American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review


Dysphagia after Stroke: Incidence, Diagnosis, and Pulmonary Complications

Martino, R., Foley, N., et al. (2005).
Stroke, 36(12), 2756-2763.

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 No

Description: This is a review of published studies investigating the incidence of dysphagia or pneumonia in stroke patients.

Question(s) Addressed:

What is the incidence of dysphagia and associated pulmonary compromise in stroke patients?

Population: Adults treated in acute, rehabilitation, or chronic facilities following stroke

Intervention/Assessment: Not applicable

Number of Studies Included: 24

Years Included: 1966 - May 2005

Findings:

Conclusions:

  • Assessment/Diagnosis
    • Assessment Areas
      • Swallowing
        • "The high incidence for dysphagia and pneumonia is a consistent finding with stroke patients. The pneumonia risk is greatest in stroke patients with aspiration" (p. 2756).
        • Percentages of patients identified with dysphagia ranged from 25% to 67%.
    • Assessment Instruments
      • Swallowing
        • Incidence of dysphagia was highest when instrumental and clinical methods were used in identification and lowest when screening methods were used.

Keywords: Stroke, Swallowing Disorders

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Added to Compendium: December 2011

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