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Original Article
- Comparison for Risk Estimate of Aspiration between the Revised Dysphagia Assessment Tool and Videofluoroscopy in Post-Stroke Patients
- Kyung Hee Moon, Hyun Sook Sohn, Eun Seok Lee, Eun Kyung Paek, Eun Ju Kang, Seung Hee Lee, Na Ri Han, Meen Hye Lee, Deog Young Kim, Chang Gi Park, Ji-Soo Yoo
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Journal of Korean Academy of Nursing 2010;40(3):359-366.
DOI: https://doi.org/10.4040/jkan.2010.40.3.359
Published online: June 30, 2010
1Director, Division of Nursing, Severance Hospital, Seoul, Korea.
2Registered Nurse, Department of Nursing, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
3Associate Professor, Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
4Researcher, University of Illinois at Chicago, IL, USA.
5Professor, College of Nursing · Researcher, Nursing Policy Research Institute, Yonsei University, Seoul, Korea.
- Address reprint requests to: Yoo, Ji-Soo. College of Nursing, Yonsei University, 250 Seongsan-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: 82-2-2228-3252, Fax: 82-2-392-5440, yoojs48@yuhs.ac
• Received: December 21, 2009 • Accepted: May 25, 2010
Copyright © 2010 Korean Society of Nursing Science
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.
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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.
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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.
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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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REFERENCES
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Citations
Citations to this article as recorded by 
- Screening for aspiration risk associated with dysphagia in acute stroke
Elizabeth Boaden, Jane Burnell, Lucy Hives, Paola Dey, Andrew Clegg, Mary W Lyons, C Elizabeth Lightbody, Margaret A Hurley, Hazel Roddam, Elizabeth McInnes, Anne Alexandrov, Caroline L Watkins
Cochrane Database of Systematic Reviews.2021;[Epub] CrossRef - Development and Utilization of Assessment and Intervention Checklist for Post-stroke Dysphagia
Eun Ha Lee, Ja Yun Choi
Korean Journal of Adult Nursing.2013; 25(2): 113. CrossRef
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XML DownloadComparison for Risk Estimate of Aspiration between the Revised Dysphagia Assessment Tool and Videofluoroscopy in Post-Stroke Patients
Figure 1
CART model of the dysphagia assessment tool.
1*=Abnormal; 2*=Normal; V49=Aspiration; V15=Cough during swallowing; V13=Oral stasis; V23=Facial symmetry; V31=Salivary drooling; V16=Cough after swallowing; CART=Classification and Regression Tree.
Figure 1
Comparison for Risk Estimate of Aspiration between the Revised Dysphagia Assessment Tool and Videofluoroscopy in Post-Stroke Patients
General Characteristics of Patients (N=202)
Diseases Related Characteristics of Patients (N=202)
*Missing responses excluded.
Characteristics Related to Videofluoroscopy (N=202)
*Missing responses excluded.
Revised Dysphagia Assessment Tool
Comparison of Risk Estimate Error of Aspiration in Revised Dysphagia Assessment Tool and Videofluoroscopy (N=202)
Table 1
General Characteristics of Patients (N=202)
Table 2
Diseases Related Characteristics of Patients (N=202)
*Missing responses excluded.
Table 3
Characteristics Related to Videofluoroscopy (N=202)
*Missing responses excluded.
Table 4
Revised Dysphagia Assessment Tool
Table 5
Comparison of Risk Estimate Error of Aspiration in Revised Dysphagia Assessment Tool and Videofluoroscopy (N=202)
