دورية أكاديمية
Screening performance of a 100-mL water swallowing test in community-dwelling older adults: A receiver operating characteristic analysis.
| العنوان: | Screening performance of a 100-mL water swallowing test in community-dwelling older adults: A receiver operating characteristic analysis. |
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| المؤلفون: | Yamabe K; NPO Nagasaki Expert Group of Dysphagia, Sasebo, Japan., Nishida T; NPO Nagasaki Expert Group of Dysphagia, Sasebo, Japan.; Sasebo-Yoshii Community Comprehensive Support Center, Sasebo, Japan.; Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan., Ide Y; NPO Nagasaki Expert Group of Dysphagia, Sasebo, Japan.; Department of Dementia Clinic, Sasebo-Chuo Hospital, Sasebo, Japan., Honda S; Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. |
| المصدر: | Australasian journal on ageing [Australas J Ageing] 2024 Jun; Vol. 43 (2), pp. 369-375. Date of Electronic Publication: 2024 Mar 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: published on behalf of ACOTA by Wiley-Blackwell Publishing Asia Country of Publication: Australia NLM ID: 9808874 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1741-6612 (Electronic) Linking ISSN: 14406381 NLM ISO Abbreviation: Australas J Ageing Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Melbourne : published on behalf of ACOTA by Wiley-Blackwell Publishing Asia Original Publication: Melbourne, Vic. : Council on the Ageing (Australia), [1998- |
| مواضيع طبية MeSH: | Deglutition Disorders*/diagnosis , Deglutition Disorders*/physiopathology , Deglutition* , Independent Living*, Humans ; Female ; Male ; Aged, 80 and over ; Cross-Sectional Studies ; Aged ; Predictive Value of Tests ; Geriatric Assessment/methods ; ROC Curve ; Water ; Japan ; Age Factors ; Reproducibility of Results ; Time Factors |
| مستخلص: | Objective: The development of a dysphagia screening test is an urgent issue in the field of frailty prevention among community-dwelling older people. The purpose of this study was to evaluate the screening performance of a 100-mL water swallowing test (WST). Methods: The study employed a cross-sectional design. Participants were 304 (65 men and 239 women, mean age = 80 years) Japanese community-dwelling older adults aged over 65 years. We investigated swallowing disorder using the 10-item Eating Assessment Tool (EAT-10), and compared choking signs, swallowing time and number of swallows, and their combination in the 100-mL WST. We calculated the sensitivity and specificity of these indices. Receiver operating characteristic (ROC) curve analysis was used to determine the optimal cut-off value of swallowing time and number of swallows in the 100-mL WST based on the Youden Index among participants without choking signs. Results: The sensitivity and specificity of choking signs in the 100-mL WST were 20% and 91%, respectively. The discriminating ability of swallowing time and number of swallows among participants without any choking signs was .76 and .72, respectively, in the area under the ROC curve. Diagnostic sensitivity and specificity to discriminate dysphagia from normal swallowing ability were 65% and 74% when the cut-off was >10 s based on maximisation of the Youden Index. The 100-mL WST performed best when the indices of choking signs and swallowing time were combined, with a sensitivity and specificity of 72% and 68%, respectively. Conclusions: The 100-mL WST would be an adequate screening tool when compared to the EAT-10. (© 2024 AJA Inc.) |
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| فهرسة مساهمة: | Keywords: aged; deglutition disorders; independent living |
| المشرفين على المادة: | 059QF0KO0R (Water) |
| تواريخ الأحداث: | Date Created: 20240328 Date Completed: 20240627 Latest Revision: 20240627 |
| رمز التحديث: | 20240627 |
| DOI: | 10.1111/ajag.13310 |
| PMID: | 38539043 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1741-6612 |
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| DOI: | 10.1111/ajag.13310 |