Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly People
Objective To develop a new tool for aspiration risk prediction based on pharyngeal width at rest in older adults with symptoms of aspiration. Methods Lateral cervical spine roentgenograms were obtained from 33 older adult patients who complained of dysphagia and from 33 healthy, age-matched controls...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2019-04-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-2019-43-2-187.pdf |
| _version_ | 1797706207617613824 |
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| author | Ho Young Lee Il Hwan Jung Eunsil Cha Jimin Song Kwang-Ik Jung Woo-Kyoung Yoo Suk Hoon Ohn |
| author_facet | Ho Young Lee Il Hwan Jung Eunsil Cha Jimin Song Kwang-Ik Jung Woo-Kyoung Yoo Suk Hoon Ohn |
| author_sort | Ho Young Lee |
| collection | DOAJ |
| description | Objective To develop a new tool for aspiration risk prediction based on pharyngeal width at rest in older adults with symptoms of aspiration. Methods Lateral cervical spine roentgenograms were obtained from 33 older adult patients who complained of dysphagia and from 33 healthy, age-matched controls. Pharyngeal width at rest was measured at two points. We named the average of these two pharyngeal widths ‘JOSCYL Width’, calculated ‘JOSCYL Scale’, and compared these parameters between dysphagia and control groups. Correlations of individual JOSCYL Width and JOSCYL Scale, with Penetration Aspiration Scale (PAS) and Dysphagia Outcome and Severity Scale (DOSS) scores were analyzed for the dysphagia group. To determine optimal cutoff points for predicting aspiration, a receiver operating characteristic curve analysis was performed on JOSCYL Width and JOSCYL Scale. Results Both JOSCYL Width and JOSCYL Scale of the dysphagia group were larger than those of the control group (p<0.001). The correlation between JOSCYL Width and severity of dysphagia was significant for the dysphagia group (PAS p=0.007; DOSS p=0.012). The correlation between JOSCYL Scale and the severity of dysphagia was also significant for the dysphagia group (PAS p=0.009; DOSS p=0.011). Optimal cutoffs for JOSCYL Width and JOSCYL Scale for predicting aspiration were 20.0 mm and 5.9, respectively. Conclusion JOSCYL Width and JOSCYL Scale can be new indicators for predicting aspiration in older adults. They are both precise and easy to use. |
| first_indexed | 2024-03-12T05:48:50Z |
| format | Article |
| id | doaj.art-b3c9bb85b1184d6fad30a6c030919527 |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T05:48:50Z |
| publishDate | 2019-04-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-b3c9bb85b1184d6fad30a6c0309195272023-09-03T05:25:59ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532019-04-0143218719410.5535/arm.2019.43.2.1874082Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly PeopleHo Young LeeIl Hwan JungEunsil ChaJimin SongKwang-Ik JungWoo-Kyoung YooSuk Hoon OhnObjective To develop a new tool for aspiration risk prediction based on pharyngeal width at rest in older adults with symptoms of aspiration. Methods Lateral cervical spine roentgenograms were obtained from 33 older adult patients who complained of dysphagia and from 33 healthy, age-matched controls. Pharyngeal width at rest was measured at two points. We named the average of these two pharyngeal widths ‘JOSCYL Width’, calculated ‘JOSCYL Scale’, and compared these parameters between dysphagia and control groups. Correlations of individual JOSCYL Width and JOSCYL Scale, with Penetration Aspiration Scale (PAS) and Dysphagia Outcome and Severity Scale (DOSS) scores were analyzed for the dysphagia group. To determine optimal cutoff points for predicting aspiration, a receiver operating characteristic curve analysis was performed on JOSCYL Width and JOSCYL Scale. Results Both JOSCYL Width and JOSCYL Scale of the dysphagia group were larger than those of the control group (p<0.001). The correlation between JOSCYL Width and severity of dysphagia was significant for the dysphagia group (PAS p=0.007; DOSS p=0.012). The correlation between JOSCYL Scale and the severity of dysphagia was also significant for the dysphagia group (PAS p=0.009; DOSS p=0.011). Optimal cutoffs for JOSCYL Width and JOSCYL Scale for predicting aspiration were 20.0 mm and 5.9, respectively. Conclusion JOSCYL Width and JOSCYL Scale can be new indicators for predicting aspiration in older adults. They are both precise and easy to use.http://www.e-arm.org/upload/pdf/arm-2019-43-2-187.pdfDeglutition disordersPharynxElderlyAspirationDysphagia |
| spellingShingle | Ho Young Lee Il Hwan Jung Eunsil Cha Jimin Song Kwang-Ik Jung Woo-Kyoung Yoo Suk Hoon Ohn Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly People Annals of Rehabilitation Medicine Deglutition disorders Pharynx Elderly Aspiration Dysphagia |
| title | Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly People |
| title_full | Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly People |
| title_fullStr | Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly People |
| title_full_unstemmed | Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly People |
| title_short | Predictive Value of Pharyngeal Width at Rest (JOSCYL Width) for Aspiration in Elderly People |
| title_sort | predictive value of pharyngeal width at rest joscyl width for aspiration in elderly people |
| topic | Deglutition disorders Pharynx Elderly Aspiration Dysphagia |
| url | http://www.e-arm.org/upload/pdf/arm-2019-43-2-187.pdf |
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