Han et al reported the Clinical Dysphagia Scale (CDS) for evaluating dysphagia in a patient with stroke. The authors are from Seoul National University.
Patient selection: stroke
Parameters:
(1) stroke location (cause of dysphagia)
(2) T-cannula
(3) aspiration
(4) lip sealing
(5) chewing and mastication
(6) tongue protrusion
(7) laryngeal elevation
(8) reflex coughing
Parameter
Finding
Points
cause of dysphagia
stroke, other than brainstem
0
stroke, brainstem
5
cause other than stroke
5
T-cannula
no
0
yes
25
aspiration
no
0
yes
10
no oral feedings in past week
10
lip sealing
intact
0
inadequate
2
none
4
chewing and mastication
intact
0
inadequate
4
none
8
tongue protrusion
intact
0
inadequate
4
none
8
laryngeal elevation
intact
0
inadequate
5
none
10
reflux coughing
no
30
yes
0
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 100
• A score >= 40 indicates a patient at increased risk for aspiration.
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