Early Dysphagia Screening in Stroke Patients

Annotated Bibliography: Early Dysphagia Screening in Stroke Patients
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Annotated Bibliography: Early Dysphagia Screening in Stroke Patients
Aisah, S., & Waluyo, A. (2019). Nursing Dysphagia Screening Occurrence of Pneumonia among Stroke Patients in Indonesia: A Literature Review. International Journal of Nursing and Health Services, 2(1), 32-39. https://ijnhs.net/index.php/ijnhs/article/view/58/39
In this article, Aisah and Waluyo (2019) describe the use of dysphagia screening among nurses to prevent pneumonia in stroke patients in Indonesia. The authors conducted a literature review of articles published in various databases to identify the most effective tool used by nurses in dysphagia screening. The results of the literature review reveal that dysphagia screening in stroke patients is crucial and that the National Institutes of Health Stroke Scale Screening is the most effective dysphagia screening tool.
Eltringham, S., Kilner, K., Gee, M., Sage, K., Bray, B., Pownall, S., et al. (2018). Impact of Dysphagia Assessment and Management on Risk of Stroke-Associated Pneumonia: A Systematic Review. Cerebrovascular Disease, 46, 97-105. https://doi.org/10.1159/000492730
This article examined the effect of dysphagia assessment on pneumonia among stroke patients. Using a systematic review, the authors found that early dysphagia screening, utilization of a formal screening protocol, and speech/language pathologists' assessments were linked to a lower risk of pneumonia among stroke patients. This was attributed to the fact that dysphagia assessment enhances the management of dysphagia, resulting in a reduced risk of developing stroke-associated pneumonia. The results of this study will be useful in supporting how early dysphagia screening among stroke patients can be used to address pneumonia.
Henke, C., Foerch, C., & Lapa, S. (2017). Early Screening Parameters for Dysphagia in Acute Ischemic Stroke. Cerebrovascular Diseases, 44, 285-290. https://doi.org/10.1159/000480123
In this study, the researchers investigate the predictors of dysphagia that can be used to identify and detect dysphagia. They conducted a prospective study and their results indicate that higher scores on the National Institute of Health Stroke Scale (NIHSS), as well as older age, are the main predictors of stroke-related pneumonia among patients with dysphagia. These results are useful as they indicate what should be considered while assessing stroke patients for pneumonia.
Joundi, R., Martino, R., Saposnik, G., Giannakeas, V., Fang, J., & Kapral, M. (2017). Predictors and Outcomes of Dysphagia Screening After Acute Ischemic Stroke. Stroke, 48(4), 900-906. https://doi.org/10.1161/STROKEAHA.116.015332
The article examined the relationship between a failed dysphagia screening and dysphagia-associated complications such as pneumonia, disability, and death. The results of the study reveal that dysphagia screening and documentation are more common among patients with severe stroke. The results also indicate that patients who fail dysphagia screening are more likely to develop pneumonia, high dependency and disability, and experience death. The results of this study are useful because they support the importance of early dysphagia screening among stroke patients.
Kim, S., Lee, S., Lee, K., Lee, J., & Kim, D. (2018). Usefulness of Early Videofluoroscopic Swallowing Study in Acute Stroke Patients With Dysphagia. Annals of Rehabilitation Medicine, 42(1), 42-51. https://doi.org/10.5535/arm.2018.42.1.42
This study investigated the use of early videofluoroscopic swallowing study in screening stroke patients with dysphagia. The results indicate that almost 80% of the patients in the study were found to need restrictive feeding methods and about 7% of the patients were found to have aspiration pneumonia. The results of this study will be useful in supporting the importance of relying on effective screening tools to prevent stroke-associated pneumonia.
Liang, J., Yin, Z., Li, Z., Gu, H., Yang, K., Xiong, Y., et al. (2022). Predictors of Dysphagia Screening and Pneumonia among Patients with Acute Ischaemic Stroke in China: Findings from the Chinese Stroke Center Alliance (CSCA). Stroke and Vascular Neurology. http://doi.org/10.1136/svn-2020-000746
This article examines dysphagia screening and pneumonia among stroke patients during hospitalization. Using data from a multicentre, prospective program, the article reveals that admission to stroke units and dysphagia screening is linked to a high risk of pneumonia. The article also reveals that about 78% of stroke patients receive dysphagia screening and about 8% of these patients developed pneumonia. This article provides useful information that can be used to establish the relationship between dysphagia screening and the risk of pneumonia among stroke patients.
Lopes, M., Freitas, E., Oliveira, M., Dantas, E., Azevado, N., Rodrigues, P., et al. (2018). Impact of the systematic use of the Gugging Swallowing Screen in patients with acute ischaemic stroke. European Journal of Neurology, 26(5), 722-726. https://doi.org/10.1111/ene.13825
This study investigated the use of GUSS in patients with stroke and how GUSS application influences the occurrence of pneumonia. Through a retrospective study, the researchers established that the use of GUSS does not lower the risk of pneumonia among stroke patients when compared to the use of the 10-mL water-swallowing test. This study provides insights into the differences or similarities in the effectiveness of dysphagia screening tools, which can be useful in my study.
Ouyang, M., Boaden, E., Arima, H., Lavados, P., Billot, L., Hackett, M., et al. (2020). Dysphagia Screening and Risks of Pneumonia and Adverse Outcomes after Acute Stroke: An International Multicenter Study. International Journal of Stroke, 15(2), 206-215. https://doi.org/10.1177/1747493019858778
This study examined the effects of dysphagia screening and assessment among stroke patients on their clinical outcomes. Using a prospective cohort study, the researchers compared the effects of dysphagia screening and dysphagia assessment. Their results indicate that failing a dysphagia screening or assessment is associated with an increased risk of pneumonia. The results support the need for dysphagia screening in not only determining the risk of pneumonia but also other poor health outcomes among stroke patients.
Palli, C., Fandler, S., Doppelhofer, K., Niedekorn, K., Enzinger, C., Vetta, C., et al. (2017). Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients: A Clinical Intervention Study. Stroke, 48(9), 2583-2585. https://doi.org/10.1161/STROKEAHA.117.018157
This clinical intervention study investigated whether early dysphagia screening reduces dysphagia-related complications such as pneumonia among stroke patients. Through a pre-post-intervention trial, the study found that patients who received early dysphagia screening in the intervention group had reduced rates of pneumonia as well as reduced hospitalization when compared to...