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Titre : | Correlation Between Pharyngeal Residue and Aspiration in Fiber-Optic Endoscopic Evaluation of Swallowing: An Observational Study (2019) |
Auteurs : | Yael Shapira-Galitz ; Hagit Shoffel-Havakuk ; Doron Halperin |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 3, 2019) |
Article en page(s) : | p. 488-494 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Déglutition ; Rééducation et réadaptation ; Troubles de la déglutition |
Résumé : |
Objectives To examine the correlation between pharyngeal residue severity and clearance to penetration/aspiration on fiber-optic endoscopic examination of swallowing (FEES). Design Retrospective cohort. Setting Kaplan Medical Center dysphagia clinic. Participants Patients (N=110) visiting a dysphagia clinic between 2014 and 2016 undergoing FEES. Interventions FEES were scored for penetration/aspiration with the Penetration Aspiration Scale (PAS), for residue severity using the Yale Pharyngeal Residue Severity Rating Scale (YPR-SRS). The numbers of swallows required to clear the pharynx were recorded. The first and the worst bolus challenges for each consistency (liquid, purée, solid) were analyzed. Main Outcome Measures YPR-SRS and number of clearing swallows were correlated with the PAS of the same bolus challenge. Results The study populations mean age was 67+13.4 years; 54% were men (n=58). A significant correlation was found between the YPR-SRS and the PAS for all consistencies tested, in each anatomical site (vallecula or pyriform sinus) and for both the first and worst bolus challenges (P<.001 for all the correlation of residue with aspiration was stronger when vallecula and pyriform sinuses scores were summated product-moment coefficient="0.573/0.631/0.446" liquid worst bolus challenge incorporating number clearing swallows to ypr-srs strengthened pas.> Conclusions Residue severity and clearance correlate with penetration/aspiration on FEES. The YPR-SRS can be applied to standardize description of residue in FEES and to aid in dysphagia evaluation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318303873 |