지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 476 - 484 (9page)
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초록· 키워드
오류제보하기
Objective To assess cough reflex sensitivity using the simplified cough test (SCT) and to evaluate the usefulness of SCT to screen for silent aspiration.Methods The healthy control group was divided into two subgroups: the young (n=29, 33.44±9.99 years) and the elderly (n=30, 63.66±4.37 years). The dysphagic elderly group (n=101, 72.95±9.19 years) consisted of patients with dysphagia, who suffered from a disease involving central nervous system (ischemic stroke 47, intracerebral hemorrhage 27, traumatic brain injury 11, encephalitis 5, hypoxic brain damage 3, and Parkinson disease 8). The SCT was performed using the mist of a 1% citric acid from a portable nebulizer. The time from the start of the inhalation to the first cough was measured as the cough latency. All the dysphagic patients underwent the videofluoroscopic swallowing study.Results The cough latency was more significantly prolonged in the healthy elderly group than in the healthy young group (p<0.001), and in the dysphagic elderly group than in the healthy elderly group (p<0.001). The sensitivity and specificity of SCT were 73.8% and 72.5% for detecting aspiration in the dysphagic patients, and 87.1% and 66.7% for detecting silent aspiration in the aspirated patients. Conclusion Cough latency measured with the SCT reflects the impairment of cough reflex in healthy elderly and dysphasic subjects. The results of this study show that the SCT test can be a valuable method of screening aspiration with or without cough in dysphasic patients.
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등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Bours GJ / 2009 / Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders:s
Dicpinigaitis PV / 2003 / Cough reflex sensitivity in cigarette smokers / Chest 123 : 685 ~ 688
Ebihara S / 2011 / Aging deteriorated perception of urgeto-cough without changing cough reflex threshold to citric acid in female never-smokers / Cough 7 : 3 ~
Ebihara S / 2011 / Cough in the elderly: a novel strategy for preventing aspiration pneumonia / Pulm Pharmacol Ther 24 : 318 ~ 323
Ebihara S / 2012 / Effect of aging on cough and swallowing reflexes: implications for preventing aspiration pneumonia / Lung 190 : 29 ~ 33
Dicpinigaitis PV / 2003 / Cough reflex sensitivity in cigarette smokers / Chest 123 : 685 ~ 688
Ebihara S / 2011 / Aging deteriorated perception of urgeto-cough without changing cough reflex threshold to citric acid in female never-smokers / Cough 7 : 3 ~
Ebihara S / 2011 / Cough in the elderly: a novel strategy for preventing aspiration pneumonia / Pulm Pharmacol Ther 24 : 318 ~ 323
Ebihara S / 2012 / Effect of aging on cough and swallowing reflexes: implications for preventing aspiration pneumonia / Lung 190 : 29 ~ 33
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