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Bedside Screening to Detect Oropharyngeal Dysphagia in Patients with Neurological Disorders: An Updated Systematic Review

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Abstract

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 ≥70 and ≥60 %, respectively.

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For this article no grants or other financial support was received or supplied.

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Authors and Affiliations

  1. Institute of Health Studies, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands

    Berit Kertscher

  2. School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, PO Box 154, Townsville, QLD, 4811, Australia

    Renée Speyer & Chris Plant

  3. Department of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Center, Leiden, The Netherlands

    Renée Speyer

  4. Department of Neuroscience, University of Pisa, Pisa, Italy

    Maria Palmieri

Authors
  1. Berit Kertscher
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  2. Renée Speyer
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  3. Maria Palmieri
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  4. Chris Plant
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Correspondence to Berit Kertscher.

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Kertscher, B., Speyer, R., Palmieri, M. et al. Bedside Screening to Detect Oropharyngeal Dysphagia in Patients with Neurological Disorders: An Updated Systematic Review. Dysphagia 29, 204–212 (2014). https://doi.org/10.1007/s00455-013-9490-9

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  • DOI: https://doi.org/10.1007/s00455-013-9490-9

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