Skip to main content
Log in

The probability of correctly predicting subglottic penetration from clinical observations

  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

It is difficult to predict from clinical signs and symptoms which patients suffer from subglottic penetration of foods. Most investigators attempting to predict aspiration have used small numbers of patients and relatively unsophisticated statistical techniques. In this study, we utilized 249 patients to examine the predictive value of several clinical factors thought to be suggestive of subglottic penetration with discriminant analysis. Using this approach we were able to correctly predict about 2/3 of both those who aspirate and those who do not aspirate. This is better than others have reported but still inadequate for clinical purposes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Logemann J, Lazarus C, Jenkins P, O'Gara M: Correlation between clinical and radiographic judgements of swallowing. Paper presented at the American Speech-Language-Hearing Association annual meeting, Toronto, 1982

  2. Splaingard M, Hutchins B, Sulton L, Chaudhuri G: Aspiration in rehabilitation patients: videofluoroscopy vs. bedside clinical assessment.Arch Phys Med Rehabil 69:637–640, 1988

    Google Scholar 

  3. Homer J, Massey W, Riski J, Lathrop D, Chase K: Aspiration following stroke: clinical correlates and outcome.Neurology 38:1359–1362, 1988

    Google Scholar 

  4. Homer J, Buoyer F, Alberts M, Helms M: Dysphagia following brainstem stroke: clinical correlates and outcome.Arch Neurol 48:1170–1173, 1991

    Google Scholar 

  5. Linden P, Siebens A: Dysphagia: predicting laryngeal penetration.Arch Phys Med Rehabil 64:281–284, 1983

    Google Scholar 

  6. Homer J, Massey W, Brazer S: Aspiration in bilateral stroke patients.Neurology 40:1686–1688, 1990

    Google Scholar 

  7. Homer J, Massey W: Silent aspiration following stroke.Neurology 38:317–319, 1988

    Google Scholar 

  8. Feinberg MJ, Ekberg O, Segall L, Tully J: Deglutition in elderly patients with dementia: findings of videofluorographic evaluation and impact on staging and management.Radiology 183:811–814, 1992

    Google Scholar 

  9. Netsell R, Daniel B: Dysarthria in adults: physiologic approach to rehabilitation.Arch Phys Med Rehabil 60:502, 1979

    Google Scholar 

  10. Palmer JB, Kuhlemeier KV, Tippett DC, Lynch C: A protocol for the videofluorographic swallowing study.Dysphagia 8:209–214, 1993

    Google Scholar 

  11. Siebens A: Rehabilitation of swallowing impairment. In: Kottke F, Lehman J (eds.):Krusen's Handbook of Physical Medicine and Rehabilitation. Philadelphia: WB Saunders, 1990, pp 765–777

    Google Scholar 

  12. Donner M: Radiologic evaluation of swallowing.Am Rev Respir Dis 131:520–523, 1985

    Google Scholar 

  13. Linden P: Videofluoroscopy in the rehabilitation of swallowing dysfunction.Dysphagia 3:189–191, 1989

    Google Scholar 

  14. Siebens A, Linden P: Dynamic imaging for swallowing re-education.Gastrointest Radiol 60:502, 1979

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Linden, P., Kuhlemeier, K.V. & Patterson, C. The probability of correctly predicting subglottic penetration from clinical observations. Dysphagia 8, 170–179 (1993). https://doi.org/10.1007/BF01354535

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01354535

Key words

Navigation