Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section; University of Catania- Italy.
2 Research Committee of the Young Otolaryngologists, International Federations of ORL Societies, Paris, France. 3 Department of Human Anatomy and Experimental Oncology, School of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium. 4 Department of Otorhinolaryngology-Head and Neck Surgery, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium. 5 Department of Otolaryngology-Head and Neck Surgery, Foch Hospital (University of Paris-Saclay), Paris, France.
Acta Biomed. 2022 Aug 31;93(4):e2022263. doi: 10.23750/abm.v93i4.12135.
We performed a systematic review on the early assessment of swallowing function after cerebrovascular stroke.
A systematic review of the English language literature of the past 20 years was performed regarding swallowing function and cerebrovascular stroke. All articles reporting swallowing evaluation through clinical examination validated scores, and diagnostic tools were included in the summary.
The systematic review of the literature identified 1,768 potentially relevant studies with 7 papers retrieved with a total of 589 stroke dysphagic patients. While at the clinical neurological assessment, The National Institutes of Health Stroke Scale was more frequently used as a clinical outcome predictor. The Bedside screening approach was carried out in 6 papers to assess patients with probable swallowing disorders. Among the diagnostic tools, seven studies performed the Flexible Fiberoptic Endoscopic evaluation assessing scoring validated system while two papers reported early swallowing outcomes Videofluoroscopic Swallow Study.
Our systematic review revealed the findings significantly associated with dysphagia in post-cerebrovascular patients. Endoscopic evaluation of swallowing proved to be the most used method in the literature, effective in identifying early predictors of dysphagia. Given the presence of different assessing scores employed and reduced study samples enrolled, further studies with large courts are necessary for a greater significance.
我们对脑血管病后吞咽功能的早期评估进行了系统评价。
对过去 20 年有关吞咽功能和脑血管病的英文文献进行了系统评价。所有报告通过临床检查评估吞咽功能的文章均采用了经过验证的评分和诊断工具，并纳入了综述。
系统评价共确定了 1768 篇潜在相关研究，其中有 7 篇文章共纳入了 589 例脑血管病吞咽困难患者。在临床神经学评估中，国立卫生研究院卒中量表（NIHSS）更常用于预测临床结局。6 篇文章采用床边筛查方法评估可能存在吞咽障碍的患者。在诊断工具方面，有 7 项研究采用了灵活纤维内镜评估，评估了经过验证的评分系统，有 2 篇论文报告了早期吞咽结局的视频透视吞咽研究。
我们的系统评价揭示了与脑血管病后吞咽困难显著相关的发现。吞咽内镜评估被证明是文献中最常用的方法，可有效识别吞咽困难的早期预测指标。鉴于采用了不同的评估评分和纳入的研究样本量较少，需要进一步进行大样本量的研究以获得更大的意义。
