Table 3 |
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|
Results of the "complete examination-rating" |
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|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
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|
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 |
|
|
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|
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. |
|
|
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|
Decision |
proceed |
proceed |
proceed |
proceed |
proceed |
proceed |
Score 6 |
proceed |
|
|
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|
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. |
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|
Warnecke et al. BMC Medical Education 2009 9:13 doi:10.1186/1472-6920-9-13 |
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