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Updated: Apr 1, 2026
Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Development of the Brief Bedside Dysphagia Screening Test - Revised: a Cross-Sectional Czech Study
Petra Mandysová1,2, Edvard Ehler3,4, Jana Škvrňáková5,4
1Department of Neurology, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic. petra.mandysova@upce.cz.
Aim:
The purpose of this study was to develop a revised version of the Brief Bedside Dysphagia Screening Test for determining penetration/aspiration risk in patients prone to dysphagia. The priority was to achieve high sensitivity and negative predictive value.
Methods:
The study screeners conducted bedside assessment of the swallowing function in 157 patients with a neurological (mainly stroke) or an ear, nose, and throat diagnosis (mainly head and neck cancer). The results were compared with a gold standard, flexible endoscopic examination of swallowing.
Results:
For the neurological subgroup (N = 106), eight statistically significant bedside assessment items were combined into the Brief Bedside Dysphagia Screening Test-Revised (BBDST-R). Cut-off score 1 produced the highest sensitivity (95.5%; 95% confidence interval CI [CI]: 84.9-98.7%) and negative predictive value (88.9%; 95% CI 67.2-96.9%).
Conclusion:
The BBDST-R is suitable for dysphagia screening in departments caring for patients with neurological conditions.
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