Antonino Maniaci1, Jerome R Lechien2, Emanuele D'amico3, Ignazio La Mantia4, Francesco Cancemi5, Francesco Patti6, Claudio Faia7, Elio Privitera8, Milena Di Luca9, Giannicola Iannella10, Giuseppe Magliulo11, Annalisa Pace12, Paola Di Mauro13, Christian Calvo-Henriquez14, Salvatore Ferlito15, Gaetano Motta16, Giuditta Mannelli17, Mario Zappia18, Claudio Vicini19, Salvatore Cocuzza20. 1. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section; University of Catania- Italy. tnmaniaci29@gmail.com. 2. 2 Research Committee of the Young Otolaryngologists, International Federations of ORL Societies, Paris, France. 3 Department of Human Anatomy and Experimental Oncology, School of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium. 4 Department of Otorhinolaryngology-Head and Neck Surgery, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium. 5 Department of Otolaryngology-Head and Neck Surgery, Foch Hospital (University of Paris-Saclay), Paris, France. Jerome.LECHIEN@umons.ac.be. 3. Department "G.F. Ingrassia", MS Center, Organization University of Catania, Catania, Italy.. emanuele.damico@unict.it. 4. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section, University of Catania, Catania, Italy.. igolama@gmail.com. 5. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section, University of Catania, Catania, Italy.. francescocancemi95@gmail.com. 6. Department "G.F. Ingrassia", MS Center, Organization University of Catania, Catania, Italy. patti@unict.it. 7. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT . claudio.faia1295@gmail.com. 8. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section, University of Catania, Catania, Italy.. priviteraelio@gmail.com. 9. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section, University of Catania, Catania, Italy.. milenadiluca88@gmail.com. 10. 7 Department of Head-Neck Surgery, Otolaryngology, Head-Neck, and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy. 8 Department of 'Organi di Senso', University "Sapienza", Rome, Italy.. giannicola.iannella@uniroma1.it. 11. Department of 'Organi di Senso', University "Sapienza", Rome, Italy.. giuseppe.magliulo@uniroma1.it. 12. Department of 'Organi di Senso', University "Sapienza", Rome, Italy. annalisapace90@gmail.com. 13. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section, University of Catania, Catania, Italy. paola_mp86@hotmail.it. 14. Task Force COVID-19 of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS); Department of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain. christian.calvo.henriquez@gmail.com. 15. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section, University of Catania, Catania, Italy.. ferlito@unict.it. 16. Clinic of Otorhinolaryngology, Head and Neck Surgery Unit, Department of Anesthesiology, Surgical and Emergency Science, University of Campania "Luigi Vanvitelli", Naples, Italy.. gaetano.motta@unicampania.it. 17. Unit of Otorhinolaryngology-Head and Neck Surgery, Department of Surgery and Translational Medicine, University of Florence, AOU-Careggi, Florence, Italy.. mannelli.giuditta@gmail.com. 18. Department "G.F. Ingrassia", MS Center, Organization University of Catania, Catania, Italy.. m.zappia@unict.it. 19. Department of Head-Neck Surgery, Otolaryngology, Head-Neck, and Oral Surgery Unit, Morgagn. claudio@claudiovicini.com. 20. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section, University of Catania, Catania, Italy.. s.cocuzza@unict.it.
Abstract
PURPOSE: We performed a systematic review on the early assessment of swallowing function after cerebrovascular stroke. MATERIALS AND METHODS: A systematic review of the English language literature of the past 20 years was performed regarding swallowing function and cerebrovascular stroke. All articles reporting swallowing evaluation through clinical examination validated scores, and diagnostic tools were included in the summary. RESULTS: The systematic review of the literature identified 1,768 potentially relevant studies with 7 papers retrieved with a total of 589 stroke dysphagic patients. While at the clinical neurological assessment, The National Institutes of Health Stroke Scale was more frequently used as a clinical outcome predictor. The Bedside screening approach was carried out in 6 papers to assess patients with probable swallowing disorders. Among the diagnostic tools, seven studies performed the Flexible Fiberoptic Endoscopic evaluation assessing scoring validated system while two papers reported early swallowing outcomes Videofluoroscopic Swallow Study. CONCLUSIONS: Our systematic review revealed the findings significantly associated with dysphagia in post-cerebrovascular patients. Endoscopic evaluation of swallowing proved to be the most used method in the literature, effective in identifying early predictors of dysphagia. Given the presence of different assessing scores employed and reduced study samples enrolled, further studies with large courts are necessary for a greater significance.
PURPOSE: We performed a systematic review on the early assessment of swallowing function after cerebrovascular stroke. MATERIALS AND METHODS: A systematic review of the English language literature of the past 20 years was performed regarding swallowing function and cerebrovascular stroke. All articles reporting swallowing evaluation through clinical examination validated scores, and diagnostic tools were included in the summary. RESULTS: The systematic review of the literature identified 1,768 potentially relevant studies with 7 papers retrieved with a total of 589 stroke dysphagic patients. While at the clinical neurological assessment, The National Institutes of Health Stroke Scale was more frequently used as a clinical outcome predictor. The Bedside screening approach was carried out in 6 papers to assess patients with probable swallowing disorders. Among the diagnostic tools, seven studies performed the Flexible Fiberoptic Endoscopic evaluation assessing scoring validated system while two papers reported early swallowing outcomes Videofluoroscopic Swallow Study. CONCLUSIONS: Our systematic review revealed the findings significantly associated with dysphagia in post-cerebrovascular patients. Endoscopic evaluation of swallowing proved to be the most used method in the literature, effective in identifying early predictors of dysphagia. Given the presence of different assessing scores employed and reduced study samples enrolled, further studies with large courts are necessary for a greater significance.
Authors: Penny F Whiting; Anne W S Rutjes; Marie E Westwood; Susan Mallett; Jonathan J Deeks; Johannes B Reitsma; Mariska M G Leeflang; Jonathan A C Sterne; Patrick M M Bossuyt Journal: Ann Intern Med Date: 2011-10-18 Impact factor: 25.391
Authors: Walmari Pilz; Sophie Vanbelle; Bernd Kremer; Michel R van Hooren; Tine van Becelaere; Nel Roodenburg; Laura W J Baijens Journal: Dysphagia Date: 2016-01-23 Impact factor: 3.438