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Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Choosing the Feeding Method for Stroke Patients with Dysphagia
- Source :
- Healthcare, Volume 9, Issue 6, Healthcare, Vol 9, Iss 632, p 632 (2021)
- Publication Year :
- 2021
- Publisher :
- Research Square Platform LLC, 2021.
-
Abstract
- Introduction: The Videofluoroscopic Dysphagia Scale (VDS) is used to predict the long-term prognosis of dysphagia in patients with strokes. However, the inter-rater reliability of the VDS was low in a previous study. To overcome the mentioned limitations of the VDS, the modified version of the VDS (mVDS) was created and clinically applied to evaluate its usefulness in choosing the feeding method for stroke patients with dysphagia. Methods: The videofluoroscopic swallowing study (VFSS) data of 56 stroke patients with dysphagia were collected retrospectively. We investigated the presence of aspiration pneumonia and the selected feeding method. We also evaluated the correlations between the mVDS and the selected feeding method, and between the mVDS and the presence of aspiration pneumonia after stroke. Univariate logistic regression and receiver operating characteristic analyses were used in the data analysis. Results: The inter-rater reliability (Cronbach α value) of the total score of the mVDS was 0.886, which was consistent with very good inter-rater reliability. In all patients with dysphagia, the supratentorial stroke subgroup, and the infratentorial stroke subgroup, the mVDS scores were statistically correlated with the feeding method selected (p &lt<br />0.05) and the presence of aspiration pneumonia (p &lt<br />0.05). Conclusions: The mVDS can be a useful scale for quantifying the severity of dysphagia, and it can be a useful tool in the clinical setting and in studies for interpreting the VFSS findings in stroke patients with dysphagia. Further studies with a greater number of patients and various stroke etiologies are required for more generalized applications of the mVDS.
- Subjects :
- 030506 rehabilitation
medicine.medical_specialty
dysphagia
Leadership and Management
Health Informatics
Aspiration pneumonia
Logistic regression
swallowing difficulty
Article
03 medical and health sciences
0302 clinical medicine
Health Information Management
Swallowing
Cronbach's alpha
otorhinolaryngologic diseases
Medicine
deglutition
MVDS
Stroke
videofluoroscopic dysphagia scale
Receiver operating characteristic
business.industry
Health Policy
medicine.disease
Dysphagia
modified version of the videofluoroscopic dysphagia scale
videofluoroscopic swallowing study
Radiology
medicine.symptom
0305 other medical science
business
030217 neurology & neurosurgery
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Healthcare, Volume 9, Issue 6, Healthcare, Vol 9, Iss 632, p 632 (2021)
- Accession number :
- edsair.doi.dedup.....715e2fb7961e370a151abc888abac7c9