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KMID : 0806120100400030359
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대한간호학회지
2010 Volume.40 No. 3 p.359 ~ p.366
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Comparison for Risk Estimate of Aspiration between the Revised Dysphagia Assessment Tool and Videofluoroscopy in Post-Stroke Patients
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Moon Kyung-Hee
Kim Deog-Young
Yoo Ji-Soo
Park Chang-Gi
Sohn Hyun-Sook
Lee Eun-Seok
Paek Eun-Kyung
Kang Eun-Ju
Lee Seung-Hee
Han Na-Ri
Lee Meen-Hye
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Abstract
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Purpose: The purpose of this study was to determine the significant factors for risk estimate of aspiration and to evaluate the efficiency of the dysphagia assessment tool.
Methods: A consecutive series of 210 stroke patients with aspiration symptoms such as cough and dysphagia who had soft or regular diet without tube feeding were examined. The dysphagia assessment tool for aspiration was compared with videofluoroscopy using Classification and Regression Tree (CART) analysis.
Results: In CART analysis, of 34 factors, the significant factors for estimating risk of aspiration were cough during swallowing, oral stasis, facial symmetry, salivary drooling, and cough after swallowing. The risk estimate error of the revised dysphagia assessment tool was 25.2%, equal to that of videofluoroscopy.
Conclusion: The results indicate that the dysphagia assessment tool developed and examined in this study was potentially useful in the clinical field and the primary risk estimating factor was cough during swallowing. Oral stasis, facial symmetry, salivary drooling, cough after swallowing were other significant factors, and based on these results, the dysphagia assessment tool for aspiration was revised and complemented.
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KEYWORD
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Deglutition disorders, Risk assessment, Aspiration, Fluoroscopy
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