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

Abstract:

:Oropharyngeal dysphagia is a highly prevalent comorbidity in neurological patients and presents a serious health threat, which may le 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.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Kertscher B,Speyer R,Palmieri M,Plant C

doi

10.1007/s00455-013-9490-9

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

204-12

issue

2

eissn

0179-051X

issn

1432-0460

journal_volume

29

pub_type

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