Correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY European Archives of Oto-Rhino-Laryngology Pub Date : 2024-11-18 DOI:10.1007/s00405-024-09069-y

Laura Mochiatti Guijo, João Paulo Galletti Pilon, Paula Cristina Cola, Roberta Gonçalves da Silva, Suely Mayumi Motonaga Onofri

{"title":"Correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.","authors":"Laura Mochiatti Guijo, João Paulo Galletti Pilon, Paula Cristina Cola, Roberta Gonçalves da Silva, Suely Mayumi Motonaga Onofri","doi":"10.1007/s00405-024-09069-y","DOIUrl":null,"url":null,"abstract":"Purpose: To analyze the correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.Methods: Cross-sectional, descriptive, retrospective, clinical study with 157 post-stroke individuals, 71 females and 86 males, aged 26 to 92 years (mean age: 67.2 years), all diagnosed by neurological assessment and imaging exams (computed tomography or magnetic resonance imaging), who underwent fiberoptic endoscopic evaluation of swallowing (FEES) in a rehabilitation center. They were served 5 mL of moderately thick liquid (level 3 in the International Dysphagia Diet Standardization Initiative [IDDSI]) in a spoon three times. Two expert raters in dysphagia assessed them with the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS) and Penetration Aspiration Scale (PAS). Their interrater sensitivity agreement was analyzed with the Kappa test, and Spearman's rank correlation (r) verified the correlation between pharyngeal residue and the PAS and calculated the effect size (r2).Results: YPRSRS in vallecula was positively correlated with PAS (r = 0.43; r2 = 0.18; p ≤ 0.000); YPRSRS in pyriform sinus, with PAS (r = 0.54; r2 = 0.29; p ≤ 0.000); and YPRSRS in both vallecula/pyriform sinus with PAS (r = 0.57; r2 = 0.32; p ≤ 0.000).Conclusion: The severity of pharyngeal residue in post-stroke individuals with dysphagia is correlated with the level of penetration-aspiration.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Archives of Oto-Rhino-Laryngology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00405-024-09069-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To analyze the correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.

Methods: Cross-sectional, descriptive, retrospective, clinical study with 157 post-stroke individuals, 71 females and 86 males, aged 26 to 92 years (mean age: 67.2 years), all diagnosed by neurological assessment and imaging exams (computed tomography or magnetic resonance imaging), who underwent fiberoptic endoscopic evaluation of swallowing (FEES) in a rehabilitation center. They were served 5 mL of moderately thick liquid (level 3 in the International Dysphagia Diet Standardization Initiative [IDDSI]) in a spoon three times. Two expert raters in dysphagia assessed them with the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS) and Penetration Aspiration Scale (PAS). Their interrater sensitivity agreement was analyzed with the Kappa test, and Spearman's rank correlation (r) verified the correlation between pharyngeal residue and the PAS and calculated the effect size (r²).

Results: YPRSRS in vallecula was positively correlated with PAS (r = 0.43; r² = 0.18; p ≤ 0.000); YPRSRS in pyriform sinus, with PAS (r = 0.54; r² = 0.29; p ≤ 0.000); and YPRSRS in both vallecula/pyriform sinus with PAS (r = 0.57; r² = 0.32; p ≤ 0.000).

Conclusion: The severity of pharyngeal residue in post-stroke individuals with dysphagia is correlated with the level of penetration-aspiration.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

中风后患者咽部残留物与穿刺/吸气之间的相关性。

目的：分析中风后患者咽部残留物与穿透/吸入之间的相关性：横断面、描述性、回顾性临床研究：研究对象为 157 名中风后患者，其中女性 71 名，男性 86 名，年龄在 26 岁至 92 岁之间（平均年龄：67.2 岁），所有患者均通过神经系统评估和影像学检查（计算机断层扫描或磁共振成像）确诊，并在一家康复中心接受了纤维内窥镜吞咽评估（FEES）。研究人员用勺子分三次给他们喂食 5 毫升中等粘稠的液体（国际吞咽困难饮食标准化倡议 [IDDSI] 中的第 3 级）。两名吞咽困难专家用耶鲁咽残渣严重程度量表（YPRSRS）和穿透吸入量表（PAS）对他们进行评估。用 Kappa 检验分析了他们之间的灵敏度一致性，Spearman 等级相关性（r）验证了咽残留物与 PAS 之间的相关性，并计算了效应大小（r2）：结果：咽瓣的YPRSRS与PAS呈正相关（r=0.43；r2=0.18；p≤0.000）；梨状窦的YPRSRS与PAS呈正相关（r=0.54；r2=0.29；p≤0.000）；咽瓣/梨状窦的YPRSRS均与PAS呈正相关（r=0.57；r2=0.32；p≤0.000）：结论：卒中后吞咽困难患者咽残留物的严重程度与穿刺-吸气水平相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.