MovDisordV3, PascalFrancis, Corpus, bibRecord, 001729

Simple clinical tests may predict severe oropharyngeal dysphagia in Parkinson's disease

Identifieur interne : 001729 ( PascalFrancis/Corpus ); précédent : 001728; suivant : 001730

Simple clinical tests may predict severe oropharyngeal dysphagia in Parkinson's disease

Auteurs : Kuen Lam ; Florence Kwai Yi Lam ; KWOK KWONG LAU ; YIU KAY CHAN ; Elaine Yee Ling Kan ; Jean Woo ; FAT KEE WONG ; Andrew Ko

Source :

Movement disorders [ 0885-3185 ] ; 2007.

RBID : Pascal:07-0263028

Descripteurs français

Pascal (Inist)
- Système nerveux pathologie, Dysphagie, Parkinson maladie, Test clinique, Dépistage.

English descriptors

KwdEn :
- Clinical test, Dysphagia, Medical screening, Nervous system diseases, Parkinson disease.

Abstract

Objective: To determine if simple screening tests can predict severe oropharyngeal dysphagia in subjects with Parkinson's disease. Methodology: Forty-five subjects (26 females) of average age 75 (range: 65-94) who were classified as Modified Hoehn and Yahr stages 2 to 5 were enrolled. The presence of oropharyngeal dysphagia was assessed by a symptom questionnaire, 50 ml water swallowing test and videofluroscopic swallowing study. Results: Six of the subjects had severe oropharyngeal dysphagia in videofluroscopic swallowing study. Subsequent multivariate analysis showed that 3 factors could independently predict severe oropharyngeal dysphagia. These included higher Modified Hoehn and Yahr stage (P = 0.042), low Body mass index (P = 0.014), and increased difficulty in keeping food or drink in the mouth (P = 0.047). The regression model had a positive predictive power of 96% (sensitivity: 83.3%, specificity: 97.4%). Conclusion: A combination of 3 simple clinical parameters may be useful for screening for severe oropharyngeal dysphagia as shown radiologically in subjects with Parkinson's disease.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03		`1`		`@0 Mov. disord.`
A05				`@2 22`
A06				`@2 5`
A08	`01`	`1`	`ENG`	`@1 Simple clinical tests may predict severe oropharyngeal dysphagia in Parkinson's disease`
A11	`01`	`1`		`@1 LAM (Kuen)`
A11	`02`	`1`		`@1 LAM (Florence Kwai Yi)`
A11	`03`	`1`		`@1 KWOK KWONG LAU`
A11	`04`	`1`		`@1 YIU KAY CHAN`
A11	`05`	`1`		`@1 KAN (Elaine Yee Ling)`
A11	`06`	`1`		`@1 WOO (Jean)`
A11	`07`	`1`		`@1 FAT KEE WONG`
A11	`08`	`1`		`@1 KO (Andrew)`
A14	`01`			`@1 Department of Medicine and Geriatrics, Caritas Medical Centre @3 HKG @Z 1 aut. @Z 4 aut. @Z 8 aut.`
A14	`02`			`@1 Department of Speech Therapy, Princess Margaret Hospital @3 HKG @Z 2 aut.`
A14	`03`			`@1 Department of Medicine and Geriatrics, Princess Margaret Hospital @3 HKG @Z 3 aut.`
A14	`04`			`@1 Department of Diagnostic Radiology, Princess Margaret Hospital @3 HKG @Z 5 aut. @Z 7 aut.`
A14	`05`			`@1 Faculty of Medicine, the Chinese University of Hong Kong @3 HKG @Z 6 aut.`
A20				`@1 640-644`
A21				`@1 2007`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 20953 @5 354000149439720060`
A44				`@0 0000 @1 © 2007 INIST-CNRS. All rights reserved.`
A45				`@0 23 ref.`
A47	`01`	`1`		`@0 07-0263028`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Movement disorders`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Objective: To determine if simple screening tests can predict severe oropharyngeal dysphagia in subjects with Parkinson's disease. Methodology: Forty-five subjects (26 females) of average age 75 (range: 65-94) who were classified as Modified Hoehn and Yahr stages 2 to 5 were enrolled. The presence of oropharyngeal dysphagia was assessed by a symptom questionnaire, 50 ml water swallowing test and videofluroscopic swallowing study. Results: Six of the subjects had severe oropharyngeal dysphagia in videofluroscopic swallowing study. Subsequent multivariate analysis showed that 3 factors could independently predict severe oropharyngeal dysphagia. These included higher Modified Hoehn and Yahr stage (P = 0.042), low Body mass index (P = 0.014), and increased difficulty in keeping food or drink in the mouth (P = 0.047). The regression model had a positive predictive power of 96% (sensitivity: 83.3%, specificity: 97.4%). Conclusion: A combination of 3 simple clinical parameters may be useful for screening for severe oropharyngeal dysphagia as shown radiologically in subjects with Parkinson's disease.
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C03	`02`	`X`	`ENG`	`@0 Dysphagia @5 02`
C03	`02`	`X`	`SPA`	`@0 Disfagia @5 02`
C03	`03`	`X`	`FRE`	`@0 Parkinson maladie @5 03`
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C03	`05`	`X`	`ENG`	`@0 Medical screening @5 10`
C03	`05`	`X`	`SPA`	`@0 Descubrimiento @5 10`
C07	`01`	`X`	`FRE`	`@0 Appareil digestif pathologie @5 37`
C07	`01`	`X`	`ENG`	`@0 Digestive diseases @5 37`
C07	`01`	`X`	`SPA`	`@0 Aparato digestivo patología @5 37`
C07	`02`	`X`	`FRE`	`@0 Oesophage pathologie @5 38`
C07	`02`	`X`	`ENG`	`@0 Esophageal disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Esófago patología @5 38`
C07	`03`	`X`	`FRE`	`@0 Encéphale pathologie @5 39`
C07	`03`	`X`	`ENG`	`@0 Cerebral disorder @5 39`
C07	`03`	`X`	`SPA`	`@0 Encéfalo patología @5 39`
C07	`04`	`X`	`FRE`	`@0 Extrapyramidal syndrome @5 40`
C07	`04`	`X`	`ENG`	`@0 Extrapyramidal syndrome @5 40`
C07	`04`	`X`	`SPA`	`@0 Extrapiramidal síndrome @5 40`
C07	`05`	`X`	`FRE`	`@0 Maladie dégénérative @5 41`
C07	`05`	`X`	`ENG`	`@0 Degenerative disease @5 41`
C07	`05`	`X`	`SPA`	`@0 Enfermedad degenerativa @5 41`
C07	`06`	`X`	`FRE`	`@0 Système nerveux central pathologie @5 42`
C07	`06`	`X`	`ENG`	`@0 Central nervous system disease @5 42`
C07	`06`	`X`	`SPA`	`@0 Sistema nervosio central patología @5 42`
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Format Inist (serveur)

NO :	PASCAL 07-0263028 INIST
ET :	Simple clinical tests may predict severe oropharyngeal dysphagia in Parkinson's disease
AU :	LAM (Kuen); LAM (Florence Kwai Yi); KWOK KWONG LAU; YIU KAY CHAN; KAN (Elaine Yee Ling); WOO (Jean); FAT KEE WONG; KO (Andrew)
AF :	Department of Medicine and Geriatrics, Caritas Medical Centre/Hong-Kong (1 aut., 4 aut., 8 aut.); Department of Speech Therapy, Princess Margaret Hospital/Hong-Kong (2 aut.); Department of Medicine and Geriatrics, Princess Margaret Hospital/Hong-Kong (3 aut.); Department of Diagnostic Radiology, Princess Margaret Hospital/Hong-Kong (5 aut., 7 aut.); Faculty of Medicine, the Chinese University of Hong Kong/Hong-Kong (6 aut.)
DT :	Publication en série; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 5; Pp. 640-644; Bibl. 23 ref.
LA :	Anglais
EA :	Objective: To determine if simple screening tests can predict severe oropharyngeal dysphagia in subjects with Parkinson's disease. Methodology: Forty-five subjects (26 females) of average age 75 (range: 65-94) who were classified as Modified Hoehn and Yahr stages 2 to 5 were enrolled. The presence of oropharyngeal dysphagia was assessed by a symptom questionnaire, 50 ml water swallowing test and videofluroscopic swallowing study. Results: Six of the subjects had severe oropharyngeal dysphagia in videofluroscopic swallowing study. Subsequent multivariate analysis showed that 3 factors could independently predict severe oropharyngeal dysphagia. These included higher Modified Hoehn and Yahr stage (P = 0.042), low Body mass index (P = 0.014), and increased difficulty in keeping food or drink in the mouth (P = 0.047). The regression model had a positive predictive power of 96% (sensitivity: 83.3%, specificity: 97.4%). Conclusion: A combination of 3 simple clinical parameters may be useful for screening for severe oropharyngeal dysphagia as shown radiologically in subjects with Parkinson's disease.
CC :	002B17; 002B17G; 002B17A03
FD :	Système nerveux pathologie; Dysphagie; Parkinson maladie; Test clinique; Dépistage
FG :	Appareil digestif pathologie; Oesophage pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie
ED :	Nervous system diseases; Dysphagia; Parkinson disease; Clinical test; Medical screening
EG :	Digestive diseases; Esophageal disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD :	Sistema nervioso patología; Disfagia; Parkinson enfermedad; Prueba clínica; Descubrimiento
LO :	INIST-20953.354000149439720060
ID :	07-0263028

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Pascal:07-0263028

Le document en format XML

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<author><name sortKey="Kwok Kwong Lau" sort="Kwok Kwong Lau" uniqKey="Kwok Kwong Lau" last="Kwok Kwong Lau">KWOK KWONG LAU</name>
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<author><name sortKey="Yiu Kay Chan" sort="Yiu Kay Chan" uniqKey="Yiu Kay Chan" last="Yiu Kay Chan">YIU KAY CHAN</name>
<affiliation><inist:fA14 i1="01"><s1>Department of Medicine and Geriatrics, Caritas Medical Centre</s1>
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<author><name sortKey="Kan, Elaine Yee Ling" sort="Kan, Elaine Yee Ling" uniqKey="Kan E" first="Elaine Yee Ling" last="Kan">Elaine Yee Ling Kan</name>
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<author><name sortKey="Woo, Jean" sort="Woo, Jean" uniqKey="Woo J" first="Jean" last="Woo">Jean Woo</name>
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<s3>HKG</s3>
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<author><name sortKey="Fat Kee Wong" sort="Fat Kee Wong" uniqKey="Fat Kee Wong" last="Fat Kee Wong">FAT KEE WONG</name>
<affiliation><inist:fA14 i1="04"><s1>Department of Diagnostic Radiology, Princess Margaret Hospital</s1>
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<author><name sortKey="Ko, Andrew" sort="Ko, Andrew" uniqKey="Ko A" first="Andrew" last="Ko">Andrew Ko</name>
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<keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term>
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<front><div type="abstract" xml:lang="en">Objective: To determine if simple screening tests can predict severe oropharyngeal dysphagia in subjects with Parkinson's disease. Methodology: Forty-five subjects (26 females) of average age 75 (range: 65-94) who were classified as Modified Hoehn and Yahr stages 2 to 5 were enrolled. The presence of oropharyngeal dysphagia was assessed by a symptom questionnaire, 50 ml water swallowing test and videofluroscopic swallowing study. Results: Six of the subjects had severe oropharyngeal dysphagia in videofluroscopic swallowing study. Subsequent multivariate analysis showed that 3 factors could independently predict severe oropharyngeal dysphagia. These included higher Modified Hoehn and Yahr stage (P = 0.042), low Body mass index (P = 0.014), and increased difficulty in keeping food or drink in the mouth (P = 0.047). The regression model had a positive predictive power of 96% (sensitivity: 83.3%, specificity: 97.4%). Conclusion: A combination of 3 simple clinical parameters may be useful for screening for severe oropharyngeal dysphagia as shown radiologically in subjects with Parkinson's disease.</div>
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<fA14 i1="01"><s1>Department of Medicine and Geriatrics, Caritas Medical Centre</s1>
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<fA14 i1="02"><s1>Department of Speech Therapy, Princess Margaret Hospital</s1>
<s3>HKG</s3>
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<fA14 i1="03"><s1>Department of Medicine and Geriatrics, Princess Margaret Hospital</s1>
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<fA14 i1="04"><s1>Department of Diagnostic Radiology, Princess Margaret Hospital</s1>
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<fA14 i1="05"><s1>Faculty of Medicine, the Chinese University of Hong Kong</s1>
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<fC01 i1="01" l="ENG"><s0>Objective: To determine if simple screening tests can predict severe oropharyngeal dysphagia in subjects with Parkinson's disease. Methodology: Forty-five subjects (26 females) of average age 75 (range: 65-94) who were classified as Modified Hoehn and Yahr stages 2 to 5 were enrolled. The presence of oropharyngeal dysphagia was assessed by a symptom questionnaire, 50 ml water swallowing test and videofluroscopic swallowing study. Results: Six of the subjects had severe oropharyngeal dysphagia in videofluroscopic swallowing study. Subsequent multivariate analysis showed that 3 factors could independently predict severe oropharyngeal dysphagia. These included higher Modified Hoehn and Yahr stage (P = 0.042), low Body mass index (P = 0.014), and increased difficulty in keeping food or drink in the mouth (P = 0.047). The regression model had a positive predictive power of 96% (sensitivity: 83.3%, specificity: 97.4%). Conclusion: A combination of 3 simple clinical parameters may be useful for screening for severe oropharyngeal dysphagia as shown radiologically in subjects with Parkinson's disease.</s0>
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<fC03 i1="02" i2="X" l="ENG"><s0>Dysphagia</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Disfagia</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Parkinson maladie</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Parkinson disease</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Parkinson enfermedad</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Test clinique</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Clinical test</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Prueba clínica</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Dépistage</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Medical screening</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Descubrimiento</s0>
<s5>10</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Appareil digestif pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Digestive diseases</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Aparato digestivo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Oesophage pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Esophageal disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Esófago patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Encéphale pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>42</s5>
</fC07>
<fN21><s1>176</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 07-0263028 INIST</NO>
<ET>Simple clinical tests may predict severe oropharyngeal dysphagia in Parkinson's disease</ET>
<AU>LAM (Kuen); LAM (Florence Kwai Yi); KWOK KWONG LAU; YIU KAY CHAN; KAN (Elaine Yee Ling); WOO (Jean); FAT KEE WONG; KO (Andrew)</AU>
<AF>Department of Medicine and Geriatrics, Caritas Medical Centre/Hong-Kong (1 aut., 4 aut., 8 aut.); Department of Speech Therapy, Princess Margaret Hospital/Hong-Kong (2 aut.); Department of Medicine and Geriatrics, Princess Margaret Hospital/Hong-Kong (3 aut.); Department of Diagnostic Radiology, Princess Margaret Hospital/Hong-Kong (5 aut., 7 aut.); Faculty of Medicine, the Chinese University of Hong Kong/Hong-Kong (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 5; Pp. 640-644; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: To determine if simple screening tests can predict severe oropharyngeal dysphagia in subjects with Parkinson's disease. Methodology: Forty-five subjects (26 females) of average age 75 (range: 65-94) who were classified as Modified Hoehn and Yahr stages 2 to 5 were enrolled. The presence of oropharyngeal dysphagia was assessed by a symptom questionnaire, 50 ml water swallowing test and videofluroscopic swallowing study. Results: Six of the subjects had severe oropharyngeal dysphagia in videofluroscopic swallowing study. Subsequent multivariate analysis showed that 3 factors could independently predict severe oropharyngeal dysphagia. These included higher Modified Hoehn and Yahr stage (P = 0.042), low Body mass index (P = 0.014), and increased difficulty in keeping food or drink in the mouth (P = 0.047). The regression model had a positive predictive power of 96% (sensitivity: 83.3%, specificity: 97.4%). Conclusion: A combination of 3 simple clinical parameters may be useful for screening for severe oropharyngeal dysphagia as shown radiologically in subjects with Parkinson's disease.</EA>
<CC>002B17; 002B17G; 002B17A03</CC>
<FD>Système nerveux pathologie; Dysphagie; Parkinson maladie; Test clinique; Dépistage</FD>
<FG>Appareil digestif pathologie; Oesophage pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie</FG>
<ED>Nervous system diseases; Dysphagia; Parkinson disease; Clinical test; Medical screening</ED>
<EG>Digestive diseases; Esophageal disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Sistema nervioso patología; Disfagia; Parkinson enfermedad; Prueba clínica; Descubrimiento</SD>
<LO>INIST-20953.354000149439720060</LO>
<ID>07-0263028</ID>
</server>
</inist>
</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

Simple clinical tests may predict severe oropharyngeal dysphagia in Parkinson's disease

Simple clinical tests may predict severe oropharyngeal dysphagia in Parkinson's disease

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