Valid Items for Screening Dysphagia Risk in Patients With Stroke

Daniels, Stephanie K.; Anderson, Jane; Willson, Pamela

doi:10.1161/strokeaha.111.640946

Cited by 161 publications

(154 citation statements)

References 36 publications

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“…Screening is the essential first step in identifying risk of dysphagia that expedites referral to speech pathology for evaluation and treatment (31). As for the BBDST-R, it has already been implemented in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Development of the Brief Bedside Dysphagia Screening Test – Revised: a Cross-Sectional Czech Study

Mandysová

Ehler

Škvrňáková

et al. 2015

Acta Med. (Hradec Kralove, Czech Repub.)

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Summary:Aim: The purpose of this study was to develop a revised version of the Brief Bedside Dysphagia Screening Test for determining penetration/aspiration risk in patients prone to dysphagia. The priority was to achieve high sensitivity and negative predictive value. Methods: The study screeners conducted bedside assessment of the swallowing function in 157 patients with a neurological (mainly stroke) or an ear, nose, and throat diagnosis (mainly head and neck cancer). The results were compared with a gold standard, flexible endoscopic examination of swallowing. Results: For the neurological subgroup (N = 106), eight statistically significant bedside assessment items were combined into the Brief Bedside Dysphagia Screening Test-Revised (BBDST-R). Cut-off score 1 produced the highest sensitivity (95.5%; 95% confidence interval CI [CI]: 84.9-98.7%) and negative predictive value (88.9%; 95% CI 67.2-96.9%). Conclusion: The BBDST-R is suitable for dysphagia screening in departments caring for patients with neurological conditions.

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Section: Discussionmentioning

confidence: 99%

Development of the Brief Bedside Dysphagia Screening Test – Revised: a Cross-Sectional Czech Study

Mandysová

Ehler

Škvrňáková

et al. 2015

Acta Med. (Hradec Kralove, Czech Repub.)

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“…Early identification of dysphagia provides early intervention therefore contributes to reduce dysphagia complications, length of hospital stay, and healthcare costs especially for patients with neurological patients. 21 We found that the T-EAT-10 correlated with PAS scores, which means that neurological patients with aspiration presented higher scores in T-EAT-10. To support our findings, we investigated the sensitivity and specificity of the T-EAT-10.…”

Section: Discussionmentioning

confidence: 61%

The Ability of the Eating Assessment Tool-10 to Detect Aspiration in Patients With Neurological Disorders

Arslan

Demir

Kılınç

et al. 2017

J Neurogastroenterol Motil

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Background/AimsDysphagia is common in patients with neurological disorders. There is a need to identify patients at risk early by a useful clinical tool to prevent its serious complications. The study aims to determine the ability of the Turkish version of Eating Assessment Tool-10 (T-EAT-10) to detect aspiration in patients with neurological disorders. MethodsTwo hundred fifty-nine patients with neurological disorders who had complaints about swallowing difficulty and referred for a swallowing evaluation were included. Oropharyngeal dysphagia was evaluated with the T-EAT-10 and videofluoroscopic swallowing study in the same day. The penetration-aspiration scale (PAS) was used to document the penetration and aspiration severity. ResultsThe mean age of the patients was 59.72 ± 17.24 years (minimum [min] = 18, maximum [max] = 96), of which 57.1% were male. The mean T-EAT-10 of patients who had aspiration (PAS > 5) was 25.91 ± 10.31 (min = 1, max = 40) and the mean T-EAT-10 of patients who did not have aspiration (PAS < 6) was 15.70 ± 10.54 (min = 0, max = 40) (P < 0.001). Patients with a T-EAT-10 score higher than 15 were 2.4 times more likely to aspirate. A linear correlation was found between T-EAT-10 and PAS scores of the patients (r = 0.416, P < 0.001). The sensitivity of a T-EAT-10 higher than 15 in detecting aspiration was 81.0% and the specificity was 58.0%. A T-EAT-10 score of higher than 15 has a positive predictive value of 72.0% and a negative predictive value of 69.0%. ConclusionThe T-EAT-10 can be used to detect unsafe airway protection in neurology clinics to identify and refer dysphagic patients for further evaluation.

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“…However, a recent review identified valid elements for screening for dysphagia risk and also identified a water swallow test as being an important part of the screen. 2 The protocol as shown in the CDS flow chart includes a water swallow test and also many non-swallow elements (e.g. dysarthria) identified in the review as valid screening items.…”

Section: Interventionmentioning

confidence: 99%

Electromechanical and Robot-Assisted Arm Training After Stroke

Mehrholz

Hädrich

Platz

et al. 2012

Stroke

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O ur results were not conclusive. We found that patients who receive electromechanical-assisted arm training after stroke are more likely to improve their generic activities of daily living and may improve arm function. The findings indicate, however, that motor strength of the paretic arm is not more likely to improve when patients after stroke train with electromechanical devices or robots. Because adverse events were rare, based on the data of 19 trials, these devices could be applied as a rehabilitation tool, but we still do not know when and how often they should be used.There is still a need for well-designed large-scale multicenter studies to evaluate benefits and harms of electromechanical-assisted arm training after stroke. Further research should address specific questions about the optimal type, timing, frequency, and duration of electromechanical and robot-assisted arm training.Background and Purpose-More than two thirds of all patients after stroke have difficulties with reduced arm function.Electromechanical and robot-assisted arm training devices are used in rehabilitation and might help to improve arm function after stroke. Our systematic review examined the effectiveness of electromechanical and robot-assisted arm training for improving generic activities of daily living, arm function, and arm muscle strength in patients after stroke and also assessed the acceptability and safety of the therapy.

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Valid Items for Screening Dysphagia Risk in Patients With Stroke

Cited by 161 publications

References 36 publications

Development of the Brief Bedside Dysphagia Screening Test – Revised: a Cross-Sectional Czech Study

Development of the Brief Bedside Dysphagia Screening Test – Revised: a Cross-Sectional Czech Study

The Ability of the Eating Assessment Tool-10 to Detect Aspiration in Patients With Neurological Disorders

Electromechanical and Robot-Assisted Arm Training After Stroke

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