{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T03:49:14Z","timestamp":1789184954259,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2009,5,29]],"date-time":"2009-05-29T00:00:00Z","timestamp":1243555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:p><jats:italic>Background:<\/jats:italic> Dysphagia and aspiration occur frequently in stroke patients. The aim of the present study was to evaluate 2 consistencies (liquid and spoon\u2010thick\/pudding\u2010like) regarding the risk of aspiration and to determine the usefulness of a bedside speech therapy assessment to predict risk of aspiration. <jats:italic>Methods:<\/jats:italic> This randomized, crossover clinical trial was carried out April to August 2001 at a university hospital. Sixty\u2010one inpatients diagnosed with acute phase or prior stroke received liquid and spoon\u2010thick (pudding\u2010like) feeds during nasoendoscopy and bedside clinical assessment. <jats:italic>Results:<\/jats:italic> Aspiration occured in only 3 patients with the spoon\u2010thick consistency vs 21 with the liquid consistency (relative risk = 0.13; 95% confidence interval = 0.04\u20130.39; <jats:italic>P<\/jats:italic> &lt; .001). The bedside assessment had a sensitivity of 81% and a specificity of 70.8% to detect risk of aspiration. <jats:italic>Conclusions:<\/jats:italic> The use of a spoon\u2010thick consistency reduced the risk of aspiration compared with the liquid consistency. Clinical assessment was useful to predict aspiration, although the probability of dysphagia in the presence of a negative clinical assessment (29%) is a reason for concern.<\/jats:p>","DOI":"10.1177\/0884533608329440","type":"journal-article","created":{"date-parts":[[2009,5,29]],"date-time":"2009-05-29T13:55:01Z","timestamp":1243605301000},"page":"414-418","source":"Crossref","is-referenced-by-count":30,"title":["Reduced Incidence of Aspiration With Spoon\u2010Thick Consistency in Stroke Patients"],"prefix":"10.1002","volume":"24","author":[{"given":"Patricia B.","family":"Diniz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Vanin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rogerio","family":"Xavier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria 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