Prediction of Oral Intake at Discharge with Early Assessment of Swallowing Function within 24 h after Admission: A Retrospective Cohort Study.
Daisuke Matsuura, Yohei Otaka, Saki Asaumi and 4 others
PMID 38558178WHAT IT FOUND
Higher early swallowing scores in acute stroke were associated with eating at discharge.
The score cutoff for all patients was 136.5, and 124.5 was the cutoff for patients who were not independent at admission.
Key findings
01MASA score on admission was significantly associated with oral intake at discharge after adjustment for age and other factors.
02For all patients, a MASA cutoff of 136.5 had sensitivity 0.89 and specificity 0.68 for oral intake at discharge.
03For patients not independent in oral intake at admission, a MASA cutoff of 124.5 had sensitivity 0.80 and specificity 0.63 for oral intake at discharge.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
This was a single-center retrospective study, so the cutoffs may not apply directly to other hospitals or stroke populations. Only patients suspected of having swallowing problems and assessed within 24 hours of admission were included, so milder or more severe cases may have been missed. The MASA covers many items from pre-oral to pharyngeal function, and the study did not examine which items best predict oral intake for each swallowing problem. Because the study was observational, it shows association with oral intake at discharge, not that any treatment caused the outcome.
The easy way to misread this
Do not read the MASA cutoff as proof that a patient will regain oral intake or that a treatment caused it. The study was observational, and patients below the cutoff could still eat.