Estudo multicêntrico sobre escalas para grau de comprometimento em disfagia orofaríngea neurogênica

Revista Da Sociedade Brasileira De Fonoaudiologia Pub Date : 2012-06-01 DOI:10.1590/S1516-80342012000200011

R. Silva, S. Motonaga, P. Cola, Ana Rita Gatto, Priscila Watson Ribeiro, L. D. Carvalho, Arthur Oscar Schelp, A. Jorge, Fernanda Matias Peres, R. O. Dantas

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引用次数: 10

Abstract

PURPOSE: To analyze the agreement among different severity scales for neurogenic oropharyngeal dysphagia. METHODS: A clinical cross-sectional study was conducted. Participants were 200 individuals (108 male, 92 female) with neurogenic oropharyngeal dysphagia, aged between three months and 91 years. Four severity scales were applied to classify the oropharyngeal dysphagia: two clinical scales and two videofluoroscopic scales. Statistical analysis were conducted to verify the agreement between clinical and objective scales. RESULTS: Results showed very good agreement between the clinical scales (kappa=0.92) and moderate agreement between the objective scales (kappa=0.52). CONCLUSION: Although the agreement between the clinical scales was very good and between the objective scales was moderate, further discussion and possible revision of the parameters that define the severity of oropharyngeal dysphagia in neurological patients are required.

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神经源性口咽吞咽困难损害程度量表的多中心研究

目的:分析神经源性口咽吞咽困难不同严重程度量表的一致性。方法:进行临床横断面研究。参与者是200名患有神经性口咽吞咽困难的个体(108名男性，92名女性)，年龄在3个月至91岁之间。采用4种严重程度量表对口咽吞咽困难进行分类:2种临床量表和2种视频透视量表。通过统计分析验证临床量表与客观量表的一致性。结果:临床量表与客观量表的一致性很好(kappa=0.92)，客观量表与客观量表的一致性中等(kappa=0.52)。结论:尽管临床量表之间的一致性很好，客观量表之间的一致性中等，但仍需要进一步讨论并可能修改神经系统患者口咽吞咽困难严重程度的参数。

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Revista Da Sociedade Brasileira De Fonoaudiologia

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审稿时长

36 weeks