Earticle

초록

영어

This prospective, observational study of acute stroke survivors was completed to report our clinical application of the Penetration-Aspiration Scale (PAS), an 8-point multidimensional assessment, used in conjunction with the Video Fluoroscopic Swallow Study (VFSS). In addition, we were interested in determining the association of PAS scores at admission, demographics and clinical characteristics with functional recovery (measured by the Functional Independence Measure [FIM]) at discharge from an inpatient rehabilitation hospital. There were thirty-five patients that met inclusion and consented. Out of the 35, 34 (97%) were successfully assessed with the PAS with VFSS. Multivariate regression model revealed that the PAS scores, sex, length of stay, and admission FIM scores were significantly associated with functional recovery at hospital discharge (all p values < .05). We conclude that the PAS was feasible to administer with VFSS and implement in our inpatient setting. The PAS provided information about the depth of the airway invasion, material remaining after the swallow, and the response to aspiration, which were not reported in a standardized way prior to this study. The association between the PAS and functional recovery at discharge suggests that stroke survivors with swallowing impairment have less functional improvement noted at discharge than those with better swallowing scores. Therefore, people with dysphagia may need additional services and care. Future research should determine if using the PAS can improve clinical practice and ensure consistency across care transitions (expansion), as those with dysphagia may need additional services and care.

목차

Abstract
Ⅰ. Introduction
Ⅱ. Methods
1. Participants
2. Outcome Measures
3. Procedures
4. Data Analysis
Ⅲ. Results
Ⅳ. Discussion
References

키워드

저자

• Kimberly P. Hreha [ Dept. of Orthopaedic Surgery, Occupational Therapy Division, Duke University, Assistant Professor ]
• Sarah Sheridan [ Outpatient Speech Therapy Department, Kessler Institute for Rehabilitation, Clinical Specialist ]
• Ickpyo Hong [ Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University, Assistant Professor ] Corresponding Author
• Grace J. Kim [ Dept. of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, Assistant Professor ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  대한작업치료학회지 [The Journal of Korean Society of Occupational Therapy]

• 간기

  계간

• pISSN

  1226-0134

• 수록기간

  1993~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 617