Document Detail


Interjudge and intrajudge reliabilities in fiberoptic endoscopic evaluation of swallowing (fees) using the penetration-aspiration scale: a replication study.
MedLine Citation:
PMID:  12355146     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study used Fiberoptic Endoscopic Evaluation of Swallowing (FEES(R)) to assess the reliability of the Penetration-Aspiration Scale (PAS) using 79 swallows and four judges in a replication of a study using videofluoroscopy (VFSS). The swallows were diagnosed using FEES, which allowed for comparison between the two techniques. The findings indicated that all categories of the PAS achieved adequate reliability, both on intrajudge and interjudge assessments. Reliabilities, with the exception of Scale Score 7, were higher in this study than in the original study by Rosenbek and associates. Data analysis indicated that judges were more highly consistent on second ratings compared with their original ratings, indicating a learning curve on the PAS. In addition, findings suggested that the FEES was more reliable on assessing penetration than VFSS, but that VFSS was more reliable on the assessment of the various severities of aspiration. The two techniques were equally effective in discriminating between penetration and aspiration. This study found that FEES was just as reliable as VFSS when using the PAS.
Authors:
Nancy Colodny
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Dysphagia     Volume:  17     ISSN:  0179-051X     ISO Abbreviation:  Dysphagia     Publication Date:  2002  
Date Detail:
Created Date:  2002-09-30     Completed Date:  2002-10-22     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8610856     Medline TA:  Dysphagia     Country:  United States    
Other Details:
Languages:  eng     Pagination:  308-15     Citation Subset:  D; IM    
Affiliation:
Department of Speech, Communication Sciences and Theater, Graduate School of Arts and Sciences, St. John's University, Jamaica, New York 11439, USA. colodnyn@stjohns.edu
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MeSH Terms
Descriptor/Qualifier:
Deglutition Disorders / pathology*,  physiopathology*
Endoscopy / statistics & numerical data*
Fiber Optic Technology / statistics & numerical data*
Humans
Inhalation / physiology*
Observer Variation*
Reproducibility of Results*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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