We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
The Correlation Between Clinical Characteristics nd Radionuclide Salivagram Findings in Patients With Brain Lesions: A Preliminary Study.
- Authors
Donghwi Park; Seung Beom Woo; Dae Hee Lee; Kwang Jae Yu; Ju Young Cho; Jong Min Kim; Jong Min Lee
- Abstract
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.
- Subjects
MEDICAL care; PUBLIC health; ULTRASONIC imaging; RADIOTHERAPY; COMPUTED tomography
- Publication
Annals of Rehabilitation Medicine, 2017, Vol 41, Issue 6, p915
- ISSN
2234-0645
- Publication type
Article
- DOI
10.5535/arm.2017.41.6.915