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Table 1 Methods, criteria for interpretation, and intervention guidance of WST

From: Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study

Levels

Criteria

Outcome and guidance

Level I

Patients can swallow the water in one gulp and without choking or coughing in 5 s

Negative

Can eat through mouth safely and effectively

Level II

Patients can swallow the water in two or more gulps without choking or coughing in 5 s

Positive

Can eat through mouth with dietary guidance

Level III

Patients can swallow the water in one gulp but with coughing or choking

Positive

Indicators of tube feeding

Level IV

Patients can swallow the water in two or more gulps with coughing or choking

Level V

Patients cannot swallow 30 mL of water with frequent coughing or choking

  1. Methods: Each patient was asked to drink 30 mL of water in sitting or fowler position without interruption. Nurses observe the time of swallow and any signs of choking or coughing
  2. WST water swallowing test