Bedside Screening to Detect Oropharyngeal Dysphagia in Patients with Neurological Disorders: An Updated Systematic Review

被引:0
作者
Berit Kertscher
Renée Speyer
Maria Palmieri
Chris Plant
机构
[1] HAN University of Applied Sciences,Institute of Health Studies
[2] James Cook University,School of Public Health, Tropical Medicine and Rehabilitation Sciences
[3] Leiden University Medical Center,Department of Otorhinolaryngology and Head and Neck Surgery
[4] University of Pisa,Department of Neuroscience
来源
Dysphagia | 2014年 / 29卷
关键词
Bedside screening; Videofluoroscopy; Fiber-optic endoscopy; Psychometrics; Deglutition; Deglutition disorders;
D O I
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中图分类号
学科分类号
摘要
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.
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页码:204 / 212
页数:8
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