- CConnexion
RééDOC
75 Boulevard Lobau 54042 NANCY cedex Christelle Grandidier Documentaliste 03 83 52 67 64 0
|
Inter- and intra-rater reliability of cervical auscultation to detect aspiration in patients with dysphagia
STROUD AE; LAWRIE BW; WILES CM
CLIN REHABIL , 2002, vol. 16, n° 6, p. 640-645 Doc n°: 106495 Localisation : Documentation IRR Descripteurs : AD35 - DYSPHAGIE, CC1 - ETUDES GENERALITES - RACHIS CERVICAL Objective: To measure the inter- and intra-rater reliability of cervical auscultation used alone to detect aspiration in dysphagic patients. Setting: A university teaching hospital. Design: Comparison of the detection of aspiration in 16 recorded swallow sounds by five speech and language therapists on two occasions. Swallow sounds were recorded simultaneously with videofluoroscopy. Subjects: Sixteen patients referred for assessment of dysphagia with videofluoroscopy. Results: The kappa statistic for multiple raters showed fair agreement between raters (kappa = 0.28). There was high agreement when aspiration occurred but in non-aspirating swallows there was significant overdetection of aspiration (p < 0.001 McNemar's test). The intra-rater reliability within different individuals was widely variable (κ = 0.55 (range 0.31-0.85)). Conclusions: Presented with the swallowing sounds in isolation speech and language therapists cannot reliably classify swallows into those with accompanying aspiration and those without. There appears to be a problem of over detection of aspiration. Even in this small study, however, some individual therapists achieve such high reliability (κ = 0.85) that they Must be using successful internal criteria to interpret the swallow sounds correctly and further qualitative research may identify these. Langue : ANGLAIS Identifiant basis : 2002224568 |
0
|