Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly People
| Autor: | Ho Young Lee, Il Hwan Jung, Eunsil Cha, Jimin Song, Kwang-Ik Jung, Woo-Kyoung Yoo, Suk Hoon Ohn |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Annals of Rehabilitation Medicine, Vol 43, Iss 2, Pp 187-194 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2234-0645 2234-0653 |
| DOI: | 10.5535/arm.2019.43.2.187 |
| Popis: | Objective To develop a new tool for aspiration risk prediction based on pharyngeal width at rest in older adults with symptoms of aspiration. Methods Lateral cervical spine roentgenograms were obtained from 33 older adult patients who complained of dysphagia and from 33 healthy, age-matched controls. Pharyngeal width at rest was measured at two points. We named the average of these two pharyngeal widths ‘JOSCYL Width’, calculated ‘JOSCYL Scale’, and compared these parameters between dysphagia and control groups. Correlations of individual JOSCYL Width and JOSCYL Scale, with Penetration Aspiration Scale (PAS) and Dysphagia Outcome and Severity Scale (DOSS) scores were analyzed for the dysphagia group. To determine optimal cutoff points for predicting aspiration, a receiver operating characteristic curve analysis was performed on JOSCYL Width and JOSCYL Scale. Results Both JOSCYL Width and JOSCYL Scale of the dysphagia group were larger than those of the control group (p |
| Databáze: | Directory of Open Access Journals |
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