Aspiration in rehabilitation patients: videofluoroscopy vs bedside clinical assessment

摘要: This paper reports the results of a blinded study comparing videofluoroscopy with bedside clinical evaluations by speech/language pathologists in diagnosis aspiration. One hundred and seven inpatients from general rehabilitation hospital were evaluated over four-month period. Of total patient population, 43 (40%) aspirated at least one consistency food during videofluoroscopy. Bedside evaluation identified only 18 (42%) these patients. The positive predictive value assessment was 0.75; negative 0.70. Aspirators on more likely to have brainstem or multilobe central nervous system involvement than nonaspirators. However, there no statistically significant difference lesion sites between clinically detected "silent" aspirators. While significance aspiration noted is debatable, it clear that alone underestimates frequency patients neurologic dysfunction.