American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review


Does the Presence of a Tracheostomy Tube Impede Swallowing? A Critical Appraisal of the Evidence

McMahon-Lesic, J. (2003).
Asia Pacific Journal of Speech, Language and Hearing, 8, 105-115.

Indicators of Review Quality:

The review addresses a clearly focused question Yes
Criteria for inclusion of studies are provided No
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 systematic review of published articles pertaining to the effect of a tracheostomy tube on swallowing.

Question(s) Addressed:

Does the presence of a tracheostomy tube impede swallowing?

Population: Patients with tracheostomies (not further specified)

Intervention/Assessment: Tracheostomy

Number of Studies Included: 19

Years Included: 1960 – "onwards" (most recent study was one published in 1999)

Findings:

Conclusions:

"Despite the above concerns, the current literature demonstrated a large amount of clinical evidence (as opposed to scientific evidence) to support the notion that a tracheostomy tube does influence swallowing" (p. 108).

Keywords: Swallowing Disorders, Tracheostomy

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Added to Compendium: December 2011

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