A Prospective Comparison between Bedside Swallowing Screening Test and Videofluoroscopic Swallowing Study in Post-Stroke Dysphagia
Brain & NeuroRehabilitation 2016³â 9±Ç 2È£ p.7 ~ p.0
ÀÌÀÚÈ£(Leigh Ja-Ho) - Seoul National University College of Medicine Department of Rehabilitation Medicine
ÀÓÁ¾¿±(Lim Jong-Youb) - Seoul National University College of Medicine Department of Rehabilitation Medicine
Çѹ®±¸(Han Moon-Ku) - Seoul National University Bundang Hospital Seoul National University College of Medicine Department of Neurology
¹èÈñÁØ(Bae Hee-Joon) - Seoul National University Bundang Hospital Seoul National University College of Medicine Department of Neurology
±è¿ø¼®(Kim Won-Seok) - Seoul National University Bundang Hospital Department of Rehabilitation Medicine
¹é³²Á¾(Paik Nam-Jong) - Seoul National University Bundang Hospital Department of Rehabilitation Medicine
Abstract
To reveal test discrepancies between early bedside swallowing screening test (BSST) and standard videofluoroscopic swallowing study (VFSS) and thereby to achieve an evaluation standard for post-stroke dysphagia which prevent aspiration pneumonia or unnecessary diet restrictions. Consecutive 252 first-ever stroke patients admitted to stroke unit of 1 tertiary university hospital from May 2009 to May 2010. BSST was performed within 3 days after onset and VFSS within 2 weeks after BSST. The findings between BSST and VFSS were compared. BSST and VFSS were performed in 186 patients. Of the 116 patients who passed BSST, aspiration was newly detected in VFSS in 16 patients (14%). Diet recommendation was changed in 95 of the 186 patients (51%) after VFSS, with 28% (n = 52) being changed to a more conservative level compared to the recommendation based on initial BSST. The data support the need for reassessment using VFSS even when BSST is performed in the acute stage of stroke.
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Stroke, Deglutition Disorders, Diet, Videofluoroscopic Swallow Study, Aspiration
KMID :
1202320160090020007
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À¯È¿¼º°á°ú(Recomendation)
The findings justify the necessity of VFSS as a routine standard evaluation of post-stroke dysphagia, even though patients have already undergone BSST during the acute stage of stroke.