Evaluation of swallowing in acute ischemic stroke patients using both a simple swallowing provocation test and a water swallowing test

Kamiya, Yuki; Ichikawa, Hiroo; Kuriki, Ayako; Shimizu, Yuki; Saito, Yu; Kasai, Hideyo; Suzuki, Mamoru; Satoh, Yoshikazu; Kawamura, Mitsuru

doi:10.3995/jstroke.32.254

Cited by 4 publications

(13 citation statements)

References 12 publications

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“…The subjects in this study were about 10 years older than those in the previous study and had a number of risk factors for aspiration pneumonia. Furthermore, the previous study had sensitivity and specificity of 66.7% and 83.5%, compared with 73% and 71% in this study 23 . Although aspiration does not necessarily lead directly to the development of aspiration pneumonia 10 , the incidence of aspiration pneumonia increases as the number of risk factors associated with aspiration pneumonia increases 33 .…”

Section: Discussioncontrasting

confidence: 55%

“…The SSPT measures the swallowing reflex with a small amount of water injected through a 5Fr feeding catheter inserted nasally 13 cm into the oropharynx 20, 21 . This test can detect the risk of silent aspiration 19, 20 and can predict aspiration pneumonia 21, 23, 24 . The SSPT has the advantage of being able to be performed on patients with dementia or communication disorders 33 .…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have investigated the association between SSPT and aspiration pneumonia in patients with acute ischemic stroke and residents of a geriatric health services facility 23, 24 . In contrast, we examined older patients with dysphagia after the acute phase with the SSPT and, while our findings supported those of previous studies, we found that the incidence of aspiration pneumonia was higher than that of patients with acute ischemic stroke (14%) 23 . It is presumed that the subjects of this study were patients with many potential risks for aspiration pneumonia at baseline.…”

Section: Discussionmentioning

confidence: 99%

“…It is presumed that the subjects of this study were patients with many potential risks for aspiration pneumonia at baseline. The subjects of the previous study were patients with acute ischemic stroke, with a median age of 73 years, and 54% of the patients were discharged home 23 . The subjects in this study had a high average age of 83.8 years, with median scores of MASA: 140, FILS: 2, FIM: 23, and GNRI: 76.5.…”

Section: Discussionmentioning

confidence: 99%

“…The accuracy of predicting aspiration pneumonia is higher with SSPT than with the water swallowing test 22 . Previous studies have found an association between the SSPT and aspiration pneumonia in patients with acute ischemic stroke and residents of a geriatric health services facility 23, 24 . However, there have been no studies on the association between the SSPT and aspiration pneumonia in long-term care (LTC) wards that in Japan provide long-term care for older adults with severe physical and cognitive problems under the national healthcare insurance system.…”

Section: Introductionmentioning

confidence: 90%

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Association Between the Swallowing Reflex and the Development of Aspiration Pneumonia in Patients with Dysphagia Admitted to Long-term Care Wards -A Prospective Cohort Study of 60 Days-

Omura

Matsuyama

Nishioka³

et al. 2020

Preprint

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ObjectiveTo investigate the association between the simple swallowing provocation test (SSPT) and development of aspiration pneumonia in patients with dysphagia in long-term care (LTC) wards.DesignThe study design was a prospective cohort study. Subjects were followed for 60 days from admission.SettingLTC wards.ParticipantsStudy subjects were patients with dysphagia aged 65 years or older who were admitted to LTC wards between August 2018 and August 2019. In total, 39 subjects were included in the analysis (20 males, 19 females; mean age 83.8 ± 8.5 years). Subjects were divided into two groups based on SSPT results: normal swallowing reflex (SSPT normal group) and abnormal swallowing reflex (SSPT abnormal group). The covariates were age and sex, primary disease, history of cerebrovascular disease, Glasgow coma scale, body mass index, geriatric nutritional risk index, the mann assessment of swallowing ability, food intake level scale, functional independence measure, and oral health assessment tool.InterventionsNot applicable.Main Outcome MeasureThe outcome was the incidence of aspiration pneumonia during the first 60 days of hospitalization, and the predictive factor was SSPT: 0.4 ml.ResultsThe incidence of aspiration pneumonia was 33.3% in the SSPT normal group and 76.2% in the SSPT abnormal group. The phi coefficient was −0.43, the risk ratio was 2.29, and the 95% confidence interval (95%CI) was 1.14 to 4.58. The predictive factor for aspiration pneumonia was SSPT: 0.4 ml (95% CI: 1.57–26.03).ConclusionsOur findings suggest that the SSPT provides a valid index for the development of aspiration pneumonia in older patients with dysphagia admitted to LTC wards.

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Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

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Association Between the Swallowing Reflex and the Development of Aspiration Pneumonia in Patients with Dysphagia Admitted to Long-term Care Wards -A Prospective Cohort Study of 60 Days-

Omura

Matsuyama

Nishioka³

et al. 2020

Preprint

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Association Between the Swallowing Reflex and the Incidence of Aspiration Pneumonia in Patients With Dysphagia Admitted to Long-term Care Wards: A Prospective Cohort Study of 60 Days

Omura

Matsuyama

Nishioka

et al. 2021

Archives of Physical Medicine and Rehabilitation

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Effect of swallowing rounds on the outcome of dysphagic patients

Toda

Kagaya

Baba

et al. 2015

Jpn J Compr Rehabil Sci

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Objective: To retrospectively investigate the effect of ward rounds to check swallowing function (hereafter, swallowing rounds) on the outcome of dysphagic patients. Methods: Upon requests from ward nurses or clinical departments in our hospital, a full-time certified nurse specialist in dysphagia examines the general condition of patients and performs screening for dysphagia. For patients who require detailed investigations, a transdisciplinary dysphagia care team conducts ward rounds and evaluates these patients in principle by videoendoscopic evaluation of swallowing. We reviewed the records of patients in whom swallowing rounds were conducted between September 2006 and March 2010, and analyzed the food texture and eating status scale (ESS) scores at the first intervention, after the first intervention and at the last observation; dysphagia severity scale (DSS) scores at the first intervention and at the last observation; and onset of pneumonia during intervention. Results: Among 1,330 patients suspected of dysphagia, 998 were judged to require detailed investigations and swallowing rounds were conducted. As a result of intervention, significant improvements in food texture, ESS score, and DSS score were observed. The incidence of pneumonia was 3.7%. Discussion: Improvements in food texture, ESS score, and DSS score were achieved by conducting swallowing rounds.

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Evaluation of swallowing in acute ischemic stroke patients using both a simple swallowing provocation test and a water swallowing test

Cited by 4 publications

References 12 publications

Association Between the Swallowing Reflex and the Development of Aspiration Pneumonia in Patients with Dysphagia Admitted to Long-term Care Wards -A Prospective Cohort Study of 60 Days-

Association Between the Swallowing Reflex and the Development of Aspiration Pneumonia in Patients with Dysphagia Admitted to Long-term Care Wards -A Prospective Cohort Study of 60 Days-

Association Between the Swallowing Reflex and the Incidence of Aspiration Pneumonia in Patients With Dysphagia Admitted to Long-term Care Wards: A Prospective Cohort Study of 60 Days

Effect of swallowing rounds on the outcome of dysphagic patients

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