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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.