A VALIDATION STUDY OF THE FACIAL-ORAL TRACT THERAPY SWALLOWING ASSESSMENT OF SALIVA

Publikation: KonferencebidragPosterForskningpeer review

Dokumenter

  • Jesper Mortensen, Department of Public Health, University of Copenhagen, Danmark
  • Ditte Jensen, Danmark
  • Annette Kjærsgaard
Introduction Facial-Oral Tract Therapy (F.O.T.T.) (1) is an approach that provides both clinical assessment and treatment of oropharyngeal dysphagia. In the F.O.T.T. approach, a prerequisite for the initiation of oral intake is safe swallowing of saliva. A recent randomized controlled trial (2) showed that patients assessed for initiation of oral intake with an F.O.T.T. based clinical assessment, hereinafter referred to as the Swallowing Assessment of Saliva (SAS), were no more likely to develop aspiration pneumonia that patients who were assessed with an endoscopic evaluation. The objective of the study was to investigate the validity and reliability of the F.O.T.T.-SAS in detection of aspiration risk in adult patients with acquired brain injury at a sub-acute inpatient neurorehabilitation centre (3). Material & Methods Concurrent validity was established with blinded F.O.T.T.-SAS and endoscopic evaluation of 43 patients within a 24-hour time interval. Inter-rater reliability was established with two blinded F.O.T.T.-SAS of 33 other patients within a one-hour time interval. Results The F.O.T.T.-SAS had a sensitivity of 91%, 95% CI (59; 100), a specificity of 88%, 95% CI (71; 97) and a kappa coefficient of 0.87 ±0.17 in detection of aspiration risk. Furthermore, analyses showed that experienced and inexperienced occupational therapists performed equally in detection of aspiration risk. Conclusion The F.O.T.T.-SAS is a simple, sensitive and reliable assessment for detecting aspiration risk in patients with acquired brain injury.
OriginalsprogEngelsk
Udgivelsesår2 okt. 2015
StatusUdgivet - 2 okt. 2015
BegivenhedEuropean Society for Swallowing Disorders Congress - Barcelona, Spanien
Varighed: 1 okt. 20153 okt. 2015

Konference

KonferenceEuropean Society for Swallowing Disorders Congress
LandSpanien
ByBarcelona
Periode01/10/201503/10/2015

    Forskningsområder

  • Dysphagia

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