Bedside Screening to Detect Oropharyngeal Dysphagia in Patients with Neurological Disorders: An Updated Systematic Review
Bedside Screening to Detect Oropharyngeal Dysphagia in Patients with Neurological Disorders: An Updated Systematic Review
复制标题
DOI：
10.1007/s00455-013-9490-9
复制
发表时间：
2014-04-01
期刊：
影响因子：
2.6
通讯作者：
Plant, Chris
中科院分区：
文献类型：
--
作者：
Kertscher, Berit;Speyer, Renee;Plant, Chris
口咽吞咽困难是神经科患者的一种高度常见的并发症，严重威胁健康，可能与吸入性肺炎的结果有关，从住院到死亡。因此，早期识别风险，然后准确诊断口咽吞咽困难是根本。这篇系统性的综述提供了目前可用的床边筛查的最新进展，以确定神经科患者的口咽吞咽困难。电子检索数据库PubMed、Embase、CINAHL和心理学信息(前身为PenalLit)，2008年至2012年12月的所有命中结果都被纳入审查范围。只考虑具有足够方法学质量的研究，然后确定筛查工具的心理测量学特征。确定了两种相关的床边筛查，最低灵敏度和特异度分别为千分之70和千分之60%。
Oropharyngeal dysphagia is a highly prevalent comorbidity in neurological patients and presents a serious health threat, which may le to outcomes of aspiration pneumonia ranging from hospitalization to death. Therefore, an early identification of risk followed by an accurate diagnosis of oropharyngeal dysphagia is fundamental. This systematic review provides an update of currently available bedside screenings to identify oropharyngeal dysphagia in neurological patients. An electronic search was carried out in the databases PubMed, Embase, CINAHL, and PsychInfo (formerly PsychLit), and all hits from 2008 up to December 2012 were included in the review. Only studies with sufficient methodological quality were considered, after which the psychometric characteristics of the screening tools were determined. Two relevant bedside screenings were identified, with a minimum sensitivity and specificity of a parts per thousand yen70 and a parts per thousand yen60 %, respectively.