Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Determining the Allowance of Oral Feeding in Patients with Dysphagia Due to Deconditioning or Frailty
<b>Introduction</b>: In patients with dysphagia due to deconditioning or frailty, as with other disorders that cause swallowing disorders, the videofluoroscopic swallowing study (VFSS) is the gold standard for dysphagia evaluation. However, the interpretation of VFSS results is somewhat...
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MDPI AG
2022-04-01
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| Online Access: | https://www.mdpi.com/2227-9032/10/4/668 |
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| author | Min Cheol Chang Ho Yong Choi Donghwi Park |
| author_facet | Min Cheol Chang Ho Yong Choi Donghwi Park |
| author_sort | Min Cheol Chang |
| collection | DOAJ |
| description | <b>Introduction</b>: In patients with dysphagia due to deconditioning or frailty, as with other disorders that cause swallowing disorders, the videofluoroscopic swallowing study (VFSS) is the gold standard for dysphagia evaluation. However, the interpretation of VFSS results is somewhat complicated and requires considerable experience in the field. Therefore, in this study we evaluated the usefulness of the modified videofluoroscopic dysphagia scale (mVDS) in determining whether to allow oral feeding in patients with dysphagia due to deconditioning or frailty. <b>Methods</b>: Data from the VFSS of 50 patients with dysphagia due to deconditioning or frailty were retrospectively collected. We evaluated the association between mVDS and the selected feeding method based on VFSS findings, and between mVDS and the presence of aspiration pneumonia. <b>Results</b>: Multivariate logistic analysis showed that the mVDS total score had a significant association with oral feeding methods based on VFSS findings in patients with dysphagia due to deconditioning or frailty (<i>p</i> < 0.05). In the receiver operating characteristic (ROC) curve analysis, the area under the ROC curve for the selected feeding method was 0.862 (95% confidence interval, 0.747–0.978; <i>p</i> < 0.0001). <b>Conclusions</b>: mVDS seems a valid scale for determining the allowance of oral feeding, and it can be a useful tool in the clinical setting and in studies that aim to interpret VFSS findings in patients with dysphagia due to deconditioning or frailty. However, studies involving a more general population of patients with dysphagia due to deconditioning or frailty are needed. |
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| language | English |
| last_indexed | 2024-03-09T10:35:33Z |
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| spelling | doaj.art-d2f9a8330b614333b3ba270f9f61c3df2023-12-01T20:59:00ZengMDPI AGHealthcare2227-90322022-04-0110466810.3390/healthcare10040668Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Determining the Allowance of Oral Feeding in Patients with Dysphagia Due to Deconditioning or FrailtyMin Cheol Chang0Ho Yong Choi1Donghwi Park2Department of Rehabilitation Medicine, Yeungnam University Hospital, Daegu 42415, KoreaDepartment of Neurosurgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul 05278, KoreaDepartment of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, Korea<b>Introduction</b>: In patients with dysphagia due to deconditioning or frailty, as with other disorders that cause swallowing disorders, the videofluoroscopic swallowing study (VFSS) is the gold standard for dysphagia evaluation. However, the interpretation of VFSS results is somewhat complicated and requires considerable experience in the field. Therefore, in this study we evaluated the usefulness of the modified videofluoroscopic dysphagia scale (mVDS) in determining whether to allow oral feeding in patients with dysphagia due to deconditioning or frailty. <b>Methods</b>: Data from the VFSS of 50 patients with dysphagia due to deconditioning or frailty were retrospectively collected. We evaluated the association between mVDS and the selected feeding method based on VFSS findings, and between mVDS and the presence of aspiration pneumonia. <b>Results</b>: Multivariate logistic analysis showed that the mVDS total score had a significant association with oral feeding methods based on VFSS findings in patients with dysphagia due to deconditioning or frailty (<i>p</i> < 0.05). In the receiver operating characteristic (ROC) curve analysis, the area under the ROC curve for the selected feeding method was 0.862 (95% confidence interval, 0.747–0.978; <i>p</i> < 0.0001). <b>Conclusions</b>: mVDS seems a valid scale for determining the allowance of oral feeding, and it can be a useful tool in the clinical setting and in studies that aim to interpret VFSS findings in patients with dysphagia due to deconditioning or frailty. However, studies involving a more general population of patients with dysphagia due to deconditioning or frailty are needed.https://www.mdpi.com/2227-9032/10/4/668dysphagiaaspiration pneumoniapenetration–aspiration scalevideofluoroscopic dysphagia scale |
| spellingShingle | Min Cheol Chang Ho Yong Choi Donghwi Park Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Determining the Allowance of Oral Feeding in Patients with Dysphagia Due to Deconditioning or Frailty Healthcare dysphagia aspiration pneumonia penetration–aspiration scale videofluoroscopic dysphagia scale |
| title | Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Determining the Allowance of Oral Feeding in Patients with Dysphagia Due to Deconditioning or Frailty |
| title_full | Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Determining the Allowance of Oral Feeding in Patients with Dysphagia Due to Deconditioning or Frailty |
| title_fullStr | Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Determining the Allowance of Oral Feeding in Patients with Dysphagia Due to Deconditioning or Frailty |
| title_full_unstemmed | Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Determining the Allowance of Oral Feeding in Patients with Dysphagia Due to Deconditioning or Frailty |
| title_short | Usefulness of the Modified Videofluoroscopic Dysphagia Scale in Determining the Allowance of Oral Feeding in Patients with Dysphagia Due to Deconditioning or Frailty |
| title_sort | usefulness of the modified videofluoroscopic dysphagia scale in determining the allowance of oral feeding in patients with dysphagia due to deconditioning or frailty |
| topic | dysphagia aspiration pneumonia penetration–aspiration scale videofluoroscopic dysphagia scale |
| url | https://www.mdpi.com/2227-9032/10/4/668 |
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