EBP Compendium: Summary of Systematic Review
Vårdal Institute; Swedish Institute for Health Science, Lund University
Detection of Eating Difficulties after Stroke: A Systematic Review
Westergren, A.
(2006).
International Nursing Review, 53(2), 143-149.
Indicators of Review Quality:
|
The review addresses a clearly focused question
| Yes |
|
Criteria for inclusion of studies are provided
| Yes |
|
Search strategy is described in sufficient detail for replication
| Yes* |
|
Included studies are assessed for study quality
| Yes |
|
Quality assessments are reproducible
| Yes |
Description: This is a review evaluating non-instrumental (with the exception of pulse oximetry) and non-invasive screening methods for bedside detection of eating difficulties among persons with stroke.
Question(s) Addressed:
Question not specifically stated.
Population: Adults (older than 19 years) with stroke
Intervention/Assessment: Non-instrumental (besides pulse oximetry) and non-invasive screening measures
Number of Studies Included: 17 (13 dealing with dysphagia, 4 dealing with eating difficulties in general)
Years Included: 1964 – 2004
Findings:
Conclusions:
Assessment/Diagnosis
Assessment Instruments
Swallowing
Bedside Swallow Assessment - Best evidence suggests the use of the standardized bedside swallowing assessment which includes the water swallow test to detect dysphagia in individuals with acute stroke.
Pulse Oximetry - Studies indicate that pulse oximetry can be an additional complement to the water swallow test, and "is likely to increase the possibility of detecting silent aspiration" (p. 148).
Keywords: Stroke, Swallowing Disorders, Clinical Bedside Assessment
Access the Review
Note:
*Literature search was limited to MedLine. Criteria used for quality assessment may have been "too generous" causing a bias towards 'strong evidence'.
Added to Compendium: December 2011