{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T15:05:46Z","timestamp":1784991946577,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The repetitive saliva swallow test (RSST) is a simple, noninvasive screening tool for oropharyngeal dysphagia, validated to detect aspiration in individuals with neurogenic dysphagia. This study aims to evaluate the diagnostic properties of the RSST in predicting airway invasion in an all\u2010cause dysphagia population using fiberoptic endoscopic evaluation of swallowing (FEES) as the gold standard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review including 87 adult outpatients from a dysphagia clinic was conducted. Each patient underwent both RSST and FEES. The primary outcome measure was the RSST's diagnostic performance against FEES\u2010determined airway invasion (penetration\u2013aspiration scale, PAS \u2265\u20093).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study cohort had a median RSST score of 5, and 32% demonstrated airway invasion on FEES. Higher RSST scores were associated with a lower likelihood of airway invasion (OR: 0.79, <jats:italic>p<\/jats:italic>\u2009=\u20090.03). On receiver operating characteristic curve analysis, RSST had an area under the curve of 0.64, with an optimal cutoff of \u2264\u20096 swallows, yielding 89% sensitivity and 34% specificity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The RSST demonstrates statistical compatibility for airway invasion screening in an all\u2010cause dysphagia population. However, its high cutoff values hinder its clinical utility due to modest specificity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.32137","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T11:02:41Z","timestamp":1742900561000},"page":"1943-1949","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Can the Repetitive Saliva Swallow Test Predict Airway Invasion in All Cause Dysphagia?"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6136-5762","authenticated-orcid":false,"given":"David","family":"Kiderman","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Kaplan Medical Center  Rehovot Israel"},{"name":"Hebrew University of Jerusalem School of Medicine  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boaz","family":"Gantz","sequence":"additional","affiliation":[{"name":"The Department of Speech, Language and Hearing Disorders Kaplan Medical Center  Rehovot Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shir","family":"Boaron\u2010Sharafi","sequence":"additional","affiliation":[{"name":"The Department of Speech, Language and Hearing Disorders Kaplan Medical Center  Rehovot Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonatan","family":"Lahav","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Kaplan Medical Center  Rehovot Israel"},{"name":"Hebrew University of Jerusalem School of Medicine  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6639-9219","authenticated-orcid":false,"given":"Raviv","family":"Allon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Kaplan Medical Center  Rehovot Israel"},{"name":"Hebrew University of Jerusalem School of Medicine  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Shapira\u2010Galitz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Kaplan Medical Center  Rehovot Israel"},{"name":"Hebrew University of Jerusalem School of Medicine  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814549156"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12967\u2010022\u201003380\u20100"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010022\u201010465\u2010x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2011.11.006"},{"key":"e_1_2_9_6_1","unstructured":"\u201cFormal Dysphagia Screening Protocols Prevent Pneumonia \u201dhttps:\/\/www.ahajournals.org\/doi\/epub\/10.1161\/01.STR.0000177529.86868.8d."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2015.199"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010019\u201010064\u20103"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.640946"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/2317\u20101782\/20142014057"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2490\/jjrm1963.37.375"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.2490\/jjrm1963.37.383"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010018\u20109937\u20100"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10266\u2010019\u201000431\u20109"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010024\u201010702\u20105"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010016\u20109758\u2010y"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.11.016"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010021\u201010292\u20106"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00408\u2010020\u201000413\u20107"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010002\u20100073\u20104"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/22.suppl_2.P17\u2010b"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102702.2001.00501.x"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1466\u20107657.2006.00460.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12366"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010023\u201010635\u20105"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.32137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T03:58:09Z","timestamp":1752724689000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.32137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,25]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/lary.32137"],"URL":"https:\/\/doi.org\/10.1002\/lary.32137","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,25]]},"assertion":[{"value":"2024-11-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}