Feasibility and Psychometric Properties of the Adjusted DSWAL-QoL Questionnaire for Dysphagic Patients with Additional Language and/or Cognitive Impairment: Part I

Simpelaere, Ingeborg; Vanderwegen, Jan; Wouters, Kristien; Bodt, Marc De; Nuffelen, Gwen Van

doi:10.1007/s00455-016-9770-2

Cited by 7 publications

(5 citation statements)

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“…This study uses secondary analysis of data collected for a previous cohort study comprising two acute Belgian hospitals in Flanders with a stroke unit. In the cohort study, acute stroke patients were followed for 1 year, and the outcomes after stroke were investigated on short (i.e., during hospitalization) and long term (i.e., at 1 month, 3 months, 6 months, and 1 year poststroke) [35][36][37]. Various outcomes were examined, such as place of residence, pneumonia, survival, feeding status, functional independence, and dysphagia-related quality of life.…”

Section: Designmentioning

confidence: 99%

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Concurrent and Predictive Validity of the Mann Assessment of Swallowing Ability in Belgian Acute Stroke Patients Based on a 1-Year Follow-Up Study

Simpelaere,

Hansen,

Roelant

et al. 2023

Folia Phoniatr Logop

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Introduction: The Mann Assessment of Swallowing Ability (MASA) is a standardized clinical swallowing examination, specifically developed as a diagnostic test for the presence of oropharyngeal dysphagia and aspiration in the early period after stroke onset. In the original validation study, cutoff scores of <178 and <170 points, respectively, for the identification of dysphagia and aspiration risk are reported. However, a literature search revealed that alternative cutoff scores for dysphagia and/or aspiration provide better diagnostic accuracy. The aim of this secondary data analysis study was to evaluate the concurrent and predictive validity of the MASA. Methods: Data were derived from a Belgian cohort study of an acute stroke population (n = 151). The MASA total score (MASA-TS), which is the sum of weighted scores on the 24 items, was evaluated against the Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS) to assess concurrent validity. To assess predictive validity of the MASA-TS, pneumonia during hospitalization and over 1 year and mortality acted as a future criterion. Analyses included receiver operating characteristic curves and area under the curve (AUC). Results: Diagnostic accuracy of the MASA-TS was good for dysphagia (AUC = 0.85) and for the presence of relevant aspiration risk (AUC = 0.84). Using the original cutoff scores, the MASA-TS showed perfect sensitivity (Se = 1.00) for the identification of dysphagia and aspiration but inadequate specificity (Sp) for dysphagia (Sp = 0.16) and aspiration (Sp = 0.43). After determining new MASA cutoff scores, the optimal MASA cutoff scores were ≤146 for both dysphagia and aspiration with adequate thresholds (Se = 0.71 and Sp = 0.81 for dysphagia; Se = 0.73 and Sp = 0.80 for aspiration). The MASA-TS was a significant predictor of pneumonia during hospitalization (AUC = 0.85) and 1-year follow-up (AUC = 0.86), and of mortality (AUC = 0.79). Conclusion: The MASA-TS showed good concurrent validity with the FEDSS. Furthermore, using new cutoff scores (≤146 for the identification of dysphagia and aspiration) lead in general to more accurate diagnostic indexes. The MASA-TS is a good predictor of aspiration pneumonia during hospitalization and 1-year follow-up and of mortality.

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Section: Designmentioning

confidence: 99%

“…Various outcomes were examined, such as place of residence, pneumonia, survival, feeding status, functional independence, and dysphagia-related quality of life. This cohort study was completed before the period of the COVID-19 pandemic (2013-2015), and the results of this study have been extensively reported elsewhere [35][36][37].…”

Section: Designmentioning

confidence: 99%

Concurrent and Predictive Validity of the Mann Assessment of Swallowing Ability in Belgian Acute Stroke Patients Based on a 1-Year Follow-Up Study

Simpelaere,

Hansen,

Roelant

et al. 2023

Folia Phoniatr Logop

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“…During a long period after stroke, many patients suffered from both PSCI and PSD in clinical settings. As compared to those only with PSD, patients with both complications were more likely to obtain a worse prognosis [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Post-Stroke Cognitive Impairment and Severe Dysphagia: A Retrospective Cohort Study

Qiao

et al. 2022

Brain Sciences

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Objective: To investigate the relationship between post-stroke cognitive impairment (PSCI) and severe post-stroke dysphagia (PSD) and explore the risk factors related to PSCI combined with severe PSD. Methods: Data from patients were collated from the rehabilitation-specific disease database. The Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Videofluoroscopy Swallowing Study (VFSS), Penetration-aspiration Scale (PAS), and Functional Oral Intake Scale (FOIS) were used to evaluate cognitive and swallowing functions. Differences between groups were determined by the Pearson chi-square test (χ2) or Fisher exact test. PAS and FOIS data were analyzed with the use of the Wilcoxon rank-sum or Kruskal–Wallis test in the prespecified subgroup analysis. Risk factors were investigated by multivariate logistic regression. Results: A total of 1555 patients were identified with PSCI. The results indicated that patients with PSCI had a higher incidence rate of severe PSD as compared to patients without PSCI (p < 0.001). Patients with severe PSCI were more likely to clinically manifest oral phase dysfunction (p = 0.024), while mild PSCI patients mainly manifested pharyngeal phase dysfunction (p < 0.001). There was a significant difference in FOIS score changes between subgroups during the hospitalization period (severe PSCI vs. moderate PSCI and severe PSCI vs. mild PSCI) (all p < 0.001). In addition, multivariate logistic regression revealed pneumonia (p < 0.001), tracheotomy (p < 0.001), and dysarthria (p = 0.006) were related to PSCI, combined with severe PSD. Conclusion: PSCI may be related to severe PSD. Patients with severe PSCI were more likely to manifest oral phase dysfunction, while mild PSCI manifested pharyngeal phase dysfunction. Pneumonia, tracheotomy, and dysarthria were risk factors related to PSCI combined with severe PSD.

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“…Patients with dysphagia may have cognitive disorders and/or language impairments (i.e. aphasia) arising from underlying diseases such as dementia and stroke 4 . According to Brodsky, swallowing was previously divided into three phases, but currently, there are five phases: anticipatory/preoral, oral preparatory, oral, pharyngeal, and oesophageal 5 .…”

Section: Introductionmentioning

confidence: 99%

“…aphasia) arising from underlying diseases such as dementia and stroke. 4 According to Brodsky, swallowing was previously divided into three phases, but currently, there are five phases: anticipatory/preoral, oral preparatory, oral, pharyngeal, and oesophageal. 5 It is possible that cognition plays a role not only in the anticipatory phase but also in the other phases of swallowing.…”

Section: Introductionmentioning

confidence: 99%

Association between swallowing disorders and cognitive disorders in adults: a systematic review and meta‐analysis

2021

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There is no consensus regarding the association between dysphagia and cognition. The aim of this study was to quantitatively and qualitatively analyze the available evidence on the direction and strength of the association between dysphagia and cognition. PubMed, Scopus, Embase, and Web of Science were searched for studies about the association between dysphagia and cognition. A random effects model was used to determine weighted odds ratios and 95% confidence intervals. Sensitivity analysis was performed to determine the impact of each individual study on the pooled results. A total of 1427 participants showed that some cognitive disorders were significantly associated with dysphagia (odds ratio = 3.23, 95% confidence interval: 2.33–4.48). The association between cognition and swallowing disorders suggests that multiple neuroanatomical systems are involved in these two functions.

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Feasibility and Psychometric Properties of the Adjusted DSWAL-QoL Questionnaire for Dysphagic Patients with Additional Language and/or Cognitive Impairment: Part I

Cited by 7 publications

References 50 publications

Concurrent and Predictive Validity of the Mann Assessment of Swallowing Ability in Belgian Acute Stroke Patients Based on a 1-Year Follow-Up Study

Concurrent and Predictive Validity of the Mann Assessment of Swallowing Ability in Belgian Acute Stroke Patients Based on a 1-Year Follow-Up Study

Relationship between Post-Stroke Cognitive Impairment and Severe Dysphagia: A Retrospective Cohort Study

Association between swallowing disorders and cognitive disorders in adults: a systematic review and meta‐analysis

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