title: Development of the Brief Bedside Dysphagia Screening Test - Revised: a Cross-Sectional Czech Study.
abstract: OBJECTIVE
  The purpose of this study was to develop a revised version of the Brief Bedside Dysphagia Screening Test for determining penetration/aspiration risk in patients prone to dysphagia. The priority was to achieve high sensitivity and negative predictive value.
  
  
  METHODS
  The study screeners conducted bedside assessment of the swallowing function in 157 patients with a neurological (mainly stroke) or an ear, nose, and throat diagnosis (mainly head and neck cancer). The results were compared with a gold standard, flexible endoscopic examination of swallowing.
  
  
  RESULTS
  For the neurological subgroup (N = 106), eight statistically significant bedside assessment items were combined into the Brief Bedside Dysphagia Screening Test-Revised (BBDST-R). Cut-off score 1 produced the highest sensitivity (95.5%; 95% confidence interval CI [CI]: 84.9-98.7%) and negative predictive value (88.9%; 95% CI 67.2-96.9%).
  
  
  CONCLUSIONS
  The BBDST-R is suitable for dysphagia screening in departments caring for patients with neurological conditions.
authors.affiliation: Department of Neurology, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic. petra.mandysova@upce.cz.|Faculty of Health Studies, University of Pardubice, Czech Republic. petra.mandysova@upce.cz.
authors.forename: Petra
authors.initials: P
authors.lastname: Mandysová
authors.affiliation: Department of Neurology, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.|Faculty of Health Studies, University of Pardubice, Czech Republic.
authors.forename: Edvard
authors.initials: E
authors.lastname: Ehler
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.|Faculty of Health Studies, University of Pardubice, Czech Republic.
authors.forename: Jana
authors.initials: J
authors.lastname: Škvrňáková
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Králové, Charles University in Prague, Faculty of Medicine in Hradec Králové, Czech Republic.
authors.forename: Michal
authors.initials: M
authors.lastname: Černý
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.
authors.forename: Iva
authors.initials: I
authors.lastname: Bártová
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic.|Faculty of Health Studies, University of Pardubice, Czech Republic.
authors.forename: Arnošt
authors.initials: A
authors.lastname: Pellant
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D018153:Czech Republic; D003679:Deglutition; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D010038:Otorhinolaryngologic Diseases / Q000150:complications*; D000067716:Point-of-Care Testing; D015203:Reproducibility of Results; D020521:Stroke / Q000150:complications*; D063189:Symptom Assessment / Q000379:methods*
keywords: Dysphagia; Screening; Swallowing Disorders; Symptom assessment