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KMID : 0603920220300020031
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Journal of Korean Academy of Occupational Therapy
2022 Volume.30 No. 2 p.31 ~ p.40
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Use of the Penetration Aspiration Scale During Routine Video Fluoroscopy for Inpatient Rehabilitation
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Hreha Kimberly P.
Sheridan Sarah
Hong Ick-Pyo
Kim Grace J.
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Abstract
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This prospective, observational study of acute stroke survivors was completed to report our clinical application ofthe Penetration-Aspiration Scale (PAS), an 8-point multidimensional assessment, used in conjunction with theVideo Fluoroscopic Swallow Study (VFSS). In addition, we were interested in determining the association of PASscores at admission, demographics and clinical characteristics with functional recovery (measured by theFunctional Independence Measure [FIM]) at discharge from an inpatient rehabilitation hospital. There werethirty-five patients that met inclusion and consented. Out of the 35, 34 (97%) were successfully assessed withthe PAS with VFSS. Multivariate regression model revealed that the PAS scores, sex, length of stay, andadmission FIM scores were significantly associated with functional recovery at hospital discharge (all p values <.05). We conclude that the PAS was feasible to administer with VFSS and implement in our inpatient setting. ThePAS provided information about the depth of the airway invasion, material remaining after the swallow, and theresponse to aspiration, which were not reported in a standardized way prior to this study. The associationbetween the PAS and functional recovery at discharge suggests that stroke survivors with swallowing impairmenthave less functional improvement noted at discharge than those with better swallowing scores. Therefore, peoplewith dysphagia may need additional services and care. Future research should determine if using the PAS canimprove clinical practice and ensure consistency across care transitions (expansion), as those with dysphagiamay need additional services and care.
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KEYWORD
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Dysphagia, Outcome measurement, Penetration Aspiration Scale, Stroke
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