Dysphagia screening tools for acute stroke patients available for nurses: A systematic review
Background & Aim: There is a high incidence of dysphagia after stroke that, depending on the assessment, methodology and time elapsed, can range from 8.1% to 80%. Early and systemic dysphagia screening is associated with a decreased risk of aspiration pneumonia and prevents inadequate hydration/...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2019-07-01
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| Series: | Nursing Practice Today |
| Subjects: | |
| Online Access: | https://npt.tums.ac.ir/index.php/npt/article/view/470 |
| _version_ | 1818107559290077184 |
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| author | Isabel de Jesus Oliveira Liliana Andreia Neves da Mota Susana Vaz Freitas Pedro Lopes Ferreira |
| author_facet | Isabel de Jesus Oliveira Liliana Andreia Neves da Mota Susana Vaz Freitas Pedro Lopes Ferreira |
| author_sort | Isabel de Jesus Oliveira |
| collection | DOAJ |
| description | Background & Aim: There is a high incidence of dysphagia after stroke that, depending on the assessment, methodology and time elapsed, can range from 8.1% to 80%. Early and systemic dysphagia screening is associated with a decreased risk of aspiration pneumonia and prevents inadequate hydration/nutrition. The purpose of this systematic review was to identify dysphagia screening tools for acute stroke patients available for nurses validated against reference test. The research question was: which dysphagia screening tools for acute stroke patients available for nurses?
Methods & Materials: Three electronic databases were searched from January 2007 to November 2017: on PubMed, Scielo and CINAHL Plus. Two independent reviewers screened all titles and abstracts, assessed methodological quality and extracted data. The methodological quality analysis and evaluation was guided according to four domains: patient selection, index test, reference standard and flow and timing. Divergences between reviewers in data extraction were consensualized through discussion.
Results: From the 377 articles retrieved, only three articles met criteria for review: Barnes-Jewish Hospital-Stroke Dysphagia Screen; the Gugging Swallowing Screen and, The Toronto Bedside Swallowing Screening Test. None of the screening tools complies with all psychometric properties, which means that a still significant proportion of patients will be kept nil by mouth without being necessary or that some patients will “fall through the cracks” interrupting the diagnostic process. The tools identified are different from each other, making their comparison impracticable.
Conclusion: Due to psychometric proprieties and dietary recommendations adjusted to dysphagia severity, of all available tools, GUSS is a suitable screening tool for nurses in clinical practice. |
| first_indexed | 2024-12-11T02:01:23Z |
| format | Article |
| id | doaj.art-038cd2aa0da845d6a7d508d77e13ce70 |
| institution | Directory Open Access Journal |
| issn | 2383-1154 2383-1162 |
| language | English |
| last_indexed | 2024-12-11T02:01:23Z |
| publishDate | 2019-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Nursing Practice Today |
| spelling | doaj.art-038cd2aa0da845d6a7d508d77e13ce702022-12-22T01:24:29ZengTehran University of Medical SciencesNursing Practice Today2383-11542383-11622019-07-016310.18502/npt.v6i3.1253Dysphagia screening tools for acute stroke patients available for nurses: A systematic reviewIsabel de Jesus Oliveira0Liliana Andreia Neves da Mota1Susana Vaz Freitas2Pedro Lopes Ferreira3Portuguese Red Cross Northern Health School, Oliveira de Azeméis, PortugalPortuguese Red Cross Northern Health School, Oliveira de Azeméis, PortugalFaculty of Health Sciences, University Fernando Pessoa, Porto, PortugalFaculty of Economics, Coimbra University, Coimbra, PortugalBackground & Aim: There is a high incidence of dysphagia after stroke that, depending on the assessment, methodology and time elapsed, can range from 8.1% to 80%. Early and systemic dysphagia screening is associated with a decreased risk of aspiration pneumonia and prevents inadequate hydration/nutrition. The purpose of this systematic review was to identify dysphagia screening tools for acute stroke patients available for nurses validated against reference test. The research question was: which dysphagia screening tools for acute stroke patients available for nurses? Methods & Materials: Three electronic databases were searched from January 2007 to November 2017: on PubMed, Scielo and CINAHL Plus. Two independent reviewers screened all titles and abstracts, assessed methodological quality and extracted data. The methodological quality analysis and evaluation was guided according to four domains: patient selection, index test, reference standard and flow and timing. Divergences between reviewers in data extraction were consensualized through discussion. Results: From the 377 articles retrieved, only three articles met criteria for review: Barnes-Jewish Hospital-Stroke Dysphagia Screen; the Gugging Swallowing Screen and, The Toronto Bedside Swallowing Screening Test. None of the screening tools complies with all psychometric properties, which means that a still significant proportion of patients will be kept nil by mouth without being necessary or that some patients will “fall through the cracks” interrupting the diagnostic process. The tools identified are different from each other, making their comparison impracticable. Conclusion: Due to psychometric proprieties and dietary recommendations adjusted to dysphagia severity, of all available tools, GUSS is a suitable screening tool for nurses in clinical practice.https://npt.tums.ac.ir/index.php/npt/article/view/470screeningdysphagiastrokenurse |
| spellingShingle | Isabel de Jesus Oliveira Liliana Andreia Neves da Mota Susana Vaz Freitas Pedro Lopes Ferreira Dysphagia screening tools for acute stroke patients available for nurses: A systematic review Nursing Practice Today screening dysphagia stroke nurse |
| title | Dysphagia screening tools for acute stroke patients available for nurses: A systematic review |
| title_full | Dysphagia screening tools for acute stroke patients available for nurses: A systematic review |
| title_fullStr | Dysphagia screening tools for acute stroke patients available for nurses: A systematic review |
| title_full_unstemmed | Dysphagia screening tools for acute stroke patients available for nurses: A systematic review |
| title_short | Dysphagia screening tools for acute stroke patients available for nurses: A systematic review |
| title_sort | dysphagia screening tools for acute stroke patients available for nurses a systematic review |
| topic | screening dysphagia stroke nurse |
| url | https://npt.tums.ac.ir/index.php/npt/article/view/470 |
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