지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1,181 - 1,186 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: To examine correlations among rating scales and findings suggestive of tracheal aspiration and pharyngeal residue betweenfiberoptic endoscopic evaluation of swallowing (FEES) and videofluoroscopic swallowing study (VFSS) in dysphagia patients. Materials and Methods: We studied patients referred to our hospital for dysphagia assessment. Three raters judged the residue severityand laryngeal penetration or tracheal aspiration of FEES and VFSS. The raters applied the Penetration-Aspiration Scale (PAS)for tracheal aspiration and pixel-based circumscribed area ratio and Yale Pharyngeal Residue Severity for post-swallow residue inVFSS and FEES, respectively. Anatomy-physiologic findings during FEES associated with tracheal aspiration were also analyzed. Results: A total of 178 participants were enrolled in our study. In correlation analysis, PAS (r=0.74), vallecula retention (r=0.76),and pyriform sinus retention (r=0.78) showed strong positive correlations between FEES and VFSS. Intra-rater agreement betweenVFSS and FEES was good for PAS (κ=0.65) and vallecula (κ=0.65) and pyriform sinus retention (κ=0.69). Among 72 patients whoshowed subglottic shelf residue, a suspected finding of aspiration, in FEES, 68 had concomitant tracheal aspiration during VFSS. Both vocal fold hypomobility and glottic gap during phonation were significantly associated with findings suggestive of trachealaspiration during FEES (p<0.05). Conclusion: Quantitative and reliable aspiration and post swallow residue rating scales showed strong positive correlations andgood agreement between VFSS and FEES.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Martin-Harris B / 2008 / The videofluorographic swallowing study / Phys Med Rehabil Clin N Am 19:769~785
Langmore SE / 1988 / Fiberoptic endoscopic examination of swallowing safety : a new procedure / Dysphagia 2:216~219
김정윤 / 2011 / The Diagnostic Usefulness of the Fiberoptic Endoscopic Evaluation of Swallowing / Annals of Rehabilitation Medicine 35(1):14~22
Kelly AM / 2006 / Fibreoptic endoscopic evaluation of swallowing and videofluoroscopy: does examination type influence perception of pharyngeal residue severity? / Clin Otolaryngol 31:425~432
ECRI Health Technology Assessment Group / 1999 / Diagnosis and treatment of swallowing disorders (dysphagia) in acute-care stroke patients / Evid Rep Technol Assess (Summ) (8):1~6
Langmore SE / 1988 / Fiberoptic endoscopic examination of swallowing safety : a new procedure / Dysphagia 2:216~219
김정윤 / 2011 / The Diagnostic Usefulness of the Fiberoptic Endoscopic Evaluation of Swallowing / Annals of Rehabilitation Medicine 35(1):14~22
Kelly AM / 2006 / Fibreoptic endoscopic evaluation of swallowing and videofluoroscopy: does examination type influence perception of pharyngeal residue severity? / Clin Otolaryngol 31:425~432
ECRI Health Technology Assessment Group / 1999 / Diagnosis and treatment of swallowing disorders (dysphagia) in acute-care stroke patients / Evid Rep Technol Assess (Summ) (8):1~6
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