title: Predictive value of accumulated oropharyngeal secretions for aspiration during video nasal endoscopic evaluation of the swallow.
abstract: The purpose of this prospective study was to investigate the predictive value of oropharyngeal secretions by use of 5-point and modified 3-point secretion scales for aspiration of food or liquid and diet recommendation outcomes. One hundred consecutive patients and 4 control subjects participated. The 5-point secretion severity scale correlated highly to aspiration (Spearman's rho = .516, p < .0001) and to diet recommendation outcomes (Spearman's rho = .72, p < .0001). Patients who received tube feedings were more likely to demonstrate a higher secretion level than patients who received oral feedings (Pearson chi squared analysis value = 25.461, p < .0001). Patients with a tracheotomy tube tended to demonstrate higher secretion levels than patients without a tracheotomy tube (Spearman's rho = .446, p < .0001). The relationship of the 3-point secretion severity scale level with aspiration was .488, p < .0001 (Spearman's rho), and that with diet recommendation outcomes was .746, p < .0001 (Spearman's rho).
authors.affiliation: Department of Speech-Language Pathology, Marianjoy Rehabilitation Hospital, Wheaton, Illinois 60187, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Donzelli
authors.forename: Susan
authors.initials: S
authors.lastname: Brady
authors.forename: Michele
authors.initials: M
authors.lastname: Wesling
authors.forename: Mary
authors.initials: M
authors.lastname: Craney
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D002648:Child; D003679:Deglutition / Q000502:physiology*; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000503:physiopathology; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005502:Food; D006305:Health Status Indicators; D006801:Humans; D001239:Inhalation / Q000502:physiology*; D007830:Larynx / Q000503:physiopathology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009960:Oropharynx / Q000378:metabolism*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D014140:Tracheotomy; D014741:Video Recording; D014867:Water
chemical_list: D014867:Water