用于评估气管切开术患者误吸情况的马尼帕尔床边吞咽筛查试验的验证
Validation of Manipal Bedside Swallowing Screening Test for Assessing Aspiration in Individuals with Tracheostomy.
作者信息
Chilwan Uzair, Narayana Deepa, Prakashini K, Pujary Kailesh, Devaraja K
机构信息
Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka 576104 India.
Department of Radiodiagnosis, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka 576104 India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4316-4321. doi: 10.1007/s12070-024-04843-0. Epub 2024 Jul 25.
To validate the Manipal Bedside Swallowing Screening Test (MBSST) for assessing aspiration in individuals with tracheostomy using Video Fluoroscopic Swallow Study (VFSS). A total of 53 tracheostomized participants were screened for aspiration at bedside and VFSS across different consistencies. Penetration Aspiration Scale (PAS) was used to substantiate the severity of aspiration if present. The test demonstrated both high sensitivity (91%; 95% confidence interval = 70.8-98.9) and diagnostic accuracy (96%; 95% confidence interval = 87.0-99.5) for detecting aspiration in individuals with tracheostomy. The Manipal Bedside Swallowing Screening Test is an easy to administer tool that has sufficient sensitivity to detect aspiration in individuals with tracheostomy. The MBSST will be an easy to administer tool and will help in screening for aspiration at bedside without any instrumental examination.
使用视频荧光吞咽造影研究（VFSS）验证用于评估气管造口术患者误吸情况的马尼帕尔床边吞咽筛查试验（MBSST）。共有53名气管造口术参与者在床边和VFSS中针对不同黏稠度的食物进行了误吸筛查。若存在误吸情况，采用渗透误吸量表（PAS）来证实误吸的严重程度。该试验在检测气管造口术患者的误吸情况时，显示出高敏感性（91%；95%置信区间=70.8 - 98.9）和诊断准确性（96%；95%置信区间=87.0 - 99.5）。马尼帕尔床边吞咽筛查试验是一种易于实施的工具，对检测气管造口术患者的误吸情况具有足够的敏感性。MBSST将是一种易于实施的工具，有助于在床边进行误吸筛查，而无需任何器械检查。
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