Logemann J A, Veis S, Colangelo L
Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois 60208, USA.
Dysphagia. 1999 Winter;14(1):44-51. doi: 10.1007/PL00009583.
The present study was designed to examine the sensitivity and specificity of a 28-item screening test in identifying patients who aspirate, have an oral stage disorder, a pharyngeal delay, or a pharyngeal stage disorder. The screening test includes 28 items divided into 5 categories: (1) 4 medical history variables; (2) 6 behavioral variables; (3) 2 gross motor variables; (4) 9 observations from oromotor testing; and (5) 7 observations during trial swallows. Results identified variables that were able to classify patients correctly as having or not having aspiration 71% of the time, an oral stage disorder 69% of the time, a pharyngeal delay 72% of the time, and a pharyngeal stage swallowing problem 70% of the time. Sensitivity and specificity for each of these judgments and all 28 items on the test are also provided. Results are discussed relative to statistical, clinical, and third-party perspectives on the goals of screening, data from other screening tests, and the role of screening versus diagnostic testing in care of dysphagic patients.
本研究旨在检验一项包含28个项目的筛查测试在识别存在误吸、口腔期障碍、咽期延迟或咽期障碍患者时的敏感性和特异性。该筛查测试包括28个项目，分为5类：（1）4个病史变量；（2）6个行为变量；（3）2个粗大运动变量；（4）9项口颜面运动测试观察结果；以及（5）7项吞咽试验观察结果。结果确定了能够在71%的时间内正确将患者分类为有误吸或无误吸、在69%的时间内正确分类为有口腔期障碍、在72%的时间内正确分类为有咽期延迟以及在70%的时间内正确分类为有咽期吞咽问题的变量。还提供了这些判断中每一项以及测试中所有28个项目的敏感性和特异性。从筛查目标的统计学、临床和第三方角度、其他筛查测试的数据以及筛查与诊断测试在吞咽困难患者护理中的作用等方面对结果进行了讨论。
