Unpublished conference/Abstract (Scientific congresses and symposiums)
The Validation of the SWADOC: a novel tool to assess swallowing in patients with disorders of Consciousness.
Regnier, Amandine; Lejeune, Nicolas; Smeyers, Lauranne et al.
2023BSSD 9th Annual Congress
 

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Keywords :
Swallowing, swallowing disorders, dysphagia, disorders of consciousness, bedside assessment, rehabilitation
Abstract :
[en] BACKGROUND: After a severe brain injury and a period of coma, some patients may develop disorders of consciousness (DoC). Severe dysphagia is present nearly systematically in these patients, leading to major functional consequences and comorbidities. Assessment and swallowing therapy in patients with DoC are therefore essential aspects of their management. METHODS: We will conduct a multicenter prospective cohort study. One hundred and four patients with DoC will receive behavioural measure at baseline with the Coma Recovery Scale-Revised (CRS-R) followed by three sessions combining consciousness assessment with the Simplified Evaluation of CONsciousness Disorders (SECONDs) and swallowing assessment with the SWADOC within five working days. Internal consistency, test-retest reliability, concurrent validity (with the Facial Oral Tract Therapy Swallowing Assessment of Saliva – FOTT-SAS), intra-judge reliability, inter-judge reliability and the links between the SWADOC-scored and the level of consciousness will be assessed. RESULTS: With one third of the sample completed so far, we found substantial agreements between (r=0.84; p=0.001) and within raters (r=0.84; p=0.001) and a positive association between swallowing abilities and the level of consciousness (r=0.66; p=0.001). CONCLUSION: This study aims to validate the SWADOC as a reliable bedside tool for the swallowing assessment in DoC patients and to give a better understanding of relationship between consciousness and swallowing components. These results may help the development of new diagnostic guidelines for DoC that would include swallowing components in their criteria.
Disciplines :
Neurology
Author, co-author :
Regnier, Amandine  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur ; Université de Liège - ULiège > GIGA > GIGA Consciousness - Coma Science Group
Lejeune, Nicolas  ;  Université de Liège - ULiège > GIGA > GIGA Consciousness - Coma Science Group
Smeyers, Lauranne;  Centre Hospitalier Neurologique William Lennox, Groupe Hospitalier Saint-Luc
Pirnay, Laurence ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
PALUSZKIEWICZ, Jenny ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
AERNOUDT, Emeline ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
Chavet, Valérie;  Physical and Rehabilitation Medicine Department, Center of Traumatology and Readaptation Erasme, Brussels, Belgium
Guichart, Elodie;  Physical and Rehabilitation Medicine Department, Center of Traumatology and Readaptation Erasme, Brussels, Belgium
Aussems, Céline;  Neurology Department, Valdor Clinic, Liège, Belgium
Lavennes, Isabelle;  Neurology Department, Valdor Clinic, Liège, Belgium
Thibaut, Aurore ;  Université de Liège - ULiège > GIGA > GIGA Consciousness - Coma Science Group ; Université de Liège - ULiège > Département des sciences cliniques ; Université de Liège - ULiège > Département des sciences de la motricité
Kaux, Jean-François  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur ; Université de Liège - ULiège > Département des sciences de la motricité > Médecine physique, réadaptation et traumatologie du sport ; Université de Liège - ULiège > Evaluation-Revalidation (EVAREVA)
Mélotte, Evelyne ;  Université de Liège - ULiège > GIGA > GIGA Consciousness - Coma Science Group
Gosseries, Olivia  ;  Université de Liège - ULiège > GIGA > GIGA Consciousness - Coma Science Group ; Université de Liège - ULiège > GIGA > GIGA Consciousness - Sensation & Perception Research Group
More authors (4 more) Less
Language :
English
Title :
The Validation of the SWADOC: a novel tool to assess swallowing in patients with disorders of Consciousness.
Alternative titles :
[fr] La validation du SWADOC : un nouvel outil pour évaluer la déglutition chez les patients atteints de troubles de la conscience.
Original title :
[en] The Validation of the SWADOC: a novel tool to assess swallowing in patients with disorders of Consciousness.
Publication date :
2023
Number of pages :
17
Event name :
BSSD 9th Annual Congress
Event organizer :
BELGIAN SOCIETY FOR SWALLOWING DISORDERS
Event place :
Brussels, Belgium
Event date :
April 22nd
By request :
Yes
Available on ORBi :
since 19 May 2023

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