Accuracy of a Bedside Dysphagia Screening: A Comparison of Registered Nurses and Speech Therapists

Weinhardt, Janice; Hazelett, Susan; Barrett, Dawn; Lada, Robert; Enos, Trish; Keleman, Rick

doi:10.1002/j.2048-7940.2008.tb00236.x

Cited by 27 publications

(22 citation statements)

References 18 publications

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“…In these studies, the patient had to ingest the liquid and some signs were observed during and after the intake. There were also articles that showed screening instruments with two procedures (17,22,28,39) , containing one observational part and the other a swallowing test using water or food of different viscosities.…”

Section: Resultsmentioning

confidence: 99%

“…Schrock et al (29) ; Weinhardt et al (39) Multiple sclerosis Bergamaschi et al (23) Duchenne muscular dystrophy Hanayama et al (25) Inclusion body myositis Cox et al (31) Head and neck cancer Govender et al (35) ; Dwivedi et al (37) Parkinson's disease Manor et al (33) Heterogeneous etiologies (neurological disorders, head and neck cancer, esophageal abnormalities, respiratory and heart problems, among others)…”

Section: Underlying Pathologies Articlesmentioning

confidence: 99%

See 1 more Smart Citation

Screening tools for dysphagia: a systematic review

Etges

Scheeren

Gomes

et al. 2014

CoDAS

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Purpose: To perform a systematic review of screening instruments for dysphagia available in the literature. Methods:For the selection of studies, the following descriptors were used: "questionários", "questionnaires", "transtornos de deglutição", "deglutition disorders", "programas de rastreamento", and "mass screening".The online databases used for the research were Virtual Health Library (LILACS, IBECS, MEDLINE, Cochrane Library, SciELO) and PubMed. The research was performed from April to June 2013. Selection criteria articles in English, Portuguese, and Spanish, regardless of the year of publication, whose title, abstract, or text had any relation to the purpose of the research. After reading the articles in their entirety, identification data and method of the articles were extracted for later analysis. Results: The research carried out from the proposed descriptors produced 1,012 articles. After reviewing the titles, summaries, and fully reading the articles, 20 studies were chosen. The publications on instruments for the identification of dysphagic patients started in 1999, and 50% of the analyzed studies were carried out in the USA. The methods used on the instruments were questionnaires, observation of patient's clinical signals and symptoms, the request for execution of some orofacial movements, and swallowing test with water or food. Conclusion: Screening instruments in dysphagia are fairly heterogeneous and have been developed for different audiences with the main objective of identifying patients with swallowing disorders. RESUMOObjetivo: Realizar a revisão sistemática dos instrumentos de rastreio em disfagia disponíveis na literatura. Estratégia de pesquisa:Para a seleção dos estudos, foram utilizados os seguintes descritores: "questionários", "questionnaires", "transtornos de deglutição", "deglutition disorders", "programas de rastreamento" e "mass screening" e foram utilizadas as bases de dados: Biblioteca Virtual em Saúde (LILACS, IBECS, MEDLINE, Biblioteca Cochrane, SciELO) e PubMed. A busca foi realizada no período entre abril e junho de 2013. Critérios de seleção:Foram selecionados artigos em Inglês, Português e Espanhol, independentemente do ano de publicação, que possuíam no título, resumo ou corpo do artigo relação com o objetivo da pesquisa. Análise dos dados: Após a leitura dos artigos na íntegra, foram extraídos dados de identificação e métodos dos artigos para posterior análise. Resultados: A pesquisa realizada a partir dos descritores propostos, nas bases de dados utilizadas, gerou o total de 1.012 artigos. Após a análise dos títulos, resumos e leitura dos artigos na íntegra, foram selecionados 20 estudos. As publicações sobre instrumentos para identificação de pacientes disfágicos iniciaram em 1999 e 50% dos artigos analisados foram desenvolvidos nos Estados Unidos. Os métodos empregados nos instrumentos foram: questionários, a observação de sinais e sintomas clínicos do paciente, a solicitação da execução de alguns movimentos orofaciais, teste de deglutição com água ou alime...

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Section: Resultsmentioning

confidence: 99%

Section: Underlying Pathologies Articlesmentioning

confidence: 99%

Screening tools for dysphagia: a systematic review

Etges

Scheeren

Gomes

et al. 2014

CoDAS

View full text Add to dashboard Cite

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“…Studies have shown that other healthcare providers can safely perform the initial screening before the speech language pathologist assessment. 903,915,916 In a prospective 15-hospital study, use of a formal dysphagia screening protocol, which incorporated an evidence-based screening tool, was associated with improved compliance with dysphagia screenings and a significantly reduced risk of pneumonia. 917 The Toronto Bedside Swallowing Screening test, an evidence-based tool for swallow assessment, has been evaluated successfully for interrater reliability and predictive validity.…”

Section: Nutrition and Hydrationmentioning

confidence: 99%

Guidelines for the Early Management of Patients With Acute Ischemic Stroke

Jauch¹,

Saver²,

Adams³

et al. 2013

Stroke

5,372

1,801

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Background and Purpose-The authors present an overview of the current evidence and management recommendations for evaluation and treatment of adults with acute ischemic stroke. The intended audiences are prehospital care providers, physicians, allied health professionals, and hospital administrators responsible for the care of acute ischemic stroke patients within the first 48 hours from stroke onset. These guidelines supersede the prior 2007 guidelines and 2009 updates. Methods-Members of the writing committee were appointed by the American Stroke Association Stroke Council's Scientific Statement Oversight Committee, representing various areas of medical expertise. Strict adherence to the American Heart Association conflict of interest policy was maintained throughout the consensus process. Panel members were assigned topics relevant to their areas of expertise, reviewed the stroke literature with emphasis on publications since the prior guidelines, and drafted recommendations in accordance with the American Heart Association Stroke Council's Level of Evidence grading algorithm. Results-The goal of these guidelines is to limit the morbidity and mortality associated with stroke. The guidelines support the overarching concept of stroke systems of care and detail aspects of stroke care from patient recognition; emergency medical services activation, transport, and triage; through the initial hours in the emergency department and stroke unit. The guideline discusses early stroke evaluation and general medical care, as well as ischemic stroke, specific interventions such as reperfusion strategies, and general physiological optimization for cerebral resuscitation. The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest. Guidelines for the Early Management of PatientsThis statement was approved by the American Heart Association Science Advisory and Coordinating Committee on December 12, 2012. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The Executive Summary is available as an online-only Data Supplement with this article at http://stroke.ahajournals.org/lookup/suppl/ doi:10.1161/STR.0b013e318284056a/-/DC1.The American Heart Association requests that this document be cited as follows: Jauch EC, Saver JL, Adams HP Jr, Bruno A, Connors JJ, Demaerschalk BM, Khatri P, McMullan PW Jr, Qureshi AI, Rosenfield K, Scott PA, Summers DR, Wang DZ, Wintermark M, Yonas H; on behalf of the American Heart Association Stroke Council, Council on Cardio...

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“…[6][7][8] Of these cases, 65% present this symptom within the first 5 days of hospitalization, leading to a sixfold increase in risk for aspiration pneumonia and a threefold increase for mortality. [9][10][11][12] Pneumonia after stroke is frequently associated with the presence of laryngotracheal aspiration, 2%-25% of which are concomitant with silent aspirations. 13,14 Diverse protocols have suggested that the National Institutes of Health Stroke Scale (NIHSS) can be a predictor in the identification of dysphagia risk in patients after stroke, despite not making reference to deglutition.…”

Section: Introductionmentioning

confidence: 99%