Identification of a simple screening tool for dysphagia in patients with stroke using factor analysis of multiple dysphagia variables

Nishiwaki, Kaori; Tsuji, Takao; Liu, Meigen; Hase, Kimitaka; Tanaka, Naofumi; Fujiwara, Toshiyuki

doi:10.1080/16501970510026999

Cited by 112 publications

(114 citation statements)

References 17 publications

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“…However, most of the tools have poor psychometric measures, which highlight only one type of validity evidence, i.e., that based on the relation to other variables, where there is comparison of the screening results to other methods such as clinical evaluation of swallowing, nasoendoscopy or videofluoroscopy (9,10,17) .…”

Section: Discussionmentioning

confidence: 99%

Instrumento de rastreio para disfagia orofaríngea no Acidente Vascular Encefálico - Parte I: evidências de validade baseadas no conteúdo e nos processos de resposta

Almeida

Cola

Pernambuco

et al. 2017

CoDAS

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RESUMO Objetivo Este estudo tem o objetivo de identificar as evidências de validade baseadas no conteúdo e nos processos de resposta de um instrumento de Rastreamento para disfagia orofaríngea no Acidente Vascular Encefálico (RADAVE). Método Os critérios para elaborar os itens do instrumento foram baseados na revisão de literatura. Um grupo de juízes com 19 profissionais distintos e da área da saúde avaliaram a relevância e representatividade das questões e o resultado foi analisado por meio do índice de validade de conteúdo (IVC). Para evidência de validade baseada nos processos de resposta, 23 profissionais da saúde aplicaram o instrumento e analisaram as questões por meio de escala estruturada e entrevista cognitiva. Resultados O RADAVE foi estruturado para ser aplicado em duas etapas. A primeira versão foi constituída por 18 questões na etapa I e 11 questões na etapa II. Oito questões da etapa I e quatro questões da etapa II não atingiram o IVC mínimo, sendo realizadas reformulações pelos autores. A entrevista cognitiva demonstrou a necessidade de novos ajustes que resultaram na versão final com 12 questões na Etapa I e seis questões na Etapa II. Conclusão Foi possível desenvolver um instrumento de rastreamento para a disfagia no Acidente Vascular Encefálico com adequadas evidências de validade baseadas no conteúdo e nos processos de resposta. As duas evidências de validade obtidas até o momento permitiram ajustar o instrumento em relação ao seu constructo. Os próximos estudos irão analisar as demais evidências de validade e as medidas de acurácia.

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Section: Discussionmentioning

confidence: 99%

Instrumento de rastreio para disfagia orofaríngea no Acidente Vascular Encefálico - Parte I: evidências de validade baseadas no conteúdo e nos processos de resposta

Almeida

Cola

Pernambuco

et al. 2017

CoDAS

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“…Sixteen questionnaires were obtained using these keywords. The following inventories were excluded:  Toronto Bedside Swallowing Screening Test [12]  Burk dysphagia screening test [13]  DYMUS [14]  CMDQ [15]  MASA [16]  Dysphagia screening tool in acute stroke patients [17]  Assessment of swallowing and referral to speech and language in acute stroke [18] The following questionnaires were selected:  Clinical swallowing exam [7]  Clinical screening for dysphagia [4]  Italian reflux symptom index [10]  Self-report symptom inventory [8]  EAT-10 questionnaire [5]  SWAL-QOL questionnaire [6]  Anderson dysphagia inventory [9]  Functional oral intake scale [2] All items in these questionnaires were collected in one inventory and one item from among those measuring the same function was selected in the item reduction phase. This procedure decreased the number of items to 85.Two more items were added after clinical testing by a dysphagia expert.…”

Section: Item Generationmentioning

confidence: 99%

“…Clinical dysphagia assessment tools usually evaluate alertness, oral function, posture, motor speech ability, voice quality, voluntary coughing, eating and water swallowing [4]. Different tools have different objectives.…”

Section: Introductionmentioning

confidence: 99%

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Development, Validity and Reliability of Dysphagia Assessment Test in Iranian Adults after Stroke

Dehaghani

Khosropoor

Yousefzadeh

et al. 2016

ijtmgh

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Introduction: Many patients who have had strokes suffer from dysphagia which can lead to aspiration pneumonia in 20% to 25% of cases. Early assessment of dysphagia has can reduce the risk of death and the cost of medical care. The present study developed a questionnaire to assess dysphagia in adult patients who have suffered strokes and determined the validity and reliability of the content. Methods: The phases of the study consisted of item generation, analysis of content validity and determination of reliability. To assess the content validity, the primary questionnaire was rated by five experts on swallowing disorders. Items with low scores were removed from the questionnaire. Next, 30 stroke patients were assessed using the final questionnaire and the reliability was assessed by Cronbach's alpha. Results:The average scores of the items ranged from 0.4 to 1. Only two items were omitted because of insufficient content validity. The Cronbach's alpha was 0.71 and the standard error of deviation was 4.96, signifying that the reliability was acceptable. Conclusion: This questionnaire has good content validity and reliability. Although it can be used for clinical assessment of stroke patients who suffer from dysphagia, the concurrent validity should be determined by comparison with to a gold standard such as videofluoroscopy.

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“…However, it is an expensive procedure not available in most Brazilian hospital services [11][12][13][14][15][16] . Thus, in order to define specific procedures during the acute phase of stroke, tools to investigate swallowing have been developed and validated to identify dysphagia and measure its intensity [17][18][19][20][21][22] .…”

Section: Introductionmentioning

confidence: 99%

Evolução da deglutição no pós-AVC agudo: estudo descritivo

et al. 2016

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Purpose: to analyze the evolution of post-stroke swallowing impairment. Methods: this is a descriptive exploratory study involving a non-probabilistic sample that evaluated 100 stroke patients admitted at the Hospital Público Regional de Betim. Patients were subjected to a speech pathologist structured evaluation two times: in the first 48 hours after stroke and at hospital discharge. The Gugging Swallowing Screen, a standardized and validated bed-side tool for evaluating swallowing in stroke patients, was used. Results: in the initial evaluation, the frequency of dysphagia was 52%, and 28% of patients were classified as severe dysphagia with a high risk of aspiration. The mean time between the initial evaluation and hospital discharge was 22.1 days. At the hospital discharge, only 2.1% of patients still had severe dysphagia. It was observed change in the patient swallowing profile according to the severity of dysphagia. Conclusion: the frequency of post-stroke dysphagia is high, but there are progressive changes in the swallowing profile of stroke patients during their hospital stay. Keywords: Stroke; Deglutition Disorders; Clinical Evolution RESUMO Objetivo: analisar a evolução da deglutição de pacientes após acidente vascular cerebral. Métodos: trata-se de estudo exploratório descritivo com amostra não probabilística em que foram acompanhados 100 pacientes admitidos com o diagnóstico de acidente vascular cerebral no Hospital Público Regional de Betim. Os pacientes foram submetidos à avaliação fonoaudiológica estruturada em dois momentos: nas primeiras 48 horas após acidente vascular cerebral e no momento da alta hospitalar. Utilizou-se a escala Gugging Swallowing Screen que é um instrumento padronizado e validado para ser utilizado na beira do leito. Resultados: na avaliação fonoaudiológica inicial, a frequência da disfagia foi de 52%, sendo que 28% dos pacientes foram classificados como disfagia grave com alto risco de aspiração. A média de tempo entre a avaliação inicial da deglutição e a do momento da alta hospitalar foi de 22,1 dias. Na alta, apenas 2,1% dos pacientes ainda apresentavam disfagia grave. Observou-se mudança do perfil de deglutição do paciente de acordo com a gravidade da disfagia e da consistência da dieta oral. Conclusão: a frequência de disfagia após acidente vascular cerebral é alta, mas há progressiva mudança no perfil de deglutição do paciente durante o período de internação.

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Identification of a simple screening tool for dysphagia in patients with stroke using factor analysis of multiple dysphagia variables

Abstract: We recommend our modified 30 ml water-swallowing test as a useful single task-screening tool to detect aspiration.

Cited by 112 publications

References 17 publications

Instrumento de rastreio para disfagia orofaríngea no Acidente Vascular Encefálico - Parte I: evidências de validade baseadas no conteúdo e nos processos de resposta

Instrumento de rastreio para disfagia orofaríngea no Acidente Vascular Encefálico - Parte I: evidências de validade baseadas no conteúdo e nos processos de resposta

Development, Validity and Reliability of Dysphagia Assessment Test in Iranian Adults after Stroke

Evolução da deglutição no pós-AVC agudo: estudo descritivo

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