Table 3

Results of the "complete examination-rating"

1

2

3

4

5

6

7

8


Clinical situation

72 yr, male, MCA right, NIH-SS 8, mild f.p., dysarthria, exam. at day 2

77 yr, female, MCA right, NIH-SS 7, moderate f. p.; exam. at day 1

67 yr, female, MCA left, NIH-SS 10, buccofac. apraxia, exam. at day 1

71 yr, male, MCA left, NIH-SS 12, severe f.p.; exam. at day 2

78 yr, male, BS, NIH-SS 7, severe dysarthria; exam. at day 1

74 yr, male, MCA left, NIH-SS 9, severe f.p., dysarthria; exam. at day 1

63 yr, male, BS, NIH-SS 8, severe dysarthria; exam. at day 1

72 yr, female, MCA right, NIH-SS 8, moderate f.p., neg-lect; exam. at day 1


Handling of Secretions

No pen./asp.

No pen./asp.; Saliva in the s.p.

No pen./asp.; Saliva in the s.p.

No pen./asp.; Saliva in the s.p

No pen./asp.

No pen./asp.

Asp. without prot. reflex

No pen./asp.


Decision

proceed

proceed

proceed

proceed

proceed

proceed

Score 6

proceed


Correct rat.

100%

100%

100%

94%

100%

94%

100%

100%


Puree consistency

No pen./asp., residues in the s.p.

No pen./asp.

No pen./asp.; residues in the s.p.

Pen. without prot. refl.

Pen. with prot. refl.

Pen. without prot. refl.

n.a.

No pen./asp.; residues in the s.p.


Decision

proceed

proceed

proceed

Score 5

Score 4

Score 5

n.a.

proceed


Correct rat.

100%

100%

94%

100%

100%

100%

n.a.

88%


Liquids

No pen./asp.

No pen./apsp; Leaking s.p.

Pen. with prot. reflex

n.a.

n.a.

n.a.

n.a.

Asp. without prot. reflex


Decision

proceed

proceed

Score 3

n.a.

n.a.

n.a.

n.a.

Score 4


Correct rat.

100%

100%

100%

n.a.

n.a.

n.a.

n.a.

100%


Semisolid food

Severe residues in the vallec.

No pen./asp.; few residues in the vallec.

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.


Decision

Score 2

Score 1

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.


Correct rat.

100%

100%

n.a.

n.a.

n.a.

n.a.

n.a.

n.a.


Correct score

100%

100%

94%

94%

100%

94%

100%

88%


Correct rat. = Correct ratings; f.p. = facial palsy; buccofac. = buccofacial; somnol. = somnolence; s.p. = sinus pyriformis; vallec. = valleculae; MCA = stroke in the territory of the middle cerebral artery; BS = brainstem stroke; NIH-SS = National Institute of Health Stroke Scale Score. The video samples were rated according to the screening protocol outlined in figure 1.

Warnecke et al. BMC Medical Education 2009 9:13   doi:10.1186/1472-6920-9-13

Open Data