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
- 2017.1
- 수록면
- 915 - 923 (9page)
이용수
초록· 키워드
오류제보하기
Objective To evaluate the correlation between radionuclide salivagram findings and clinical characteristics in dysphagic patients with brain lesions.Methods The medical records of 35 dysphagic patients with brain lesions who simultaneously underwent both a videofluoroscopic swallowing study (VFSS) and radionuclide salivagram were analyzed retrospectively. The subjects were divided into two groups according to the presence of aspiration on a salivagram (group A, patients with aspiration on the salivagram; group B, patients with no aspiration on the salivagram). The differences between clinical characteristics and VFSS findings (penetration-aspiration scale [PAS]) between the two groups were analyzed. Results Eleven out of 35 patients displayed salivary aspiration on the radionuclide salivagram. There were no significant differences between the two groups according to age, sex, disease duration, PAS on VFSS and feeding methods (p≥0.05). The incidence of aspiration pneumonia was significantly higher in group A. In a multivariate logistic regression analysis with forward stepwise method, the Mini-Mental State Examination (MMSE) score was the only significant parameter in predicting positive findings in salivagrams (odds ratio=0.760; 95% confidence interval [CI], 0.625–0.923; p=0.006). The area under the receiver operating characteristic curve (AUC) of the MMSE score for positive detection in salivagrams was 0.855 (95% CI, 0.689–0.953; p<0.0001). The optimal cut-off value was 7 for the MMSE score (sensitivity 72.73%, specificity 100%).Conclusion In patients with brain lesions who complain of dysphagia, the MMSE score was correlated with salivary aspiration. If patients present with a score of 7 or less on the MMSE, performing a radionuclide salivagram may helpful for early detection of patients at high risk of aspiration pneumonia induced from salivary aspiration.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Aviv JE / 1997 / Laryngopharyngeal sensory testing with modified barium swallow as predictors of aspiration pneumonia after stroke / Laryngoscope 107 : 1254 ~ 1260
Baikie G / 2005 / Agreement of aspiration tests using barium videofluoroscopy, salivagram, and milk scan in children with cerebral palsy / Dev Med Child Neurol 47 : 86 ~ 93
Boesch RP / 2006 / Advances in the diagnosis and management of chronic pulmonary aspiration in children / Eur Respir J 28 : 847 ~ 861
Croghan JE / 1994 / Pilot study of 12-month outcomes of nursing home patients with aspiration on videofluoroscopy / Dysphagia 9 : 141 ~ 146
Heyman S / 1989 / Detection of pulmonary aspiration in children by radionuclide “salivagram” / J Nucl Med 30 : 697 ~ 699
Baikie G / 2005 / Agreement of aspiration tests using barium videofluoroscopy, salivagram, and milk scan in children with cerebral palsy / Dev Med Child Neurol 47 : 86 ~ 93
Boesch RP / 2006 / Advances in the diagnosis and management of chronic pulmonary aspiration in children / Eur Respir J 28 : 847 ~ 861
Croghan JE / 1994 / Pilot study of 12-month outcomes of nursing home patients with aspiration on videofluoroscopy / Dysphagia 9 : 141 ~ 146
Heyman S / 1989 / Detection of pulmonary aspiration in children by radionuclide “salivagram” / J Nucl Med 30 : 697 ~ 699
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