title: [An estimation chart for the possibility of aspiration in patients with severe motor and intellectual disabilities: its reliability and accuracy].
abstract: Although the most common cause of death in patients with severe motor and intellectual disabilities (SMID) is aspiration pneumonia, there are no criteria to detect aspiration. We have been making an evaluation tool to detect aspiration in patients with SMID easily, in cooperation with the project of comprehensive study of disability, social health, and welfare, supported by the Ministry of Health, Labor and Welfare, Japan. Here we studied the reliability and accuracy of the 2001 edition of the "questionnaires for functions of eating and swallowing" and "estimation chart for the possibility of aspiration" in 20 patients with risk of aspiration (13 with cerebral palsy, six with acquired cerebral palsy and one with muscle disease). Family members or nursing staffs taking care of them answered the questionnaires. A pediatrician and an occupational therapist or speech therapist checked the chart. Reliability was checked by the agreement between the estimation of the two professionals, and accuracy was determined by comparing the results of the chart and videofluolography. The results showed good reliability (kappa 0.63) and accuracy (kappa 0.47). Based on these results and additional analysis of the check items, the new edition of the chart was established.
authors: Department of Pediatrics, St. Joseph Hospital for People with Handicaps, Kyoto. azatuji@yahoo.co.jp
authors: Toyoko
authors: T
authors: Kanda
authors: Keiko
authors: K
authors: Murayama
authors: Izumi
authors: I
authors: Kondo
authors: Eiji
authors: E
authors: Kitazumi
authors: Kan
authors: K
authors: Takahashi
authors: Katsutoshi
authors: K
authors: Nakatani
authors: Akira
authors: A
authors: Yoneyama
authors: Yuriko
authors: Y
authors: Yamori
authors: Yoko
authors: Y
authors: Kanda
mesh_terms: D002547:Cerebral Palsy / Q000503:physiopathology; D002648:Child; D003679:Deglutition / Q000502:physiology; D003680:Deglutition Disorders / Q000175:diagnosis*; D004185:Disability Evaluation; D019988:Children with Disabilities; D006801:Humans; D019989:Persons with Intellectual Disabilities; D011015:Pneumonia, Aspiration / Q000517:prevention & control*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*