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H. Jay Biem, MD, FRCPC; Andreas Laupacis, MD, MSc, FRCPC
Loeb Medical Research Institute Clinical Epidemiology Unit 1053 Carling Ave Ottawa, Ontario Canada K1Y 4E9

Arch Neurol. 1994;51(2):119.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

We commend DePippo and colleagues¹ for studying the 3-oz water swallow test, a simple but potentially useful bedside test for aspiration after stroke. Before being of use to clinicians, however, it is essential to provide more details about the test procedures such as the patient's position (upright position was recommended in the "Comments" section) and the rapidity with which patients were instructed to swallow. What proportion of patients with stroke at risk for aspiration were unable to do the test (because they could not hold a cup, for example)?

When evaluating subjective assessments such as the water swallow test and the modified barium swallow, it is important that the person doing the test not be aware of the results of the neurologic examination, or the other test. Was this the case? Interpretation of a wet hoarse voice and cough might vary from observer to observer. Was the interobserver variability . . . [Full Text PDF of this Article]

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