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http://dx.doi.org/10.17703//IJACT2018.6.4.124

Validation of the Korean Version of the Standardized Swallowing Assessment and the National Institute of Health Stroke Scale Among Acute Stroke Patients  

Yun, Sukkyung (Dept. of Nursing, Gyeongsang National University Hospital)
Kim, Hyemin (Dept. of Nursing, Gyeongsang National University Hospital)
Mo, Eunji (Dept. of Nursing, Gyeongsang National University Hospital)
Kim, Mingyeong (Dept. of Nursing, Gyeongsang National University Hospital)
Kim, Minji (Dept. of Nursing, Gyeongsang National University Hospital)
Gil, Chorong (College of Nursing, Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University)
Chang, HeeKyung (College of Nursing, Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University)
Publication Information
International Journal of Advanced Culture Technology / v.6, no.4, 2018 , pp. 124-130 More about this Journal
Abstract
Proper management and prevention of dysphagia are urgently needed in acute care of stroke patients in Korea. However, no highly sensitive and accessible nurse-led screening tools have been validated within the Korean settings. The purpose of this study was to validate a screening tool led by nurses to identify dysphagia and aspiration risks among acute stroke patients. Registered nurses (RNs) screened 131 residents from a university hospital in South Korea using the Korean version of the Standardized Swallowing Assessment (K-SSA). Results were validated against those from the Gugging Swallowing Screen (GUSS). Compared to results from the GUSS, with 9- and 14-point cutoffs, the K-SSA had a sensitivity of 0.80 and specificity of 0.90 [95% CI 0.806, 0.992] for screening dysphagia and 1.00 sensitivity and 0.94 specificity [95% CI 0.862, 1.000] for screening aspiration risks. The K-SSA demonstrated excellent sensitivity and specificity for screening individuals at risk of dysphagia and aspiration when led by RNs for acute stroke patients.
Keywords
Stroke; Swallowing; Assessment; Validity; Nurses;
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