Screening for Suspected Stroke : Part 1: Development and Validation (2016) |
Auteurs : | Stéphanie K. Daniels ; Shweta Pathak ; John C. Rosenbek |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/9, 2016) |
Article en page(s) : | pp. 14401448 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Déglutition ; Rééducation et réadaptation ; Troubles de la déglutition |
Mots-clés: | Deglutition disorders ; Stroke |
Résumé : |
Objective To develop and validate a nurse-administered screening tool to identify aspiration risk in patients with suspected stroke. Design Validity study comparing evidence-based swallowing screening items with the videofluoroscopic swallowing study (VFSS) results. Setting A certified primary stroke center in a major metropolitan medical facility. Participants Consecutive patients (N=250) admitted with suspected stroke. Interventions Patients were administered evidence-based swallowing screening items by nurses. A VFSS was completed within 2 hours of swallowing screening. Main Outcome Measures Validity relative to identifying VFSS-determined aspiration for each screening item and for various combinations of items. Results Aspiration was identified in 29 of 250 participants (12%). Logistic regression revealed that age (P=.012), dysarthria (P=.001), abnormal volitional cough (P=.030), and signs related to the water swallow trial (P=.021) were significantly associated with aspiration. Validity was then determined on the basis of the best combination of significant items for predicting aspiration. The results revealed that age >70 years, dysarthria, or signs related to the water swallow trial (ie, cough, throat clear, wet vocal quality, and inability to continuously drink 90mL water) yielded 93% sensitivity and 98% negative predictive value. Conclusions The final validated tool, Rapid Aspiration Screening for Suspected Stroke, is a valid nurse-administered tool to detect risk of aspiration in patients presenting with suspected stroke. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316300764 |