OBJECTIVES: To determine the frequency and clinical predictors of @entity1173 within 5 days of @entity64 . DESIGN: Case series. SETTING: Tertiary care center. @entity1 : Consecutive @entity64 @entity1 (n = 55) with new neurologic deficit evaluated within 5 days of @entity64 . MAIN OUTCOME MEASURES: Comparison of features identified on clinical swallowing and oromotor examinations and occurrence of @entity1173 (silent or overt) evident on videofluoroscopic swallow study (VSS). RESULTS: Aspiration occurred in 21 of 55 @entity1 (38%). Whereas 7 of 21 @entity1 (33%) aspirated overtly, 14 (67%) aspirated silently on VSS. Chi-square analyses revealed that @entity7364 , @entity4653 , abnormal gag reflex, abnormal volitional cough, cough after swallow, and voice change after swallow were significantly related to @entity1173 and were predictors of the subset of @entity1 with silent @entity1173 . Logistic regression revealed that abnormal volitional cough and cough with swallow, in conjunction, predicted @entity1173 with 78% accuracy. CONCLUSIONS: Silent @entity1173 appears to be a significant problem in @entity64 @entity1 because silent @entity1173 occurred in two thirds of the @entity1 who aspirated. The prediction of @entity1 at risk for @entity1173 was significantly improved by the presence of concurrent findings of abnormal volitional cough and cough with swallow on clinical examination.

Aspiration in @entity1 with XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke', 'acute stroke'] @entity7364 :: ('MESH:D055154', 'Disease') :: ['dysphonia'] @entity1173 :: ('MESH:D053120', 'Disease') :: ['aspiration'] @entity4653 :: ('MESH:D004401', 'Disease') :: ['dysarthria']
@entity64 :: (MESH:D020521,Disease) :: ['acute stroke']
