Screening for aspiration risk associated with dysphagia in acutestroke (Review)
Journal article
Boaden, Elizabeth, Burnell, Jane, Hives, Lucy, Dey, Paola, Clegg, Andrew, Lyons, Mary W., Lightbody, C. Elizabeth, Hurley, Margaret A., Roddam, Hazel, McInnes, Elizabeth, Alexandrov, Anne and Watkins, Caroline L.. (2021). Screening for aspiration risk associated with dysphagia in acutestroke (Review). Cochrane Database of Systematic Reviews. 2021(10), p. Article CD012679. https://doi.org/10.1002/14651858.CD012679.pub2
Authors | Boaden, Elizabeth, Burnell, Jane, Hives, Lucy, Dey, Paola, Clegg, Andrew, Lyons, Mary W., Lightbody, C. Elizabeth, Hurley, Margaret A., Roddam, Hazel, McInnes, Elizabeth, Alexandrov, Anne and Watkins, Caroline L. |
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Abstract | Background Objectives • To determine the diagnostic accuracy and the sensitivity and specificity of bedside screening tests for detecting risk of aspiration associated with dysphagia in people with acute stroke Secondary objectives • To assess the influence of the following sources of heterogeneity on the diagnostic accuracy of bedside screening tools for dysphagia ‐ Patient demographics (e.g. age, gender) ‐ Time post stroke that the study was conducted (from admission to 48 hours) to ensure only hyperacute and acute stroke swallow screening tools are identified ‐ Definition of dysphagia used by the study ‐ Level of training of nursing staff (both grade and training in the screening tool) ‐ Low‐quality studies identified from the methodological quality checklist ‐ Type and threshold of index test ‐ Type of reference test Search methods Selection criteria Data collection and analysis Main results We assessed a total of six studies as low risk across all four QUADAS‐2 risk of bias domains, and we rated 15 studies as low concern across all three applicability domains. No single study demonstrated 100% sensitivity and specificity with low risk of bias for all domains. The best performing combined water swallow and instrumental tool was the Bedside Aspiration test (n = 50), the best performing water plus other consistencies tool was the Gugging Swallowing Screen (GUSS; n = 30), and the best water only swallow screening tool was the Toronto Bedside Swallowing Screening Test (TOR‐BSST; n = 24). All tools demonstrated combined highest sensitivity and specificity and low risk of bias for all domains. However, clinicians should be cautious in their interpretation of these findings, as these tests are based on single studies with small sample sizes, which limits the estimates of reliability of screening tests. Authors' conclusions |
Year | 2021 |
Journal | Cochrane Database of Systematic Reviews |
Journal citation | 2021 (10), p. Article CD012679 |
Publisher | John Wiley & Sons Ltd |
ISSN | 1465-1858 |
Digital Object Identifier (DOI) | https://doi.org/10.1002/14651858.CD012679.pub2 |
Scopus EID | 2-s2.0-85117314392 |
Page range | 1-102 |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 18 Oct 2021 |
Publication process dates | |
Deposited | 28 Nov 2022 |
https://acuresearchbank.acu.edu.au/item/8y7v1/screening-for-aspiration-risk-associated-with-dysphagia-in-acutestroke-review
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