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Assessment of aspiration risk in acute ischaemic stroke--evaluation of the simple swallowing provocation test.

Authors
  • Warnecke, T
  • Teismann, I
  • Meimann, W
  • Olenberg, S
  • Zimmermann, J
  • Krämer, C
  • Ringelstein, E B
  • Schäbitz, W R
  • Dziewas, R
Type
Published Article
Journal
Journal of Neurology Neurosurgery & Psychiatry
Publisher
BMJ
Publication Date
Mar 01, 2008
Volume
79
Issue
3
Pages
312–314
Identifiers
DOI: 10.1136/jnnp.2007.134551
PMID: 18281449
Source
Medline
License
Unknown

Abstract

In acute stroke patients with an impairment of the pharyngeal phase of swallowing, 1st-step SPT reliably detects aspiration risk. In patients with a sole or predominant impairment of the oral phase of swallowing and a relatively intact pharyngeal phase, SPT fails to detect aspiration risk sufficiently. In the latter group, FEES or additional clinical features more specifically indicating oral-phase pathology should be considered to accurately judge the patient's aspiration risk.

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