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.