Summary:Aim: The purpose of this study was to develop a revised version of the Brief Bedside Dysphagia Screening Test for determining penetration/aspiration risk in patients prone to dysphagia. The priority was to achieve high sensitivity and negative predictive value. Methods: The study screeners conducted bedside assessment of the swallowing function in 157 patients with a neurological (mainly stroke) or an ear, nose, and throat diagnosis (mainly head and neck cancer). The results were compared with a gold standard, flexible endoscopic examination of swallowing. Results: For the neurological subgroup (N = 106), eight statistically significant bedside assessment items were combined into the Brief Bedside Dysphagia Screening Test-Revised (BBDST-R). Cut-off score 1 produced the highest sensitivity (95.5%; 95% confidence interval CI [CI]: 84.9-98.7%) and negative predictive value (88.9%; 95% CI 67.2-96.9%). Conclusion: The BBDST-R is suitable for dysphagia screening in departments caring for patients with neurological conditions.
In patients who are prone to impaired swallowing, dysphagia screening has been advocated. However, most dysphagia screening tests are lacking gold-standard validation and nurse screeners. The purpose of this study was to develop a nursing dysphagia screening test to determine the penetration or aspiration risk in patients with neurological and ear, nose, and throat conditions. Eighty-seven Czech patients underwent a bedside assessment by nurse screeners. A comparison of the results to the gold standard, flexible endoscopic examination of swallowing, identified eight "important" or "marginal" assessment items, which were combined into one test, called the Brief Bedside Dysphagia Screening Test: "ability to clench the teeth"; "symmetry/strength of the tongue"; "symmetry/strength of the facial muscles"; "symmetry/strength of the shoulder shrug"; "dysarthria"; "thick liquid: choking"; "thick liquid: dripping from the mouth"; and "thick liquid: cough". The sensitivity, specificity, and negative predictive value of the Brief Bedside Dysphagia Screening Test were: 87.1%, 30.4%, and 81%, respectively, in all patients; 95.2%, 27.5%, and 93.3%, respectively, in patients with neurological conditions; and 60%, 60%, and 42.9%, respectively, in patients with ear, nose, and throat conditions. The test is more suitable for patients with neurological conditions than for more heterogeneous patient populations.
The aim of the study was to find out the quality of life in patients with laryngeal cancer after the treatment and to compare it with the quality of life of the general population of the same average age.Data collection was conducted through a cross-sectional quantitative survey using the standardized World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), including the population standards for the age groups. Data collection was undertaken in patients treated at the Otorhinolaryngological Department. Data from 42 patients, with an average age of 70 (16 patients with permanent tracheostomy) were evaluated. A t-test was used for the statistical evaluation of the quality of life in patients after the treatment of laryngeal cancer and the general population of the same average age.We found out that patients displayed a higher quality of life in most areas of the WHOQOL-BREF (physical health, psychological health, social relationships, environment, and overall quality of life and health). A difference was found in the area of physical health, which patients rated lower than the other surveyed areas. The use of the paired t-test for equal and unequal variances demonstrated a statistically significant difference in the subjective WHOQOL-BREF assessment of the quality of life between patients after the treatment of laryngeal cancer and the general population of the given average age.From a practical point of view (clinical intervention), it cannot be clearly stated that the results of the quality of life of patients after the treatment of laryngeal cancer are significantly different from the values of the given average age population.
Difficulties in swallowing are a frequent and potentially severe problem. Dysphagia can be encountered in any period of life, but the prevalence is essentially higher in seniors (Roy et al., 2007, p. 858-865). Due to the population aging (Czech Statistical Office, 2009), it is to expect that the occurrence of swallowing disorders will ever be increased with increasing the average life span. In the dysphagia diagnostics, on the one hand, objective data resulting from the patient examination are obtained, but it is also suitable to consider subjective data, which are accumulated in the course of interviews. The Eating Assessment Tool (EAT-10) (Belafsky et al., 2008, p. 919-924) may be used for this purpose. The target of the study presented here was to test the tool in an available sample of seniors, to determine the rate of occurrence of subjectively observed problems in swallowing and to describe the measure of their importance. These were seniors over 65 years of age from institutions of the health and social care in the Liberec Region. The mentioned tool EAT-10 consisting of ten items focused on the subjective assessment of the existence of problems in swallowing was employed. The rate of the problems and measure of their importance were determined. The condition for including the senior into the examination was successful completing of testing cognitive functions-Mini-Cog (Borson et al., 2006, p. 349-355) and signing the informed consent. The sample included 124 respondents over 65 years of age. The research examination revealed that total of 51 (41%) of respondents felt subjective difficulties in swallowing; 31 (25%) of respondents had the total score according to the tool EAT-10 ≥3 points (the maximum possible score being of 40 points). The average measure of the importance of subjectively considered problems in swallowing, as obtained in particular items, was of 1.5-2.42 points (0 = no problem, 4 = major problem).
Cílem šetření bylo zjistit četnost subjektivně pociťovaných potíží s polykací funkcí mezi klienty sociálních zařízení následné péče za pomoci zahraničního nástroje nazvaného Dotazník o přijímání potravy (Eating Assessment Tool, EAT-10). Dalším cílem bylo zjistit časovou zátěž spojenou s administrací tohoto nástroje v praxi. Metody: Nástroj EAT-10 byl přeložen do češtiny a v pretestu byla ověřena jeho srozumitelnost. Poté byl nástroj, pomocí rozhovoru, použit v 5 sociálních zařízeních následné péče. Před dotazováním byl proveden screening kognitivních funkcí za pomoci testu Mini-Cog, který sloužil k vyřazení klientů s nedostatečnou kognitivní funkcí z dalšího testování. Výsledky: Do studie bylo zařazeno 117 respondentů ve věku 65 let a výše, z nichž 104 úspěšně prošlo testem Mini-Cog. Více než polovina z nich (58) uvádí polykací potíže. K použití nástroje EAT-10 bylo u 1 respondenta potřeba cca 4-5 minut. Závěr: Klienti sociálních zařízení následné péče často subjektivně vnímali polýkání jako problematické. Nástroj EAT-10 lze použít při získávání základních údajů o polykání u těchto klientů.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.