Screening for aspiration risk associated with dysphagia in acute stroke

Boaden, Elizabeth; Burnell, Jane; Hives, Lucy; Dey, Paola; Clegg, Andrew; Lyons, Mary; Lightbody, Catherine Elizabeth; Hurley, Margaret Anne; Roddam, Hazel; McInnes, Elizabeth; Alexandrov, Anne W.; Watkins, Caroline L

doi:10.1002/14651858.cd012679.pub2

Cited by 30 publications

(34 citation statements)

References 101 publications

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“…It’s been reported that dysphagia may occur without aspiration [ 27 ]. Conversely, high sensitive BSEs designed to detect also aspiration and tested against the FEES [ 28 – 30 ] are more likely to depict the real situation, thus being more useful to design studies on post-stroke aspiration prevention. Therefore, in clinical work, it is important to identify the risk factors for dysphagia to prevent and treat dysphagia after stroke.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review

Yang

Pan

2022

PLoS ONE

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Background Dysphagia is a common yet serious complication in stroke patients. We aimed to conduct a meta-analysis and systematic review to evaluate the risk factors of dysphagia in patients with ischemic stroke, to provide insights to the clinical treatment and nursing care of dysphagia. Methods We searched PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI) and Wanfang Database, China Biomedical Literature Database (CBM) for studies on dysphagia in patients with ischemic stroke up to January 31, 2022. The quality of the literature was evaluated using the Newcastle-Ottawa scale. Meta-analysis was performed using RevMan 5.3 software. Results A total of 10 studies involving 4637 ischemic stroke patients were included, 1183(25.51%) patients had dysphagia after stroke. The synthesized outcomes showed that elder age (SMD = 0.42, 95%CI:0.34–0.50), hypertension (OR = 1.96, 95%CI:1.48–2.61), diabetes (OR = 1.83, 95%CI:1.47–2.28), brainstem stroke (OR = 2.12, 95%CI:1.45–3.09) were associated with dysphagia in patients with ischemic stroke (all P<0.05). There was no significant difference in the gender between dysphagia and no dysphagia patients (OR = 1.07, 95%CI:0.91–1.27, P = 0.40). Egger regression tests indicated there were no significant publication biases in the synthesized outcomes (all P>0.05). Conclusions Elder age, hypertension, diabetes and brainstem stroke are associated with the development of dysphagia in patients with ischemic stroke. Attention should be paid to the assessment and early intervention of those risk factors for dysphagia to improve the prognosis of stroke patients.

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Section: Discussionmentioning

confidence: 99%

Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review

Yang

Pan

2022

PLoS ONE

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“…This review 1 guides policymakers and healthcare workers to select the most appropriate swallow screening test for their setting. Clinicians should consider these results with caution as the recommended screening tools had small sample sizes (n<100), which limits interpretation of the estimates of reliability.…”

Section: Resultsmentioning

confidence: 99%

Screening for Aspiration Risk Associated With Dysphagia in Acute Stroke

Boaden

Burnell

Hives

et al. 2022

Stroke

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“…Singuläre Untersuchungen ("Schlucktests") zeigen bei Dysphagien eine eingeschränkte Sensitivität und Spezifität, sodass es bisweilen auch zu einer Über-oder Unterschätzung von Dysphagien kommen kann [28]. Diese können dann einerseits bei zu protektiver Strategie zu einer ungerechtfertigten Dysphagiekost führen (bis hin zur Anlage einer perkutanen Gastrostomie, mit allen endoskopischen und infektiologischen Risiken) und andererseits bei liberaler Strategie das Risiko für eine (erneute) Aspiration und damit Pneumonie oder einem fulminanten Bolusgeschehen bergen ("Choking", akute Verlegung der Atemwege durch Nahrungsmittel).…”

Section: Schlucktestsunclassified

Was Schluckstörungen mit Hygiene zu tun haben

Bushuven,

Diesener,

Rauber

et al. 2023

Krankenhaushygiene up2date

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Screening for aspiration risk associated with dysphagia in acute stroke

Abstract: Trusted evidence. Informed decisions. Better health.

Cited by 30 publications

References 101 publications

Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review

Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review

Screening for Aspiration Risk Associated With Dysphagia in Acute Stroke

Was Schluckstörungen mit Hygiene zu tun haben

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