Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/17493
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dc.contributor.authorBroadley, S.en
dc.contributor.authorCheek, A.en
dc.contributor.authorSalonikis, S.en
dc.contributor.authorWhitham, E.en
dc.contributor.authorChong, V.en
dc.contributor.authorCardone, D.en
dc.contributor.authorAlexander, B.en
dc.contributor.authorTaylor, J.en
dc.contributor.authorThompson, P.en
dc.date.issued2005en
dc.identifier.citationDysphagia, 2005; 20(4):303-310en
dc.identifier.issn0179-051Xen
dc.identifier.issn1432-0460en
dc.identifier.urihttp://hdl.handle.net/2440/17493-
dc.descriptionThe original publication can be found at www.springerlink.comen
dc.description.abstractDysphagia is common after stroke and is associated with increased morbidity and mortality. Predicting those who are likely to have significant prolonged dysphagia is not possible at present. This study was undertaken to validate the Royal Adelaide Prognostic Index for Dysphagic Stroke (RAPIDS) in the prediction of prolonged dysphagia following acute stroke using clinical and radiographic features. A prospective study of unselected, consecutive admissions to the Royal Adelaide Hospital acute stroke unit was undertaken. Clinical and radiographic features applicable to the RAPIDS test were calculated and the sensitivity, specificity, and likelihood ratio for predicting prolonged dysphagia were calculated with 95% confidence intervals (CI). Of 104 subjects admitted with acute stroke, 55 (53%) had dysphagia and 20 (19%) had dysphagia requiring nonoral feeding/hydration for 14 days or more or died while dysphagic prior to 14 days. The RAPIDS test had sensitivity of 90% (95% CI = 70–97%) and specificity of 92% (95% CI - 84–96%) for predicting this latter group of patients. We conclude that the RAPIDS test can be used early to identify patients likely to have prolonged dysphagia. This test could form a basis for selection of patients for trials of nonoral feeding methods.en
dc.description.statementofresponsibilitySimon Broadley, Alison Cheek, Susie Salonikis, Emma Whitham, Victoria Chong, David Cardone, Basile Alexander, James Taylor and Philip Thompsonen
dc.language.isoenen
dc.publisherSpringer-Verlagen
dc.subjectCerebrovascular accident; Deglutition disorders; Epidemiology; Pneumonia, aspiration; Prognosis; Predictors; Deglutitionen
dc.titlePredicting prolonged dysphagia in acute stroke: The Royal Adelaide Prognostic Index for Dysphagic Stroke (RAPIDS)en
dc.typeJournal articleen
dc.identifier.rmid0020052162en
dc.identifier.doi10.1007/s00455-005-0032-yen
dc.identifier.pubid53829-
pubs.library.collectionMedicine publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
Appears in Collections:Medicine publications

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