Bedside screening to detect oropharyngeal dysphagia in patients with neurological disorders: an updated systematic review

Kertscher, Berit, Speyer, Renee, Palmieri, Maria, and Plant, Chris (2014) Bedside screening to detect oropharyngeal dysphagia in patients with neurological disorders: an updated systematic review. Dysphagia, 29 (2). pp. 204-212.

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Abstract

Oropharyngeal dysphagia is a highly prevalent comorbidity in neurological patients and presents a serious health threat, which may lead to outcomes of aspiration pneumonia ranging from hospitalization to death. Therefore, an early identification of risk followed by an accurate diagnosis of oropharyngeal dysphagia is fundamental. This systematic review provides an update of currently available bedside screenings to identify oropharyngeal dysphagia in neurological patients. An electronic search was carried out in the databases PubMed, Embase, CINAHL, and PsychInfo (formerly PsychLit), and all hits from 2008 up to December 2012 were included in the review. Only studies with sufficient methodological quality were considered, after which the psychometric characteristics of the screening tools were determined. Two relevant bedside screenings were identified, with a minimum sensitivity and specificity of ≥70 and ≥60 %, respectively.

Item ID: 31028
Item Type: Article (Research - C1)
ISSN: 1432-0460
Keywords: bedside screening; videofluoroscopy; fiber-optic endoscopy; psychometrics; deglutition; deglutition disorders
Date Deposited: 26 Feb 2014 04:09
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110315 Otorhinolaryngology @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920210 Nursing @ 20%
92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 20%
92 HEALTH > 9202 Health and Support Services > 920203 Diagnostic Methods @ 60%
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