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• W2024863903 abstract "Background Aspiration is frequent in patients with acute neurologic disorders and swallowing dysfunction. Its incidence in stroke, as high as 51%, increases mortality by up to 3 times. Pneumonia, its main complication, further increases morbidity, mortality, and patient care costs. The objective of this study was to evaluate a set of bedside predictors of aspiration [“wet voice,” 3-oz water swallow test, and cervical auscultation in an intensive care unit (ICU)] and compare them with nasolaryngoscopy as the gold standard. Methods We conducted a prospective, nonblinded study of bedside predictors of aspiration risks in 65 consecutive ICU patients with an acute neurologic disorder or a severe medical or surgical condition with decreased level of consciousness. Results Endoscopic aspiration was detected in 17 patients. Sensitivities for wet voice, 3-oz water swallow test, and cervical auscultation were 58.82%, 88.23%, and 82.35%; specificities were 78.26%, 62.50%, and 80.43%. Positive predictive values were 50%, 45.45%, and 60.86%, and negative predictive values were 83.72%, 93.75%, and 92.50%, respectively. Positive likelihood ratios were 2.70, 2.35, and 4.20, respectively. The association of 2 positive clinical predictors, wet voice and cervical auscultation or wet voice and 3-oz water swallow test, improved specificity to 92.85% and 84.61%, positive predictive values to 83.33% and 69.23%, and likelihood ratios to 10.76 and 5.85, respectively. Conclusions Bedside clinical predictors for aspiration risks are a useful screening tool for ICU patients presenting with risk factors for this complication." @default.
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• W2024863903 date "2010-01-01" @default.
• W2024863903 modified "2023-09-25" @default.
• W2024863903 title "Nasolaryngoscopic Validation of a Set of Clinical Predictors of Aspiration in a Critical Care Setting" @default.
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• W2024863903 doi "https://doi.org/10.1097/lbr.0b013e3181cc49d1" @default.
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