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Dysphagia

, Volume 14, Issue 1, pp 44–51 | Cite as

A Screening Procedure for Oropharyngeal Dysphagia

  • Jeri A.  Logemann
  • Sharon  Veis
  • Laura  Colangelo

Abstract.

The present study was designed to examine the sensitivity and specificity of a 28-item screening test in identifying patients who aspirate, have an oral stage disorder, a pharyngeal delay, or a pharyngeal stage disorder. The screening test includes 28 items divided into 5 categories: (1) 4 medical history variables; (2) 6 behavioral variables; (3) 2 gross motor variables; (4) 9 observations from oromotor testing; and (5) 7 observations during trial swallows. Results identified variables that were able to classify patients correctly as having or not having aspiration 71% of the time, an oral stage disorder 69% of the time, a pharyngeal delay 72% of the time, and a pharyngeal stage swallowing problem 70% of the time. Sensitivity and specificity for each of these judgments and all 28 items on the test are also provided. Results are discussed relative to statistical, clinical, and third-party perspectives on the goals of screening, data from other screening tests, and the role of screening versus diagnostic testing in care of dysphagic patients.

Key words: Dysphagia — Swallowing — Screening — Symptoms — Pharyngeal physiology — Deglutition — Deglutition disorders. 

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Copyright information

© Springer-Verlag New York Inc. 1999

Authors and Affiliations

  • Jeri A.  Logemann
    • 1
  • Sharon  Veis
    • 1
  • Laura  Colangelo
    • 2
  1. 1.Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois, USAUS
  2. 2.Northwestern University Medical School, Chicago, Illinois, USAUS

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