Simultaneous modified barium swallow and blue dye tests: a determination of the accuracy of blue dye test aspiration findings

The overall objective of this pilot study was to determine blue dye test reliability and validity for the identification of aspiration of secretions, food, and/or drink in 50 simultaneously administered blue dye (BDT) and modified barium swallow (MBS) tests of tracheostomized individuals. With the M...

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Bibliographic Details
Published in:Dysphagia 2003-12, Vol.18 (1), p.32-38
Main Authors: O'Neil-Pirozzi, Therese M, Lisiecki, Deborah J, Jack Momose, K, Connors, Jennifer J, Milliner, Mary P
Format: Article
Language:English
Subjects:
Administration, Oral
Adult
Aged
Aged, 80 and over
Barium - administration & dosage
Coloring Agents - administration & dosage
Deglutition Disorders - diagnosis
Deglutition Disorders - etiology
Dentistry
Female
Humans
Inhalation
Male
Middle Aged
Pilot Projects
Reproducibility of Results
Sensitivity and Specificity
Tracheostomy - adverse effects
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Summary:The overall objective of this pilot study was to determine blue dye test reliability and validity for the identification of aspiration of secretions, food, and/or drink in 50 simultaneously administered blue dye (BDT) and modified barium swallow (MBS) tests of tracheostomized individuals. With the MBS as an objective test of aspiration, BDT sensitivity and specificity identifying aspiration were less than 80% and 62%, respectively. Certain tracheostomy tube conditions and food consistencies were associated with more accurate BDT aspiration results than others. Characteristics of the aspiration episodes, interpretation of the results, and needs for further research are discussed.
ISSN:0179-051X
1432-0460
DOI:10.1007/s00455-002-0081-4