Department of Occupational Therapy and Physiotherapy, Copenhagen University Hospital, Rigshospitalet, Denmark.
RUBRIC (Research Unit on Brain Injury Rehabilitation), Department of Neurorehabilitation, TBI Unit, Copenhagen University Hospital, Rigshospitalet, Denmark.
BMJ Open. 2019 Jul 17;9(7):e029061. doi: 10.1136/bmjopen-2019-029061.
Dysphagia is highly prevalent in patients with acquired brain injury (ABI) and is associated with high morbidity and mortality. However, dysphagia management varies greatly between units and internationally, and there is currently no consensus, standard intervention or treatment. A review mapping the existing literature on dysphagia treatment is needed. In this paper, the protocol for a scoping review to identify and map dysphagia treatment following ABI is outlined.
The objective of the scoping review is to systematically map the existing research literature to answer the research question: METHODS AND ANALYSIS: The methodological framework for the study is based on methodology by Arksey and O'Malley and methodological advancement by Levac . We will search electronic databases in June 2019: MEDLINE (Ovid); Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library); EMBASE (Ovid); CINAHL (EBSCO); PsycINFO; Science Citation Index Expanded on Web of Science; OTseeker; Speechbite and PEDro. The search terms will be limited to patients with moderate to severe ABI and dysphagia. Four review authors will independently conduct an initial screening of title and abstract and subsequent full-text review of included studies. Data will be extracted and summarised in diagrammatic or tabular form (numerical summary), and a descriptive format (narrative summary). The strategy for data synthesis entails qualitative methods to categorise the interventions based on the treatment modality and subgroup diagnosis.
Scoping the existing literature will provide a foundation for further evaluating and developing our dysphagia treatment and inform future studies assessing the effectiveness of treatments. The review is part of an ongoing expansive research into dysphagia. The results will be disseminated through a peer-reviewed publication and conference presentations.
获得性脑损伤（ABI）患者中普遍存在吞咽困难，且与高发病率和死亡率相关。然而，吞咽困难的管理在各单位和国际间差异很大，目前尚无共识、标准干预或治疗措施。因此，需要对现有的吞咽困难治疗文献进行综述。本文概述了一项范围综述的方案，旨在确定和绘制 ABI 后吞咽困难的治疗方法。
该范围综述的目的是系统地绘制现有的研究文献，以回答研究问题：
研究的方法框架基于 Arksey 和 O'Malley 的方法以及 Levac 的方法学进展。我们将于 2019 年 6 月检索电子数据库：MEDLINE（Ovid）；Cochrane 对照试验中心注册库（CENTRAL，the Cochrane Library）；EMBASE（Ovid）；CINAHL（EBSCO）；PsycINFO；科学引文索引扩展版在 Web of Science 上；OTseeker；Speechbite 和 PEDro。检索词将限于中重度 ABI 和吞咽困难的患者。四位综述作者将独立进行初步标题和摘要筛选，然后对纳入研究进行全文审查。数据将以图表或表格形式（数值总结）和描述性格式（叙述总结）提取和总结。数据综合策略采用定性方法，根据治疗方式和亚组诊断对干预措施进行分类。
对现有文献进行范围综述将为进一步评估和开发吞咽困难治疗方法提供基础，并为未来评估治疗效果的研究提供信息。该综述是对吞咽困难进行广泛研究的一部分。研究结果将通过同行评议的出版物和会议报告进行传播。
