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急性卒中误吸风险床边筛查工具的诊断准确性:一篇评论

Diagnostic accuracy of bedside screening tools for aspiration risk in acute stroke, a commentary.

作者信息

Harrison Joanna, Saez Lucy Roebuck, Vernon Helen, Hill James

机构信息

Synthesis, Economic Evaluation and Decision Science (SEEDS) group, University of Central Lancashire.

Lancashire Teaching Hospitals NHS Foundation Trust.

出版信息

Br J Neurosci Nurs. 2024 Oct 1;20(Sup5):S263-S267. doi: 10.12968/bjnn.2024.0002.

DOI:10.12968/bjnn.2024.0002
PMID:39554531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7616813/
Abstract

Dysphagia is common after stroke and can lead to serious complications including pneumonia and mortality. Bedside swallow screening tools for aspiration risk associated with dysphagia are available for use by healthcare professionals to quickly assess patients, put in place the necessary interventions and make referral to speech and language therapy. A Cochrane Systematic review aimed to identify the diagnostic accuracy of such tools for use in practice (Boaden et al. 2021). This commentary critically appraises and evaluates the systematic review and expands upon the findings in the context of clinical practice and further research.

摘要

吞咽困难在中风后很常见,可能导致包括肺炎和死亡在内的严重并发症。医疗保健专业人员可使用床边吞咽筛查工具来评估与吞咽困难相关的误吸风险,以便快速评估患者,采取必要的干预措施并转诊至言语治疗科。一项Cochrane系统评价旨在确定此类工具在实际应用中的诊断准确性(博登等人,2021年)。本评论对该系统评价进行了批判性评估,并在临床实践和进一步研究的背景下对研究结果进行了扩展。

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Diagnostic accuracy of bedside screening tools for aspiration risk in acute stroke, a commentary.急性卒中误吸风险床边筛查工具的诊断准确性:一篇评论
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2
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本文引用的文献

1
Economic Evaluation of Clinical, Nutritional and Rehabilitation Interventions on Oropharyngeal Dysphagia after Stroke: A Systematic Review.经济评价临床、营养和康复干预对脑卒中后口咽吞咽困难:系统评价。
Nutrients. 2023 Mar 31;15(7):1714. doi: 10.3390/nu15071714.
2
Prevalence of dysphagia and risk of pneumonia and mortality in acute stroke patients: a meta-analysis.急性脑卒中患者吞咽困难的发生率、肺炎风险和死亡率的 Meta 分析。
BMC Geriatr. 2022 May 13;22(1):420. doi: 10.1186/s12877-022-02960-5.
3
Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review.卒中后吞咽困难恢复的临床预测因素:系统评价。
Dysphagia. 2023 Feb;38(1):1-22. doi: 10.1007/s00455-022-10443-3. Epub 2022 Apr 20.
4
The Preventive Effect of Dysphagia Screening on Pneumonia in Acute Stroke Patients: A Systematic Review and Meta-Analysis.吞咽困难筛查对急性卒中患者肺炎的预防作用:一项系统评价和Meta分析
Healthcare (Basel). 2021 Dec 20;9(12):1764. doi: 10.3390/healthcare9121764.
5
Screening for aspiration risk associated with dysphagia in acute stroke.筛查急性脑卒中吞咽困难相关的吸入风险。
Cochrane Database Syst Rev. 2021 Oct 18;10(10):CD012679. doi: 10.1002/14651858.CD012679.pub2.
6
The Benefit of Dysphagia Screening in Adult Patients With Stroke: A Meta-Analysis.成人脑卒中患者吞咽障碍筛查的获益:一项荟萃分析。
J Am Heart Assoc. 2021 Jun 15;10(12):e018753. doi: 10.1161/JAHA.120.018753. Epub 2021 Jun 5.
7
Accuracy and clinical utility of comprehensive dysphagia screening assessments in acute stroke: A systematic review and meta-analysis.全面性吞咽障碍筛查评估在急性脑卒中中的准确性和临床实用性:系统评价和荟萃分析。
J Clin Nurs. 2020 May;29(9-10):1527-1538. doi: 10.1111/jocn.15192. Epub 2020 Feb 11.
8
Variation in Dysphagia Assessment and Management in Acute Stroke: An Interview Study.急性卒中吞咽障碍评估与管理的差异:一项访谈研究
Geriatrics (Basel). 2019 Oct 25;4(4):60. doi: 10.3390/geriatrics4040060.
9
The Mortality and the Risk of Aspiration Pneumonia Related with Dysphagia in Stroke Patients.中风患者吞咽困难相关的死亡率及吸入性肺炎风险
J Stroke Cerebrovasc Dis. 2019 May;28(5):1381-1387. doi: 10.1016/j.jstrokecerebrovasdis.2019.02.011. Epub 2019 Mar 9.
10
Impact of Dysphagia Assessment and Management on Risk of Stroke-Associated Pneumonia: A Systematic Review.吞咽困难评估与管理对卒中相关性肺炎风险的影响:一项系统评价
Cerebrovasc Dis. 2018;46(3-4):99-107. doi: 10.1159/000492730. Epub 2018 Sep 10.