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• W2466056645 abstract "To develop and validate a nurse-administered screening tool to identify aspiration risk in patients with suspected stroke.Validity study comparing evidence-based swallowing screening items with the videofluoroscopic swallowing study (VFSS) results.A certified primary stroke center in a major metropolitan medical facility.Consecutive patients (N=250) admitted with suspected stroke.Patients were administered evidence-based swallowing screening items by nurses. A VFSS was completed within 2 hours of swallowing screening.Validity relative to identifying VFSS-determined aspiration for each screening item and for various combinations of items.Aspiration was identified in 29 of 250 participants (12%). Logistic regression revealed that age (P=.012), dysarthria (P=.001), abnormal volitional cough (P=.030), and signs related to the water swallow trial (P=.021) were significantly associated with aspiration. Validity was then determined on the basis of the best combination of significant items for predicting aspiration. The results revealed that age >70 years, dysarthria, or signs related to the water swallow trial (ie, cough, throat clear, wet vocal quality, and inability to continuously drink 90mL water) yielded 93% sensitivity and 98% negative predictive value.The final validated tool, Rapid Aspiration Screening for Suspected Stroke, is a valid nurse-administered tool to detect risk of aspiration in patients presenting with suspected stroke." @default.
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• W2466056645 date "2016-09-01" @default.
• W2466056645 modified "2023-10-01" @default.
• W2466056645 title "Rapid Aspiration Screening for Suspected Stroke" @default.
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• W2466056645 doi "https://doi.org/10.1016/j.apmr.2016.03.025" @default.
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