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문경희 ( Moon Kyung-Hee ) - 세브란스병원 간호국
김덕용 ( Kim Deog-Young ) - 연세대학교 의과대학 재활의학과
유지수 ( Yoo Ji-Soo ) - 연세대학교 간호대학
박창기 ( Park Chang-Gi ) - University of Illinois at Chicago
손현숙 ( Sohn Hyun-Sook ) - 연세대학교 신촌세브란스병원 재활병원
이은석 ( Lee Eun-Seok ) - 연세대학교 신촌세브란스병원 재활병원
백은경 ( Paek Eun-Kyung ) - 연세대학교 신촌세브란스병원 재활병원
강은주 ( Kang Eun-Ju ) - 연세대학교 신촌세브란스병원 재활병원
이승희 ( Lee Seung-Hee ) - 연세대학교 신촌세브란스병원 재활병원
한나리 ( Han Na-Ri ) - 연세대학교 신촌세브란스병원 재활병원
이민혜 ( Lee Meen-Hye ) - 연세대학교 신촌세브란스병원 재활병원
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Abstract
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Purpose: The purpose of this study was to determine the significant factors for risk estimate of aspiration and to evaluate the efficiency of the dysphagia assessment tool.
Methods: A consecutive series of 210 stroke patients with aspiration symptoms such as cough and dysphagia who had soft or regular diet without tube feeding were examined. The dysphagia assessment tool for aspiration was compared with videofluoroscopy using Classification and Regression Tree (CART) analysis.
Results: In CART analysis, of 34 factors, the significant factors for estimating risk of aspiration were cough during swallowing, oral stasis, facial symmetry, salivary drooling, and cough after swallowing. The risk estimate error of the revised dysphagia assessment tool was 25.2%, equal to that of videofluoroscopy.
Conclusion: The results indicate that the dysphagia assessment tool developed and examined in this study was potentially useful in the clinical field and the primary risk estimating factor was cough during swallowing. Oral stasis, facial symmetry, salivary drooling, cough after swallowing were other significant factors, and based on these results, the dysphagia assessment tool for aspiration was revised and complemented.
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KeyWords
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연하곤란사정도구, 흡인, 비디오연하영상 조영술
Deglutition disorders, Risk assessment, Aspiration, Fluoroscopy
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원문 및 링크아웃 정보
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등재저널 정보
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