Table 2. Crude odds ratio of each VFSS parameter for the development of aspiration pneumonia.
Parameter | Positive in control, n (%) | Positive in case, n (%) | Odds Ratio | 95% CI (lower limit) | 95% CI (upper limit) | P value |
---|---|---|---|---|---|---|
Oral phase | ||||||
Pre-swallow anterior spill | 1 (1) | 0 (0) | 0.99 | 0.98 | 1.01 | 1.00 |
Lingual pumping | 54 (34) | 9 (36) | 0.25 | 0.03 | 1.90 | 0.21 |
Poor velopharyngeal closure | 23 (14) | 1 (4) | 0.25 | 0.03 | 1.90 | 0.21 |
Swallow hesitancy | 27 (17) | 11 (44) | 3.84 | 1.58 | 9.37 | 0.006 |
Piecemeal deglutition | 52 (33) | 14 (56) | 2.62 | 1.11 | 6.17 | 0.04 |
Lip closure | 1 (1) | 1 (4) | 6.58 | 0.40 | 108.79 | 0.25 |
Mastication | 4 (3) | 18 (72) | 99.64 | 26.57 | 373.70 | <0.001 |
Lingual motility prior to transfer | 5 (3) | 13 (52) | 33.37 | 10.18 | 109.35 | <0.001 |
Bolus formation | 10 (6) | 17 (68) | 31.66 | 11.01 | 91.07 | <0.001 |
Premature bolus loss | 8 (5) | 4 (16) | 3.60 | 0.996 | 12.98 | 0.06 |
Palatal elevation | 7 (17) | 15 (60) | 7.33 | 2.98 | 18.05 | <0.001 |
Poor bolus propulsion | 5 (3) | 12 (48) | 28.43 | 8.68 | 93.17 | <0.001 |
Residue in the oral cavity | 95 (60) | 22 (88) | 4.94 | 1.42 | 17.20 | 0.007 |
Pharyngeal phase | ||||||
Triggering of pharyngeal swallow | 0 (0) | 2 (8) | 1.09 | 0.97 | 1.22 | 0.02 |
Vallecular residue | 7 (4) | 13 (52) | 23.52 | 7.90 | 70.02 | <0.001 |
Laryngeal elevation | 38 (24) | 18 (72) | 8.19 | 3.18 | 21.09 | <0.001 |
Pyriform sinus residue | 24 (15) | 15 (60) | 8.44 | 3.40 | 20.97 | <0.001 |
Reduced epiglottal tilt | 12 (8) | 5 (20) | 5.43 | 1.57 | 18.74 | 0.01 |
Coating of pharyngeal wall | 12 (8) | 10 (40) | 8.17 | 3.03 | 22.05 | <0.001 |
Repeated swallowing | 19 (12) | 15 (60) | 11.05 | 4.35 | 28.09 | <0.001 |
Aspiration | 2 (1) | 4 (16) | 14.95 | 2.58 | 86.69 | 0.003 |
Cricopharyngeal dysfunction | 8 (5) | 5 (20) | 4.72 | 1.41 | 15.84 | 0.02 |
Timed parameters | ||||||
Oral transit time | 15 (9) | 7 (28) | 3.73 | 1.34 | 10.38 | 0.02 |
Pharyngeal transit time | 14 (9) | 9 (36) | 5.83 | 2.18 | 15.58 | 0.001 |
Pharyngeal delay time | 17 (11) | 9 (36) | 4.70 | 1.80 | 12.26 | 0.003 |
Total swallow time | 24 (15) | 18 (72) | 14.46 | 5.46 | 38.35 | <0.001 |