A validation study of the Facial-Oral Tract Therapy Swallowing Assessment of Saliva. (April 2016)

• Record Type: Journal Article
• Authors: Mortensen, Jesper; Jensen, Ditte; Kjaersgaard, Annette
• Is Part Of: Clinical rehabilitation. Volume 30:Number 4(2016)
• Page Start: 410
• Page End: 415
• Publication Date: 2016-04
• Subjects: Dysphagia -- brain injury -- assessment -- validity -- Facial-Oral Tract Therapy; Medical rehabilitation -- Periodicals; 617.03
• DOI: 10.1177/0269215515584381
• Languages: English
• ISSNs: 0269-2155

Abstract

Objective: To investigate the validity and reliability of the Swallowing Assessment of Saliva in detection of aspiration risk. Design: Validation study. Setting: Inpatient neurorehabilitation centre. Subjects: Adult patients with acquired brain injury. A total of 43 patients for concurrent validity and 33 other patients for inter-rater reliability. Interventions: Concurrent validity was established with blinded Swallowing Assessment of Saliva and endoscopic evaluation within a 24-hour time interval. Inter-rater reliability was established with two blinded Swallowing Assessments of Saliva within a one-hour time interval. Main measures: The Swallowing Assessment of Saliva is a seven-item scale with a combination of swallowing and non-swallowing items. It is based on the Facial-Oral Tract Therapy approach. Results: The Swallowing Assessment of Saliva had a sensitivity of 91%, 95% confidence interval (CI) (59; 100), a specificity of 88% %, 95% CI (71; 97) and a kappa coefficient of 0.87 ±0.17 in detection of aspiration risk. Furthermore, analyses showed that experienced and inexperienced occupational therapists performed equally in detection of aspiration risk. Conclusion: The Swallowing Assessment of Saliva is a simple, sensitive and reliable assessment for detecting aspiration risk in patients with acquired brain injury.