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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Stroke+Cerebrovasc+Dis
2014 ; 23
(4
): 712-6
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A simple bedside stroke dysphagia screen, validated against videofluoroscopy,
detects dysphagia and aspiration with high sensitivity
#MMPMID23910514
Edmiaston J
; Connor LT
; Steger-May K
; Ford AL
J Stroke Cerebrovasc Dis
2014[Apr]; 23
(4
): 712-6
PMID23910514
show ga
BACKGROUND: Early identification of dysphagia is associated with lower rates of
pneumonia after acute stroke. The Barnes-Jewish Hospital Stroke Dysphagia Screen
(BJH-SDS) was previously developed as a simple bedside screen performed by nurses
for sensitive detection of dysphagia and was previously validated against the
speech pathologist's clinical assessment for dysphagia. In this study, acute
stroke patients were prospectively enrolled to assess the accuracy of the BJH-SDS
when tested against the gold standard test for dysphagia, the videofluoroscopic
swallow study (VFSS). METHODS: Acute stroke patients were prospectively enrolled
at a large tertiary care inpatient stroke unit. The nurse performed the BJH-SDS
at the bedside. After providing consent, patients then underwent VFSS for
determination of dysphagia and aspiration. The VFSS was performed by a speech
pathologist who was blinded to the results of the BJH-SDS. Sensitivity and
specificity were calculated. Pneumonia rates were assessed across the 5-year
period over which the BJH-SDS was introduced into the stroke unit. RESULTS: A
total of 225 acute stroke patients were enrolled. Sensitivity and specificity of
the screen to detect dysphagia were 94% and 66%, respectively. Sensitivity and
specificity of the screen to detect aspiration were 95% and 50%, respectively. No
increase in pneumonia was identified during implementation of the screen (P =
.33). CONCLUSION: The BJH-SDS, validated against videofluoroscopy, is a simple
bedside screen for sensitive identification of dysphagia and aspiration in the
stroke population.