Instrumentos de rastreio para disfagia orofaríngea no acidente vascular encefálico

Abstract

Purpose: To identify the parameters present in the screening tools for oropharyngeal dysphagia in stroke published in the literature.Research strategy: For the selection of studies, the swallowing disorder descriptors stroke, screening, evaluation and dysphagia were used. MEDLINE, Embase, LILACS, SciELO and the Cochrane Library databases were consulted. Selection criteria: We selected articles in the English, Portuguese and Spanish languages published up to December 2014 whose methodological approach referred to screening tools for oropharyngeal dysphagia designed for adults with stroke. The parameters used in the various screening tools were grouped by equality and/or likeness. We performed a descriptive analysis and calculated the frequency of found parameters. Results: We found 688 articles and after consideration of the inclusion and exclusion criteria, 23 articles were effectively analyzed. Of the 20 tools found, 90% used some type of food offer orally in screening for dysphagia, mostly water. We found 19 different parameters not related to food offer and 12 parameters related to food offer. Conclusion: There is no consensus among the studies on the most sensitive and specific parameters to compose the screening method for oropharyngeal dysphagia in stroke.

Protocolo de rastreio multiprofissional de disfagia em pacientes com infecção HIV: elaboração e validação de conteúdo

“…O protocolo multiprofissional de rastreio de disfagia em pacientes HIV foi elaborado pelos pesquisadores do estudo com base no conteúdo de artigos presentes na literatura (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) , além da experiência dos autores para formulação da divisão dos itens e pontuação atribuída a eles.…”

Instrumentos de avaliação clínica para disfagia orofaríngea na doença de Parkinson: revisão sistemática

“…Therefore, the instruments of self-perception of dysphagia are not sensitive for this population (6) . Studies with other neurological diseases, such as stroke, have presented several protocols for the clinical evaluation of swallowing, with an investigation of the clinical signs of dysphagia after food supply in the most various consistencies (liquid, pasty, and solid) (20) . However, the evaluation and treatment of patients with PD have a different approach than that for post-stroke patients, considering the degenerative factor of PD, which makes it impossible to use the same protocols.…”

Instrumento de rastreio para disfagia orofaríngea no Acidente Vascular Encefálico - Parte I: evidências de validade baseadas no conteúdo e nos processos de resposta

“…The screening tool for OD will select patients who will need assessment of swallowing by a specialized professional. For the planning and development of the first version of the tool, a theoretical background was used with an extensive review already described in a previous study (14) , the databases that were used MEDLINE, EMBASE, LILACS, SciELO and Cochrane Library in order to determine the risk factors and OD symptoms to be identified by the entire health team in the stroke population. The languages selected were English, Portuguese and Spanish; there was no limitation of the date of publication.…”