The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Laryngopharyngeal Sensory Testing With Modified Barium Swallow As Predictors of Aspiration Pneumonia After Stroke
Abstract
Improved diagnostic tests that can accurately identify subjects at high risk for aspiration pneumonia (AP) are needed. One measure of this accuracy is the false‐negative rate (FNR), which determines the failure of a test to identify a group at high risk. This study compares FNRs for AP among dysphagic stroke patients for two prognostic techniques: modified barium swallow (MBS) alone and MBS combined with laryngopharyngeal sensory discrimination testing(MBS + LPSDT). MBS and LPSDT were performed within 4 weeks of stroke in 20 subjects who were prospectively followed for at least 2 years to identify the frequency of AP. MBS identified 10 patients as not at risk based on the finding of no aspiration on initial MBS; four of these patients developed AP (FNR = 40%). MBS + LPSDT identified five patients as not at risk based on the findings of neither aspiration nor bilateral sensory deficits; none of these patients developed AP (FNR = 0%). The combination of MBS criterion (aspiration) with the LPSDT criterion (bilateral sensory deficits) improves prognostication of outcome in dysphagic stroke patients by identifying a subgroup at high risk for developing AP (nonaspirators with bilateral deficits).
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In the citing paper
“Additionally, examination requires the patient be moved to the radiology suite and is a relatively poor predictor of aspiration pneumonia.4,5”
From Classification of high-resolution manometry data according to videofluoroscopic parameters using pattern recognition (2013) · cites this paper as [5]
In the citing paper
“Videofluoroscopy has traditionally been considered the gold standard for evaluating aspiration, but requires radiation exposure and is a fairly poor predictor of aspiration pneumonia.5,13,14”
From Artificial neural network classification of pharyngeal high‐resolution manometry with impedance data (2013) · cites this paper as [14]
Citations
Cites
Evaluation and Treatment of Swallowing Disorders
Logemann, J. A. (1984) · NSSLHA Journal · doi:10.1044/nsshla_12_38 · Cited by 995
Complications and Outcome After Acute Stroke: Does Dysphagia Matter?
Smithard, D. G., O'Neill, P. A., Park, C., Morris, J., Wyatt, R., England, R., & Martin, D. F. (1996) · Stroke · doi:10.1161/01.str.27.7.1200 · Cited by 734
Gordon, C., Hewer, R. L., & Wade, D. T. (1987) · BMJ · doi:10.1136/bmj.295.6595.411 · Cited by 662
The natural history and functional consequences of dysphagia after hemispheric stroke.
Barer, D. H. (1989) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.52.2.236 · Cited by 521
Norton, B., Homer-Ward, M., Donnelly, M., Long, R. G., & Holmes, G. K. T. (1996) · BMJ · doi:10.1136/bmj.312.7022.13 · Cited by 447
Silent aspiration following stroke
Horner, J., & Massey, E. W. (1988) · Neurology · doi:10.1212/wnl.38.2.317 · Cited by 442
Homer, J., Massey, E. W., Riski, J. E., Lathrop, D. L., & Chase, K. N. (1988) · Neurology · doi:10.1212/wnl.38.9.1359 · Cited by 357
Swallowing disorders in persons with cerebrovascular accident.
Veis, S., & Logemann, J. A. (1985) · PubMed · Cited by 298
Aspiration in acute stroke: a clinical study with videofluoroscopy
Kidd, D. P., LAWSON, J., Nesbitt, R., & MacMahon, J. (1993) · QJM · doi:10.1093/oxfordjournals.qjmed.a068766 · Cited by 244
Swallowing after unilateral stroke of the cerebral cortex: Preliminary experience
Robbins, J., & Levine, R. L. (1988) · Dysphagia · doi:10.1007/bf02406275 · Cited by 226
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Research works printed but not linked: 2
- 10.1212/WNL.38.2.317 · DOI
- Mohr JP, 1986, Stroke, 475
Cited by
Sorted by citations
A Method to Objectively Assess Swallow Function in Adults With Suspected Aspiration
Omari, T. I., Dejaeger, E., van Beckevoort, D., Goeleven, A., Davidson, G. P., Dent, J., Tack, J., & Rommel, N. (2011) · Gastroenterology · doi:10.1053/j.gastro.2011.02.051 · Cited by 142
Hoffman, M. R., Jones, C. A., Geng, Z., Abelhalim, S. M., Walczak, C. C., Mitchell, A. R., Jiang, J. J., & McCulloch, T. M. (2013) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599813489506 · Cited by 45
Artificial neural network classification of pharyngeal high‐resolution manometry with impedance data
Hoffman, M. R., Mielens, J. D., Omari, T. I., Rommel, N., Jiang, J. J., & McCulloch, T. M. (2013) · The Laryngoscope · doi:10.1002/lary.23655 · Cited by 34
Metadata
- Authors
- Aviv, J. E., Sacco, R. L., Mohr, J. P., Thompson, J. L. P., Levin, B., Sunshine, S., Thomson, J., & Close, L. G.
- Affiliations
- Columbia University Irving Medical Center (US)
- Corresponding author
- Aviv, Jonathan E.
- Venue
- The Laryngoscope
- Publisher
- Wiley
- Published
- 1997-09
- Volume
- 107
- Issue
- 9
- Pages
- 1254-1260
- ISSN
- 0023-852X (ISSN-L)
- 1531-4995
- OpenAlex
- W1997489154
- Cited by
- 101
- References
- 37
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 9 · 2016: 3 · 2015: 1 · 2014: 5 · 2013: 8 · 2012: 4
- FWCI
- 21.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Laryngoscope (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (RR 00645, M01RR000645)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Keywords
- aspiration pneumonia, stroke, dysphagia, modified barium swallow, false negative rate, prognostic testing, risk stratification
- MeSH terms
- Adult, Aged, Aged, 80 and over, Barium Sulfate, Cerebrovascular Disorders, Contrast Media, Deglutition, Deglutition Disorders, False Negative Reactions, Female, Fluoroscopy, Follow-Up Studies, Forecasting, Humans, Laryngeal Nerves, Larynx, Male, Middle Aged, Pharynx, Pneumonia, Aspiration, Prognosis, Prospective Studies, Reflex, Risk Factors, Sensation, Sensation Disorders, Sensory Thresholds, Case-Control Studies, Treatment Outcome
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