BACKGROUND AND PURPOSE: Swallowing screens after acute stroke identify those patients who do not need a formal swallowing evaluation and who can safely take food and medications by mouth. We conducted a systematic review to identify swallowing screening protocols that met basic requirements for reliability, validity, and feasibility. METHODS: We searched MEDLINE and supplemented results with references identified through other databases, journal tables of contents, and bibliographies. All relevant references were reviewed and evaluated with specific criteria. RESULTS: Of 35 protocols identified, 4 met basic quality criteria. These 4 had high sensitivities of ≥87% and high negative predictive values of ≥91% when a formal swallowing evaluation was used as the gold standard. Two protocols had greater sample sizes and more extensive reliability testing than the others. CONCLUSIONS: We identified only 4 swallowing screening protocols for patients with acute stroke that met basic criteria. Cost-effectiveness of screening, including costs associated with false-positive results and impact of screening on morbidity, mortality, and length of hospital stay, requires elucidation.
BACKGROUND AND PURPOSE: Swallowing screens after acute stroke identify those patients who do not need a formal swallowing evaluation and who can safely take food and medications by mouth. We conducted a systematic review to identify swallowing screening protocols that met basic requirements for reliability, validity, and feasibility. METHODS: We searched MEDLINE and supplemented results with references identified through other databases, journal tables of contents, and bibliographies. All relevant references were reviewed and evaluated with specific criteria. RESULTS: Of 35 protocols identified, 4 met basic quality criteria. These 4 had high sensitivities of ≥87% and high negative predictive values of ≥91% when a formal swallowing evaluation was used as the gold standard. Two protocols had greater sample sizes and more extensive reliability testing than the others. CONCLUSIONS: We identified only 4 swallowing screening protocols for patients with acute stroke that met basic criteria. Cost-effectiveness of screening, including costs associated with false-positive results and impact of screening on morbidity, mortality, and length of hospital stay, requires elucidation.
Authors: Kamakshi Lakshminarayan; Albert W Tsai; Xin Tong; Gabriela Vazquez; James M Peacock; Mary G George; Russell V Luepker; David C Anderson Journal: Stroke Date: 2010-10-14 Impact factor: 7.914
Authors: Rosemary Martino; Frank Silver; Robert Teasell; Mark Bayley; Gordon Nicholson; David L Streiner; Nicholas E Diamant Journal: Stroke Date: 2008-12-12 Impact factor: 7.914
Authors: Danielle E Turner-Lawrence; Meredith Peebles; Marlow F Price; Sam J Singh; Andrew W Asimos Journal: Ann Emerg Med Date: 2009-04-11 Impact factor: 5.721