LB015-SUN DIAGNOSTIC ACCURACY OF THE EATING ASSESSMENT TOOL AND THE VOLUME-VISCOSITY SWALLOW TEST FOR CLINICAL SCREENING AND ASSESSMENT OF OROPHARYNGEAL DYSPHAGIA

2012 ◽  
Vol 7 (1) ◽  
pp. 256
Author(s):  
L. Rofes ◽  
V. Arreóla ◽  
R. Mukherjee ◽  
P. Clavé
Keyword(s):  
Diagnostic Accuracy ◽  
Assessment Tool ◽  
Oropharyngeal Dysphagia ◽  
Clinical Screening ◽  
Volume Viscosity

Prevalence and Biological Correlates of Oropharyngeal Dysphagia in Outpatients of a Geriatric Evaluation Clinic: A Brief Report

Gerontology ◽  
2021 ◽  
pp. 1-4
Author(s):  
Abdias Ambrosio-Palma ◽  
Jose Alberto Avila-Funes ◽  
Alberto Mimenza-Alvarado ◽  
Aurora Elizabeth Serralde-Zúñiga ◽  
Mónica Zavala-Solares ◽  
...  
Keyword(s):  
Older Adults ◽  
Assessment Tool ◽  
Oropharyngeal Dysphagia ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Nutrition Status ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Levels Of Care ◽  
Volume Viscosity

<b><i>Background:</i></b> Oropharyngeal dysphagia (OD) is a relevant disease among older adults and is associated with serious adverse health-related outcomes, such as malnutrition, sarcopenia, or frailty. Increasing its recognition and the related mechanisms will allow us to its prevention and treatment at different levels of care. <b><i>Objectives:</i></b> This study aimed to determine the prevalence and biological correlates of OD in outpatient older adults. <b><i>Method:</i></b> This is a cross-sectional study including 100 adults aged 60 or older from a geriatric clinic of a tertiary hospital in Mexico City. Health variables and geriatric syndromes were recorded. The Eating Assessment Tool-10 detection test and the volume-viscosity swallowing test were used to diagnose OD. Logistic regression models were performed to identify the factors associated with OD. <b><i>Results:</i></b> Mean age was 81.2 (±7.5) years and 21% had OD. The presence of xerostomia (<i>p</i> = 0.05) and a worst nutritional status (<i>p</i> = 0.035) were obtained. <b><i>Conclusions:</i></b> The prevalence of OD among older adults was high. Inadequate nutrition status and the presence of xerostomia are more likely to be present with this swallowing disorder.

Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration

2008 ◽  
Vol 27 (6) ◽  
pp. 806-815 ◽  
Author(s):  
Pere Clavé ◽  
Viridiana Arreola ◽  
Maise Romea ◽  
Lucía Medina ◽  
Elisabet Palomera ◽  
...  
Keyword(s):  
Oropharyngeal Dysphagia ◽  
Clinical Screening ◽  
Volume Viscosity

scholarly journals Effect of Aging, Gender and Sensory Stimulation of TRPV1 Receptors with Capsaicin on Spontaneous Swallowing Frequency in Patients with Oropharyngeal Dysphagia: A Proof-of-Concept Study

Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 461
Author(s):  
Weslania Nascimento ◽  
Noemí Tomsen ◽  
Saray Acedo ◽  
Cristina Campos-Alcantara ◽  
Christopher Cabib ◽  
...  
Keyword(s):  
Oropharyngeal Dysphagia ◽  
Sensory Stimulation ◽  
Age And Gender ◽  
Post Stroke ◽  
Brainstem Reflex ◽  
Trpv1 Receptors ◽  
Volume Viscosity ◽  
And Gender ◽  
Effect Of Age ◽  
Stimulation Of

Spontaneous swallowing contributes to airway protection and depends on the activation of brainstem reflex circuits in the central pattern generator (CPG). We studied the effect of age and gender on spontaneous swallowing frequency (SSF) in healthy volunteers and assessed basal SSF and TRPV1 stimulation effect on SSF in patients with post-stroke oropharyngeal dysphagia (OD). The effect of age and gender on SSF was examined on 141 healthy adult volunteers (HV) divided into three groups: GI—18–39 yr, GII—40–59 yr, and GIII—>60 yr. OD was assessed by the Volume–Viscosity Swallowing Test (VVST). The effect of sensory stimulation with capsaicin 10−5 M (TRPV1 agonist) was evaluated in 17 patients with post-stroke OD, using the SSF. SSF was recorded in all participants during 10 min using surface electromyography (sEMG) of the suprahyoid muscles and an omnidirectional accelerometer placed over the cricothyroid cartilage. SSF was significantly reduced in GII (0.73 ± 0.50 swallows/min; p = 0.0385) and GIII (0.50 ± 0.31 swallows/min; p < 0.0001) compared to GI (1.03 ± 0.62 swallows/min), and there was a moderate significant correlation between age and SFF (r = −0.3810; p < 0.0001). No effect of gender on SSF was observed. Capsaicin caused a strong and significant increase in SSF after the TRPV1 stimulation when comparing to basal condition (pre-capsaicin: 0.41 ± 0.32 swallows/min vs post-capsaicin: 0.81 ± 0.51 swallow/min; p = 0.0003). OD in patients with post-stroke OD and acute stimulation with TRPV1 agonists caused a significant increase in SSF, further suggesting the potential role of pharmacological stimulation of sensory pathways as a therapeutic strategy for CPG activation in patients with OD.

scholarly journals Clinical screening of oropharyngeal dysphagia in patients with ALS

2012 ◽  
Vol 55 (9-10) ◽  
pp. 601-608 ◽  
Author(s):  
G. Paris ◽  
O. Martinaud ◽  
D. Hannequin ◽  
A. Petit ◽  
A. Cuvelier ◽  
...  
Keyword(s):  
Oropharyngeal Dysphagia ◽  
Clinical Screening

Symptoms are the Most Effective Child SCAT5 Component for Recognizing Concussion on the Day of Injury

2021 ◽  
Author(s):  
Nicholas Kevin Erdman ◽  
Patricia M. Kelshaw ◽  
Samantha L. Hacherl ◽  
Shane V. Caswell
Keyword(s):  
Middle School ◽  
Diagnostic Accuracy ◽  
School Children ◽  
Assessment Tool ◽  
Diagnostic Odds Ratio ◽  
Likelihood Ratios ◽  
Middle School Children ◽  
Predictive Values ◽  
Symptom Evaluation ◽  
Diagnostic Properties

Abstract Background: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5) was developed to evaluate children between 5-12 years of age for a suspected concussion. However, limited empirical evidence exists demonstrating the value of the Child SCAT5 for acute concussion assessment. Therefore, the purpose of our study was to examine differences and assess the diagnostic properties of Child SCAT5 scores among concussed and non-concussed middle school children on the same day as a suspected concussion.Methods: Our participants included 34 concussed (21 boys, 13 girls; age=12.8±0.86 years) and 44 non-concussed (31 boys, 13 girls; age=12.4±0.76 years) middle school children who were administered the Child SCAT5 upon suspicion of a concussion. Child SCAT5 scores were calculated from the symptom evaluation (total symptoms, total severity), child version of the Standardized Assessment of Concussion (SAC-C), and modified Balance Error Scoring System (mBESS). The Child SCAT5 scores were compared between the concussed and non-concussed groups. Non-parametric effect sizes (r=z/√n) were calculated to assess the magnitude of difference for each comparison. The diagnostic properties (sensitivity, specificity, diagnostic accuracy, predictive values, likelihood ratios, and diagnostic odds ratio) of each Child SCAT5 score were also calculated.Results: Concussed children endorsed more symptoms (p<0.001, r=0.45), higher symptom severity (p<0.001, r=0.44), and had higher double leg (p=0.046, r=0.23), single leg (p=0.035, r=0.24), and total scores (p=0.022, r=0.26) for the mBESS than non-concussed children. No significant differences were observed for the SAC-C scores (p’s≥0.542). The quantity and severity of endorsed symptoms had the best diagnostic accuracy (AUC=0.76–0.77), negative predictive values (NPV=0.84–0.88), and negative likelihood ratios (-LR=0.22–0.31) of the Child SCAT5 scores.Conclusions: The symptom evaluation was the most effective component of the Child SCAT5 for differentiating between concussed and non-concussed middle school children on the same day as a suspected concussion.

scholarly journals The diagnostic accuracy of the Kimberley Indigenous Cognitive Assessment (KICA) tool: a systematic review

2017 ◽  
Vol 25 (3) ◽  
pp. 282-287 ◽  
Author(s):  
Suzanne M Dyer ◽  
Kate Laver ◽  
Margeret Friel ◽  
Craig Whitehead ◽  
Maria Crotty
Keyword(s):  
Systematic Review ◽  
Diagnostic Accuracy ◽  
Cognitive Assessment ◽  
Assessment Tool ◽  
Indigenous Australians ◽  
Indigenous Australian ◽  
Cross Sectional ◽  
Diagnosis Of Dementia ◽  
In Series ◽  
Similar Accuracy

Objectives: The objective of this study was to conduct a systematic review of evidence for the accuracy of the Kimberley Indigenous Cognitive Assessment (KICA) tool in supporting the diagnosis of dementia in Indigenous Australian populations. Methods: Cross-sectional diagnostic accuracy studies of the KICA with an appropriate reference standard published to November 2015 were included. Comparison to an alternative cognitive assessment tool was required in non-remote populations. Case control analyses were excluded. Results: Four studies were included: one of the KICA-Cog and KICA-Carer, one of the KICA Screen, and two of the modified-KICA. All tools developed for remote populations had a sensitivity of ≥76% and a specificity of ≥71% for the diagnosis of dementia. The KICA-Cog and KICA-Carer conducted in series had the highest sensitivity and specificity (91% and 94% respectively). In an urban and regional population, the mKICA had similar accuracy to the Mini-Mental State Examination (MMSE) (AUC 0.93, 95% CI 0.88–0.99 vs 0.94, 95% CI 0.89–0.99). Key risk of bias limitations related to lack of pre-determined cut-points and population selection methods. Conclusion: The use of the KICA in remote Indigenous Australians may assist in timely diagnosis of dementia in this population. Using the KICA-Cog and KICA-Carer in series may maximise specificity, decreasing false positive results without compromising sensitivity.

scholarly journals Toolkit of methodological resources to conduct systematic reviews

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 82
Author(s):  
Marta Roqué ◽  
Laura Martínez-García ◽  
Ivan Solà ◽  
Pablo Alonso-Coello ◽  
Xavier Bonfill ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Systematic Reviews ◽  
Assessment Tool ◽  
Research Question ◽  
Risk Of Bias ◽  
Bias Assessment ◽  
Assessment Development ◽  
Stage Of Development ◽  
Model Study ◽  
Question Development

Background: Systematic reviews (SR) can be classified by type depending on the research question they are based on. This work identifies and describes the most relevant methodological resources to conduct high-quality reviews that answer clinical questions regarding prevalence, prognosis, diagnostic accuracy and efficacy of interventions. Methods: Methodological resources have been identified from literature searches and consulting guidelines from institutions that develop SRs. The selected resources are organized by type of SR, and stage of development of the review (formulation of the research question, development of the protocol, literature search, risk of bias assessment, synthesis of findings, assessment of the quality of evidence, and report of SR results and conclusions). Results: Although the different types of SRs are developed following the same steps, each SR type requires specific methods, differing in characteristics and complexity. The extent of methodological development varies by type of SR, with more solid guidelines available for diagnostic accuracy and efficacy of interventions SRs. This methodological toolkit describes the most up-to-date risk of bias instruments: Quality in Prognostic Studies (QUIPS) tool and Prediction model study Risk Of Bias Assessment Tool (PROBAST) for prognostic SRs, Quality assessment of diagnostic accuracy studies tool (QUADAS-2) for diagnostic accuracy SRs, Cochrane risk of bias tool (ROB-2) and Risk of bias in non-randomised studies of interventions studies tool (ROBINS-I) for efficacy of interventions SRs, as well as the latest developments on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Conclusions: This structured compilation of the best methodological resources for each type of SR may prove to be a very useful tool for those researchers that wish to develop SRs or conduct methodological research works on SRs.

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