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Table 3 Results of the "complete examination-rating"

From: Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner

  1 2 3 4 5 6 7 8
Clinical situation 72 yr, male, MCA right, NIH-SS 8, mild f.p., dysarthria, exam. at day 2 77 yr, female, MCA right, NIH-SS 7, moderate f. p.; exam. at day 1 67 yr, female, MCA left, NIH-SS 10, buccofac. apraxia, exam. at day 1 71 yr, male, MCA left, NIH-SS 12, severe f.p.; exam. at day 2 78 yr, male, BS, NIH-SS 7, severe dysarthria; exam. at day 1 74 yr, male, MCA left, NIH-SS 9, severe f.p., dysarthria; exam. at day 1 63 yr, male, BS, NIH-SS 8, severe dysarthria; exam. at day 1 72 yr, female, MCA right, NIH-SS 8, moderate f.p., neg-lect; exam. at day 1
Handling of Secretions No pen./asp. No pen./asp.; Saliva in the s.p. No pen./asp.; Saliva in the s.p. No pen./asp.; Saliva in the s.p No pen./asp. No pen./asp. Asp. without prot. reflex No pen./asp.
Decision proceed proceed proceed proceed proceed proceed Score 6 proceed
Correct rat. 100% 100% 100% 94% 100% 94% 100% 100%
Puree consistency No pen./asp., residues in the s.p. No pen./asp. No pen./asp.; residues in the s.p. Pen. without prot. refl. Pen. with prot. refl. Pen. without prot. refl. n.a. No pen./asp.; residues in the s.p.
Decision proceed proceed proceed Score 5 Score 4 Score 5 n.a. proceed
Correct rat. 100% 100% 94% 100% 100% 100% n.a. 88%
Liquids No pen./asp. No pen./apsp; Leaking s.p. Pen. with prot. reflex n.a. n.a. n.a. n.a. Asp. without prot. reflex
Decision proceed proceed Score 3 n.a. n.a. n.a. n.a. Score 4
Correct rat. 100% 100% 100% n.a. n.a. n.a. n.a. 100%
Semisolid food Severe residues in the vallec. No pen./asp.; few residues in the vallec. n.a. n.a. n.a. n.a. n.a. n.a.
Decision Score 2 Score 1 n.a. n.a. n.a. n.a. n.a. n.a.
Correct rat. 100% 100% n.a. n.a. n.a. n.a. n.a. n.a.
Correct score 100% 100% 94% 94% 100% 94% 100% 88%
  1. Correct rat. = Correct ratings; f.p. = facial palsy; buccofac. = buccofacial; somnol. = somnolence; s.p. = sinus pyriformis; vallec. = valleculae; MCA = stroke in the territory of the middle cerebral artery; BS = brainstem stroke; NIH-SS = National Institute of Health Stroke Scale Score. The video samples were rated according to the screening protocol outlined in figure 1.