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- W3036628190 abstract "We have developed a simple two-step swallowing provocation test (STS-SPT) for detection of swallowing disorder in patients with a risk of aspiration pneumonia (AP). The test was utilized for the water-stimulated swallowing reflex at suprapharynx in humans. Because the two-step simulation of different volume of water identified the high or low risk of aspiration during night; STS-SPT can predict high risk of pathological aspiration at the bedside. The sensitivity and specificity of first-step SPT using 0.4 mL of water for the detection of aspiration pneumonia were 100% and 83.8%, respectively. Those of the second-step SPT using 2.0 mL of water were 76.4% and 100%, respectively. Because the STS-SPT can be performed without any need for special patient effort or cooperation, it should be effective in diagnosing AP in a wide variety of patients, including those who are bedridden. Although STS-SPT is not the definitive test for detecting the risk of aspiration pneumonia, it is a promising test simply to exclude patients at low risk for aspiration. However, patients at high risk may still require videofluoroscopy to guide an appropriate therapy." @default.
- W3036628190 created "2020-06-25" @default.
- W3036628190 creator A5052969391 @default.
- W3036628190 date "2020-01-01" @default.
- W3036628190 modified "2023-09-26" @default.
- W3036628190 title "Significant Roles of the Simple Two-Step Swallowing Provocation Test (STS-SPT) in Aspiration Pneumonia but Not in Food Swallowing Problems: Does the STS-SPT Have a Special Role for Detecting Silent Aspiration?" @default.
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- W3036628190 doi "https://doi.org/10.1007/978-981-15-4506-1_12" @default.
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