There also might have been children with silent aspiration
that was not recognized.
Other criteria for obtaining an instrumental examination include suspicion for silent aspiration
, recurrent pneumonia, or right lower lobe pneumonia and the need for treatment strategy evaluation (18).
The NBSS also includes an inclusive analysis of signs and symptoms of overt and silent aspiration
, whereas other nursing swallow screens have not adequately acknowledged these additional parameters.
may be suspected in individuals with a history of frequent respiratory problems, even without other signs of a cold (like nasal congestion or runny nose).
Two stroke subjects (S1 and S3) each had an average P-A Scale score of 8, indicating silent aspiration
refers to residents who appear to be eating well without coughing or choking, but who are actually aspirating oral secretions, foods and/or liquids.
11-13) More important, a laryngopharyngeal sensory deficit without clinical evidence of dysphagia-that is, a silent sensory deficit--may be hazardous because it is likely to escape detection and to predispose the patient to silent aspiration
Given that assessment of only swallowing will miss silent aspiration
The diagnostic pathology groups with the highest rates of silent aspiration
were brain cancer, brainstem stroke, head-neck cancer, pneumonia, dementia/Alzheimer, chronic obstructive lung disease, seizures, myocardial infarcts, neurodegenerative pathologies, right hemisphere stroke, closed head injury, and left hemisphere stroke.
A videofluoroscopic swallow examination demonstrated a delayed and inconsistent cough reflex, evidence of silent aspiration
, and pooling of secretions in the valleculae and piriform sinuses.
Spearman's 9 (rank correlation coefficient) was calculated to evaluate the relationship between secretion-scale level and laryngeal penetration, aspiration, silent aspiration
, initial diet level, and duration of tracheotomy tube placement.
Homer J, Massey W: Silent aspiration