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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.

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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本文引用的文献

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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。
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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.

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