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Validation of the 3-oz Water Swallow Test for Aspiration Following Stroke

1992/12/01 by K. L. DePippo, Kathleen L. DePippo, M. A. Holas +3 · 27 citations
Health Professions · Medicine · #Dysphagia Assessment and Management #Tracheal and airway disorders #Esophageal and GI Pathology

paper · doi:10.1001/archneur.1992.00530360057018

Abstract

A 3-oz water swallow test identified 80% (16/20) of patients aspirating during a subsequent videofluoroscopic modified barium swallow examination (sensitivity, 76%; specificity, 59%). It also identified patients with more severe dysphagia aspirating larger amounts (sensitivity, 94%; specificity, 26%) or thicker consistencies (sensitivity, 94%; specificity, 30%) of test material. The 3-oz water swallow test is a sensitive screening tool for identifying patients at risk for clinically significant aspiration who need referral for more definitive modified barium swallow evaluation.

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