Predictive value of a novel pragmatic tool for post-stroke aspiration risk: The Functional Bedside Aspiration Screen.

摘要: BACKGROUND There is still a strong need for an optimal clinician-friendly screening tool the identification of aspiration risk in stroke patients. In this study, we present development novel, context-specific prediction on recent survivors, Functional Bedside Aspiration Screen (FBAS), and examine its construct validity, reliability with predictive values toward pragmatic patients' outcomes. METHODS We conducted prospective validation study 104 acute ischemic patients admitted to clinical wards tertiary university hospital. A group experts developed administered FBAS 10-point scale all Outcome measures were compared those validated Yale Swallow Protocol (YSP, reference measure) health indicators. KEY RESULTS association was found between cutoff criterion YSP (Pearson χ2  = 54.92, P < .001). score ≤8 presented 93.3% sensitivity 83.3% specificity deeming patient reduced safety oral nutrition (AUC = 0.934, CI = 0.884-0.985). An inverse relationship performance in-hospital long-term outcome Patients who failed 1.82 times more likely develop pneumonia (95% CI = 1.42-2.35) 1.35 within 3 months postonset CI = 1.15-1.59). CONCLUSIONS AND INFERENCES The potentially useful timely stroke.