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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(4):489-493.
Clinical Utility of the Bedside Swallowing Evaluations for Dysphagia.
Yoon, Kisung , Kim, Sang Beom , Lee, Kyeong Woo , Park, Sang Hyun
Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Korea. kwlee65@hanmail.net
침상에서의 연하곤란 검사의 임상적 의의
윤기성, 김상범, 이경우, 박상현
동아대학교 의과대학 재활의학교실
Abstract
Objective
To assess the sensitivity and specificity of bedside swallowing evaluation for detecting tracheal aspiration.


Method
Thirty patients who complained of swallowing difficulty or had potential for dysphagia were evaluated using videofluoroscopy and bedside swallowing evaluation for dysphagia. The bedside swallowing evaluations included gag reflex, laryngeal elevation, water swallowing test and swallowing provocation test. We compared bedside swallowing evaluations with videofluoroscopy to determine the sensitivity and specificity in detecting tracheal aspiration.


Results
The comparison of the all combination of bedside swallowing evaluation and videofluoroscopic results suggested that the sensitivity and specificity in the detection of tracheal aspiration was 84.6%, 47.0% respectively.


Conclusion
Bedside swallowing evaluations are limited for screening test of tracheal aspiration, so videofluoroscopic swallowing studies would be necessary to evaluate swallowing difficulty. (J Korean Acad Rehab Med 2003; 27: 489-493)

Key Words: Tracheal aspirationtion, Videofluoroscopy


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