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The combination of bedside swallowing assessment and oxygen saturation monitoring of swallowing in acute stroke : a safe and humane screening tool
SMITH HA; LEE SH; ONEILL PA
AGE AGEING , 2000, vol. 29, n° 6, p. 495-499 Doc n°: 98764 Localisation : Documentation IRR Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, AD35 - DYSPHAGIE Dysphagia is common in acute stroke. Accurate detection of the presence or absence of aspiration by bedside swallowing assessment is difficult without objective methods, tending to over-diagnose aspiration. As a result, some patients suffer restricted oral intake unnecessarily. Objective: we examined the predictive values of pulse oximetry and speech and language therapy bedside swallowing assessment in the detection of aspiration compared with videofluoroscopy. Design: a double-blind observational study. Setting: two university teaching hospitals. Subjects: we studied 53 patients whose acute strokes were confirmed by computed tomography scan. Methods: Each subject had initial standard bedside swallowing assessment, closely followed by simultaneous and mutually blinded pulse oximetry, swallowing assessment and videofluoroscopy. Results: 15 of 53 subjects aspirated. Bedside swallowing assessment and saturation assessment at Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2001214695 |
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