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. 2020 Apr 29;10:7268. doi: 10.1038/s41598-020-64208-9

Table 4.

Predictive criterion validity - Relationships between DSRS at baseline with clinical and radiological assessments on or after treatment in trials of pharyngeal electrical stimulation. (Spearman’s rank correlation coefficient).

Trial DSRS* Measure Outcome Range of values Timing (weeks) N Median (IQR) rs P
STEPS9 Total score VFS-PAS Aspiration 1 to 8 2 126 3.27 (3) 0.461 <0.001
13 95 2.29 (2.93) 0.419 <0.001
TOR-BSST Swallowing 0 to 14 2 127 2 (10) −0.252 0.004
13 103 6 (13) −0.131 0.19
NIHSS Impairment 0 to 42 2 132 8 (10) 0.094 0.28
13 106 5 (8) −0.010 0.92
BI Disability 0 to 100 2 132 25 (59) −0.281 0.001
13 107 65 (65) −0.176 0.070
mRS Dependency 0 to 5 2 132 4 (2) 0.177 0.042
13 110 4 (2) 0.048 0.62
EQ-5D-3L QoL −0.5 to 1.0 13 95 −0.04 (0.489) −0.075 0.47
EQ-VAS QoL 0 to 100 13 87 58 (35) 0.070 0.52
Fluids VFS-PAS Aspiration 1 to 8 2 126 3.27 (3) 0.445 <0.001
13 95 2.29 (2.93) 0.394 <0.001
Diet 2 126 3.27 (3) 0.365 <0.001
13 95 2.29 (2.93) 0.351 <0.001
Supervision 2 126 3.27 (3) 0.388 0.001
13 95 2.29 (2.93) 0.342 0.001
Jayasekeran5 Total score VFS-PAS Aspiration 1 to 8 2 28 4 (3) −0.220 0.26
BI Disability 0 to 20 2 28 14 (7) −0.303 0.12
Vasant8 Total score VFS-PAS Aspiration 1 to 8 2 16 3 (4) −0.058 0.83
13 11 1 (2) −0.169 0.62
NIHSS Disability 0 to 42 2 33 6 (7) 0.245 0.17
13 27 4 (4) 0.104 0.61
BI Disability 0 to 100 2 34 38 (50) −0.242 0.17
13 28 65 (56) −0.113 0.57
mRS Dependency 0 to 5 2 33 3 (2) 0.098 0.59
13 28 2 (2) 0.099 0.62

*DSRS range: 0–12 for total score; 0–4 for subscales.

Associations between post-treatment DSRS and outcome measures at subsequent timepoints.

BI: Barthel index; DSRS: dysphagia severity Rating scale; EQ-5D-3L/HUS: EuroQoL-5 dimension-3 level as health utility scale; EQ-VAS: EuroQoL-visual analogue scale; FOIS: functional oral intake scale; mRS: modified Rankin scale; NIHSS: National Institutes of Health Stroke Scale; PAS: penetration aspiration scale; VFS: videofluoroscopy.