Novel Bedside Phonetic Evaluation to Identify XXXX and Aspiration Risk.

@entity1 @entity1174 @entity1576 @entity1282 @entity1173
Background: There is a need for improved clinical identification of hospitalized @entity1 at risk of @entity1173 . We evaluated our novel phonetic test in a broad spectrum of intensive or intermediate care unit @entity1 at risk for @entity1173 . Methods: We prospectively enrolled 60 hospitalized @entity1 with @entity1173 risk, between December 2009 and September 2011, who subsequently underwent audio-recorded 3-component phonetic bedside evaluation. The recordings were scored by two blinded speech-language pathologists. The institutional " @entity1282 Admission Screening Test" was performed by a bedside nurse. The primary outcomes, @entity1282 and @entity1173 , were assessed by videofluoroscopic swallowing study and/or fiberoptic endoscopic evaluation of swallowing. We assessed the short and long-term clinical outcomes (length of stay, subsequent @entity1174 and @entity1576 , survival), and how these associated with the phonetic and swallow assessments. Results: Statistically significant linear associations with @entity1282 were noted for all three individual phonetic components. Also, there were statistically significant linear associations with @entity1173 for diadochokinesis (P=0.050) and Consensus Auditory-Perceptual Evaluation of voice (P=0.025). Diadochokinesis alone predicted @entity1282 (AUC: 0.74, P=0.001) and @entity1173 (AUC: 0.67, P=0.012). Its predictive ability improved when combined with normalized @entity1282 admission screening test results (AUC: 0.79, P=0.001). The short and long-term clinical outcomes were adversely affected by the worse phonetic/swallowing scores, though not statistically different. Conclusions: Abnormal phonation among intensive and intermediate care unit @entity1 is associated with @entity1282 and @entity1173 . Future investigative efforts should uncover the most effective combination of evaluations for accurate bedside detection of @entity1282 and @entity1173 risk in a broad spectrum of @entity1 .
