EBP Compendium: Summary of Systematic Review
Vårdal Institute; Swedish Institute for Health Science, Lund University
Detection of Eating Difficulties after Stroke: A Systematic Review
International Nursing Review, 53(2), 143-149.
Indicators of Review Quality:
The review addresses a clearly focused question
Criteria for inclusion of studies are provided
Search strategy is described in sufficient detail for replication
Included studies are assessed for study quality
Quality assessments are reproducible
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 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
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
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*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