Aim:　We developed a four-parameter scoring system for videofluoroscopic examination of swallowing (VF). The aims of the parameters were to decide whether patients with dysphagia should be provided solid food.

　Patients and Methods:　The subjects were 151 patients who underwent VF at our hospital between February 2018 and April 2021. VF examinations were performed using jelly as the solid food, and swallowing function was assessed using the following four parameters: 1) oral food processing (processing movement) and tongue motion, 2) propulsion from the oral cavity to the pharynx, 3) timing of swallowing reflex initiation, and 4) pharyngeal clearance after swallowing. Each of the four parameters was scored on a scale from 0 points (normal) to 3 points (severe). Scores for each parameter obtained during VF were compared with the rate of solid food supply within 1 month after VF.

　Results:　In patients who scored better than Grade 5 on Fujishima’s Food Intake Level Scale (FILS) for dysphagia within 1 month after VF, the rate of intake of solid food decreased with increasing score for each of the four parameters. The rate was significantly lower in patients with a score of 2 or 3 than in those with a score of 0 in every parameter.

　Conclusions:　For each of the four parameters used in the present study, the rate of solid food intake decreased with increasing score. We would like to verify the validity of the parameters.