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Development of the Brief Bedside Dysphagia Screening Test – Revised: a Cross-Sectional Czech Study
- Source :
- Acta Medica, Vol 58, Iss 2, Pp 49-55 (2015)
- Publication Year :
- 2015
- Publisher :
- Karolinum Press, 2015.
-
Abstract
- Aim: The purpose of this study was to develop a revised version of the Brief Bedside Dysphagia Screening Test for determining penetration/aspiration risk in patients prone to dysphagia. The priority was to achieve high sensitivity and negative predictive value. Methods: The study screeners conducted bedside assessment of the swallowing function in 157 patients with a neurological (mainly stroke) or an ear, nose, and throat diagnosis (mainly head and neck cancer). The results were compared with a gold standard, flexible endoscopic examination of swallowing. Results: For the neurological subgroup (N = 106), eight statistically significant bedside assessment items were combined into the Brief Bedside Dysphagia Screening Test-Revised (BBDST-R). Cut-off score 1 produced the highest sensitivity (95.5%; 95% confidence interval CI [CI]: 84.9–98.7%) and negative predictive value (88.9%; 95% CI 67.2–96.9%). Conclusion: The BBDST-R is suitable for dysphagia screening in departments caring for patients with neurological conditions.
- Subjects :
- Dysphagia
Screening
Swallowing Disorders
Symptom assessment
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 12114286 and 18059694
- Volume :
- 58
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Acta Medica
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.722638928e464c81ce69c5efa84f46
- Document Type :
- article
- Full Text :
- https://doi.org/10.14712/18059694.2015.93