Laura Mochiatti Guijo, João Paulo Galletti Pilon, Paula Cristina Cola, Roberta Gonçalves da Silva, Suely Mayumi Motonaga Onofri
{"title":"中风后患者咽部残留物与穿刺/吸气之间的相关性。","authors":"Laura Mochiatti Guijo, João Paulo Galletti Pilon, Paula Cristina Cola, Roberta Gonçalves da Silva, Suely Mayumi Motonaga Onofri","doi":"10.1007/s00405-024-09069-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.</p><p><strong>Methods: </strong>Cross-sectional, descriptive, retrospective, clinical study with 157 post-stroke individuals, 71 females and 86 males, aged 26 to 92 years (mean age: 67.2 years), all diagnosed by neurological assessment and imaging exams (computed tomography or magnetic resonance imaging), who underwent fiberoptic endoscopic evaluation of swallowing (FEES) in a rehabilitation center. They were served 5 mL of moderately thick liquid (level 3 in the International Dysphagia Diet Standardization Initiative [IDDSI]) in a spoon three times. Two expert raters in dysphagia assessed them with the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS) and Penetration Aspiration Scale (PAS). Their interrater sensitivity agreement was analyzed with the Kappa test, and Spearman's rank correlation (r) verified the correlation between pharyngeal residue and the PAS and calculated the effect size (r<sup>2</sup>).</p><p><strong>Results: </strong>YPRSRS in vallecula was positively correlated with PAS (r = 0.43; r<sup>2</sup> = 0.18; p ≤ 0.000); YPRSRS in pyriform sinus, with PAS (r = 0.54; r<sup>2</sup> = 0.29; p ≤ 0.000); and YPRSRS in both vallecula/pyriform sinus with PAS (r = 0.57; r<sup>2</sup> = 0.32; p ≤ 0.000).</p><p><strong>Conclusion: </strong>The severity of pharyngeal residue in post-stroke individuals with dysphagia is correlated with the level of penetration-aspiration.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.\",\"authors\":\"Laura Mochiatti Guijo, João Paulo Galletti Pilon, Paula Cristina Cola, Roberta Gonçalves da Silva, Suely Mayumi Motonaga Onofri\",\"doi\":\"10.1007/s00405-024-09069-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To analyze the correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.</p><p><strong>Methods: </strong>Cross-sectional, descriptive, retrospective, clinical study with 157 post-stroke individuals, 71 females and 86 males, aged 26 to 92 years (mean age: 67.2 years), all diagnosed by neurological assessment and imaging exams (computed tomography or magnetic resonance imaging), who underwent fiberoptic endoscopic evaluation of swallowing (FEES) in a rehabilitation center. They were served 5 mL of moderately thick liquid (level 3 in the International Dysphagia Diet Standardization Initiative [IDDSI]) in a spoon three times. Two expert raters in dysphagia assessed them with the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS) and Penetration Aspiration Scale (PAS). Their interrater sensitivity agreement was analyzed with the Kappa test, and Spearman's rank correlation (r) verified the correlation between pharyngeal residue and the PAS and calculated the effect size (r<sup>2</sup>).</p><p><strong>Results: </strong>YPRSRS in vallecula was positively correlated with PAS (r = 0.43; r<sup>2</sup> = 0.18; p ≤ 0.000); YPRSRS in pyriform sinus, with PAS (r = 0.54; r<sup>2</sup> = 0.29; p ≤ 0.000); and YPRSRS in both vallecula/pyriform sinus with PAS (r = 0.57; r<sup>2</sup> = 0.32; p ≤ 0.000).</p><p><strong>Conclusion: </strong>The severity of pharyngeal residue in post-stroke individuals with dysphagia is correlated with the level of penetration-aspiration.</p>\",\"PeriodicalId\":11952,\"journal\":{\"name\":\"European Archives of Oto-Rhino-Laryngology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-11-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Archives of Oto-Rhino-Laryngology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00405-024-09069-y\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Archives of Oto-Rhino-Laryngology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00405-024-09069-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.
Purpose: To analyze the correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.
Methods: Cross-sectional, descriptive, retrospective, clinical study with 157 post-stroke individuals, 71 females and 86 males, aged 26 to 92 years (mean age: 67.2 years), all diagnosed by neurological assessment and imaging exams (computed tomography or magnetic resonance imaging), who underwent fiberoptic endoscopic evaluation of swallowing (FEES) in a rehabilitation center. They were served 5 mL of moderately thick liquid (level 3 in the International Dysphagia Diet Standardization Initiative [IDDSI]) in a spoon three times. Two expert raters in dysphagia assessed them with the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS) and Penetration Aspiration Scale (PAS). Their interrater sensitivity agreement was analyzed with the Kappa test, and Spearman's rank correlation (r) verified the correlation between pharyngeal residue and the PAS and calculated the effect size (r2).
Results: YPRSRS in vallecula was positively correlated with PAS (r = 0.43; r2 = 0.18; p ≤ 0.000); YPRSRS in pyriform sinus, with PAS (r = 0.54; r2 = 0.29; p ≤ 0.000); and YPRSRS in both vallecula/pyriform sinus with PAS (r = 0.57; r2 = 0.32; p ≤ 0.000).
Conclusion: The severity of pharyngeal residue in post-stroke individuals with dysphagia is correlated with the level of penetration-aspiration.
期刊介绍：
Official Journal of
European Union of Medical Specialists – ORL Section and Board
Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery
"European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level.
European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.
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