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 |
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Criteria for inclusion of studies are provided
| Yes |
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Search strategy is described in sufficient detail for replication
| Yes |
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Included studies are assessed for study quality
| Yes |
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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