Centre for Neurosciences of Speech, The University of Melbourne, Melbourne, Australia.
Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, Australia.
JBI Evid Synth. 2020 Mar;18(3):599-609. doi: 10.11124/JBISRIR-D-19-00015.
This scoping review will identify and explore existing evidence on the use of instrumental swallowing assessment in the diagnosis and management of dysphagia in adults living in residential care facilities.
Oropharyngeal dysphagia is prevalent among adults living in residential care facilities. Videofluoroscopy and fiberoptic endoscopic evaluation of swallowing are instrumental assessment procedures commonly utilized in the evaluation of oropharyngeal dysphagia in hospital and community settings. However, little is known about the use of these procedures in residential care facilities. To ensure evidence-based assessment of oropharyngeal dysphagia and to guide future research, exploration of the current use and clinical utility of videofluoroscopy and fiberoptic endoscopic evaluation of swallowing in residential care facilities is needed.
Published and gray literature written in English from 2000 onward that discusses instrumental swallowing assessment of adults in residential care facilities will be included in the review.
A three-step search strategy will be used to explore relevant literature. All citations and articles retrieved during the searches will be imported into a software application for systematic reviews. Once duplicates are removed, two reviewers will screen the titles and abstracts against predefined inclusion criteria. Information will be extracted from literature that meets the selection criteria using a purposefully developed charting form. The search strategy and results will be illustrated through a Preferred Reporting Items for Systematic Reviews and Meta-Analyses diagram. Key findings and their relationship to the research questions will be summarized in a chart and discussed in interpretive narrative form.
本范围综述将确定并探讨现有证据，了解在居住护理机构中成年人吞咽障碍的诊断和管理中使用仪器吞咽评估的情况。
口咽吞咽障碍在居住护理机构中的成年人中很常见。透视吞咽造影和纤维内镜吞咽评估是常用于医院和社区环境中口咽吞咽障碍评估的仪器评估程序。然而，对于这些程序在居住护理机构中的使用情况知之甚少。为了确保对口咽吞咽障碍进行基于证据的评估，并指导未来的研究，需要探讨透视吞咽造影和纤维内镜吞咽评估在居住护理机构中的当前使用情况和临床效用。
本综述将纳入发表的和英文的文献，以及 2000 年以后出版的灰色文献，讨论居住护理机构中成年人的仪器吞咽评估。
将采用三步搜索策略来探索相关文献。在搜索过程中检索到的所有引文和文章都将被导入到用于系统评价的软件应用程序中。在去除重复项后，两名审查员将根据预先设定的纳入标准筛选标题和摘要。使用专门制定的图表表格，从符合选择标准的文献中提取信息。搜索策略和结果将通过系统评价和荟萃分析的首选报告项目图进行说明。将在图表中总结主要发现及其与研究问题的关系，并以解释性叙述形式进行讨论。
