A screening procedure for oropharyngeal dysphagia.
The present study was designed to examine the sensitivity and specificity of a 28-item screening test in identifying patients who aspirate, have an oral stage disorder, a pharyngeal delay, or a pharyngeal stage disorder. The screening test includes 28 items divided into 5 categories: (1) 4 medical history variables; (2) 6 behavioral variables; (3) 2 gross motor variables; (4) 9 observations from oromotor testing; and (5) 7 observations during trial swallows. Results identified variables that were able to classify patients correctly as having or not having aspiration 71% of the time, an oral stage disorder 69% of the time, a pharyngeal delay 72% of the time, and a pharyngeal stage swallowing problem 70% of the time. Sensitivity and specificity for each of these judgments and all 28 items on the test are also provided. Results are discussed relative to statistical, clinical, and third-party perspectives on the goals of screening, data from other screening tests, and the role of screening versus diagnostic testing in care of dysphagic patients.
Logemann
J A
JA
Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois 60208, USA.
Veis
S
S
Colangelo
L
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000150:complications; D003679:Deglutition / Q000502:physiology; D003680:Deglutition Disorders / Q000145:classification / Q000175:diagnosis*; D006258:Head and Neck Neoplasms / Q000150:complications; D006801:Humans; D008403:Mass Screening; D008487:Medical History Taking; D008606:Mental Processes / Q000502:physiology; D008875:Middle Aged; D009059:Mouth Diseases / Q000145:classification / Q000175:diagnosis; D009960:Oropharynx / Q000503:physiopathology*; D010608:Pharyngeal Diseases / Q000145:classification / Q000175:diagnosis*; D011015:Pneumonia, Aspiration / Q000175:diagnosis; D011597:Psychomotor Performance / Q000502:physiology; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013119:Spinal Cord Injuries / Q000150:complications