OBJECTIVE: To examine the prevalence of @entity1282 in @entity191 ( @entity191 ) in the outpatient setting and to determine what assessment criteria to use to select @entity1 with @entity1282 for referral to speech and language therapists. MATERIAL AND METHODS: Sixty-four @entity1 with @entity191 and 80 age-matched controls were interviewed in clinic about their swallowing history and an objective swallowing test administered. All @entity1 were assessed over the next few weeks by an experienced speech and language therapist and @entity1282 rated according to a modified Rehabilitation Institute of Chicago @entity1282 Rating Scale and a novel global rating scale. The ability of various clinic criteria to predict @entity1 with severe @entity1282 were examined. RESULTS: @entity1282 for food was found in 30% of @entity1 , significantly more than in controls. Swallowing speed and bolus volume were significantly lower in @entity1 compared with controls and were correlated with declining Hoehn and Yahr score. Swallowing speed fell significantly on withdrawal of medication. The therapist's global rating score and Chicago score declined with Hoehn and Yahr score and duration of disease. However, only 10% of @entity1 required dietary advice and none needed gastrostomy or tracheostomy. Discriminant analysis showed that various combinations of clinic selection criteria were no better than the presence of @entity1282 for food at predicting which @entity1 had significant @entity1282 requiring advice from a therapist. CONCLUSIONS: @entity1 with @entity191 should be questioned about @entity1282 for food on a regular basis and, if present, should be referred to a speech and language therapist for further assessment and treatment. The outcome of this protocol should be tested prospectively.

Referral criteria for speech and language therapy assessment of @entity1282 caused by XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['Dysphagia', 'dysphagia'] @entity191 :: ('MESH:D010300', 'Disease') :: ["idiopathic Parkinson's disease", 'IPD']
@entity191 :: (MESH:D010300,Disease) :: ['idiopathic Parkinson's disease']
