Dysphagia Bedside Screening for Acute-Stroke Patients

Trapl, Michaela; Enderle, Paul; Nowotny, Monika; Teuschl, Yvonne; Matz, Karl; Dachenhausen, Alexandra; Brainin, Michael

doi:10.1161/strokeaha.107.483933

Cited by 486 publications

(488 citation statements)

References 28 publications

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“…Specifically in relation to the prevalence of dysphagia, this study was in agreement with data from various studies (6,8,(19)(20) . The incidence of the nursing diagnosis Risk for Aspiration was similar to the one found in another study (15) .…”

Section: Resultssupporting

confidence: 92%

“…The patients were allocated in the study at the time they were admitted in the cerebrovascular accident unit (initial assessment) and reassessed 48 hours after the first assessment. This period between the two assessments was established in accordance with the recommendations of researchers (2,(5)(6) , who stated that respiratory aspiration is a clinical condition that occurs to a lack of specialized personnel and the equipment required to perform videofluoroscopy, we checked the clinical signs proposed in two studies (7)(8) : dysphonia, dysarthria, abnormal gag reflex, abnormal voluntary cough, cough after swallowing, and voice change after swallowing. Two or more of six of these signs indicate respiratory aspiration.…”

Section: Methodsmentioning

confidence: 99%

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Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident

Cavalcante

Araújo

Moreira

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: the study's objective was the clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced cerebrovascular accidents (CVA). Method: a prospective cohort study was conducted with 24 patients hospitalized due to a CVA. The instrument used to collect the data addressed the risk factors for respiratory aspiration, validated by concept analysis and by experts. Results: the most frequent risk factors for respiratory aspiration were: dysphagia (54.2%) and impaired physical mobility (41.7%). The prevalence of the nursing diagnosis Risk for Aspiration was 58.3% and the prevalence of respiratory aspiration over the span of 48 hours (monitoring period) was 37.5%. Risk factors for dysphagia and impaired physical mobility were significantly associated with respiratory aspiration. Conclusion: the risk factors dysphagia and impaired physical mobility are good predictors of the nursing diagnosis Risk for Aspiration. This study contributed to improving the NANDA-I Taxonomy and the systematization of the nursing process.Descriptors: Nursing; Nursing Diagnosis; Respiratory Aspiration; Stroke. Validación clínica del diagnóstico de enfermería riesgo de aspiración en pacientes con accidente cerebrovascularObjetivo: el estudio tiene como objetivo la validación clínica del diagnóstico de enfermería riesgo de aspiración en pacientes con accidente cerebrovascular. Método: un estudio de cohorte prospectivo desarrollado con 24 pacientes hospitalizados para el tratamiento del ictus agudo. El instrumento utilizado para la recolección de datos contiene los factores de riesgo de aspiración respiratoria, validado en el análisis conceptual y por expertos. Resultados: los factores de riesgo para aspiración respiratoria más presentes en los pacientes fueron: disfagia (54,2%) y disminución de la movilidad física (41,7%). La prevalencia del diagnóstico de enfermería riesgo de aspiración fue del 58,3% y la prevalencia en 48 horas (el tiempo del seguimiento) de la aspiración respiratoria fue de 37,5%. Los factores de riesgo disfagia y la disminución de la movilidad física se asociaron significativamente con la aspiración respiratoria. Conclusión: los factores de riesgo disminución de la movilidad física y disfagia son buenos predictores para el diagnóstico de enfermería riesgo de aspiración. Este trabajo permitió contribuir a la mejora de la taxonomía NANDA-I y, por lo tanto, el lenguaje de la sistematización de la atención de enfermería. MethodsThis observational study was conducted in the CVA unit of a public general tertiary hospital, a referral center Cavalcante TF, Araujo TL, Moreira RP, Guedes NG, Lopes MVO, Silva VM.medical diagnoses (aspiration pneumonia, pneumonitis and pulmonary embolism), as well as readings of X-rays.After this preliminary assessment, those who met all the inclusion criteria were assessed in terms of socio-demographic, clinical and predictor variables (risk factors) by means of interviews, physical assessments, and consultation of their medical charts. After 48 hours from the...

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Section: Resultssupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident

Cavalcante

Araújo

Moreira

et al. 2013

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

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“…The results are consistent with a majority of studies found. Low specificity is certainly related to the difficulties of the clinical method to confirm those who do not show clinical signs and also did not aspirate, was on account of the possibility of silent aspiration 20,21 . Although we did not use pulse oximetry during clinical evaluation, in view of the overall motor difficulties of the population with CP and the variations caused in the instrument, the literature shows that when oximetry has been used in the post-stroke population, the specificity increased significantly [22][23][24] .…”

Section: Discussionmentioning

confidence: 99%

Acurácia da avaliação clínica da disfagia orofaríngea na encefalopatia crônica não progressiva

et al. 2014

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“…1) was used for dysphagia screening. GUSS is a validated reliable screening test for swallowing [1]. It has a scoring system from 0-20 points.…”

Section: Methodsmentioning

confidence: 99%

Oropharyngeal Dysphagia: Neurogenic Etiology and Manifestation

Sebastian

Nair

Thomas

et al. 2014

Indian J Otolaryngol Head Neck Surg

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To determine the type, severity and manifestation of dysphagia in patients with neurogenic etiology. Clinical documentation was done on the different etiologies, its manifestation, assessment findings and management strategies taken for patients with neurogenic oropharyngeal dysphagia who were referred for assessment and management of dysphagia over a period of three months in a tertiary care teaching hospital. Flexible endoscopic examination was done in all the patients. The severity of dysphagia in these patients were graded based on Gugging Swallowing Screen (GUSS). A total of 53 patients with neurogenic oropharyngeal dysphagia were evaluated by an otolaryngologist and a speech language pathologist over a period of three months. The grading of severity based on GUSS for these patients were done. There were 30 patients with recurrent laryngeal nerve injury due to various etiologies, one patient with Neurofibroma-vestibular schwanoma who underwent surgical excision, 16 patients with stroke, two patients with traumatic brain injury, two patients with Parkinsonism and two patients with myasthenia gravis. The manifestation of dysphagia was mainly in the form of prolonged masticatory time, oral transit time, and increased number of swallows required for each bolus, cricopharyngeal spasms and aspiration. Among the dysphagia patients with neurogenic etiology, dysphagia is manifested with a gradual onset and is found to have a progressive course in degenerative disorders. Morbidity and mortality may be reduced with early identification and management of neurogenic dysphagia.

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Dysphagia Bedside Screening for Acute-Stroke Patients

Cited by 486 publications

References 28 publications

Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident

Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident

Acurácia da avaliação clínica da disfagia orofaríngea na encefalopatia crônica não progressiva

Oropharyngeal Dysphagia: Neurogenic Etiology and Manifestation

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