{
    "abstract": "The purpose of this study was to determine the sensitivity and specificity of the Yale Swallow Protocol (YSP) in detecting aspiration in recently extubated patients.\nOne hundred fifty-four participants referred for swallowing evaluation underwent the YSP and fiberoptic endoscopic evaluation of swallowing (FEES) in random order within 48 hr of extubation. The YSP included orientation questions, an oral motor exam, and a 3-oz water swallow test. Failure was defined as interrupted drinking or immediate cough after drinking. FEES exams were rated using the Penetration Aspiration Scale. Fisher's exact test and \nFifty-seven percent (88 of 154) failed the YSP. Fifty percent (77 of 154) of participants aspirated on at least one trial during the FEES. Sensitivity of the YSP was 75%, and specificity was 61%. Participants who failed the YSP were older (\nThe YSP has suboptimal sensitivity and specificity for detecting aspiration in recently extubated patients. More data are needed on predictors of false negatives in order to improve sensitivity and specificity in this critically ill patient population.",
    "authors": [
        {
            "affiliation": "University of Wisconsin Hospitals and Clinics, Madison.",
            "firstname": "Stevie",
            "initials": "S",
            "lastname": "Marvin"
        },
        {
            "affiliation": "Department of Surgery, University of Wisconsin-Madison.\nWisconsin Institutes for Medical Research (WIMR), Madison.",
            "firstname": "Susan",
            "initials": "S",
            "lastname": "Thibeault"
        },
        {
            "affiliation": "University of Wisconsin Hospitals and Clinics, Madison.",
            "firstname": "William",
            "initials": "W",
            "lastname": "Ehlenbach"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1044/2024_AJSLP-23-00449",
    "journal": "American journal of speech-language pathology",
    "keywords": [],
    "methods": "One hundred fifty-four participants referred for swallowing evaluation underwent the YSP and fiberoptic endoscopic evaluation of swallowing (FEES) in random order within 48 hr of extubation. The YSP included orientation questions, an oral motor exam, and a 3-oz water swallow test. Failure was defined as interrupted drinking or immediate cough after drinking. FEES exams were rated using the Penetration Aspiration Scale. Fisher's exact test and ",
    "publication_date": "2025-01-27",
    "pubmed_id": "39869124",
    "results": "Fifty-seven percent (88 of 154) failed the YSP. Fifty percent (77 of 154) of participants aspirated on at least one trial during the FEES. Sensitivity of the YSP was 75%, and specificity was 61%. Participants who failed the YSP were older (",
    "title": "Sensitivity and Specificity of the Yale Swallow Protocol in Recently Extubated Patients.",
    "xml": "<Element 'PubmedArticle' at 0x788502743330>"
}