Predictive value of a novel pragmatic tool for post-stroke aspiration risk: The Functional Bedside Aspiration Screen.
acute stroke
aspiration risk
health outcome
pneumonia
swallow screen
Journal
Neurogastroenterology and motility
ISSN: 1365-2982
Titre abrégé: Neurogastroenterol Motil
Pays: England
ID NLM: 9432572
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
31
03
2019
revised:
08
06
2019
accepted:
08
07
2019
pubmed:
28
7
2019
medline:
26
8
2020
entrez:
27
7
2019
Statut:
ppublish
Résumé
There is still a strong need for an optimal clinician-friendly screening tool for the identification of aspiration risk in stroke patients. In this study, we present the development of a novel, context-specific screening tool for the prediction of aspiration risk on recent stroke survivors, the Functional Bedside Aspiration Screen (FBAS), and examine its construct validity, reliability with the predictive values toward pragmatic patients' outcomes. We conducted a prospective validation study of 104 acute ischemic stroke patients admitted to clinical wards in a tertiary university hospital. A group of experts developed and administered the FBAS 10-point scale to all patients. Outcome measures were compared with those of the validated Yale Swallow Protocol (YSP, reference measure) and health indicators. A strong association was found between the FBAS cutoff criterion and the YSP (Pearson χ The FBAS is a potentially useful tool for timely prediction of aspiration risk and health outcome in acute stroke.
Sections du résumé
BACKGROUND
There is still a strong need for an optimal clinician-friendly screening tool for the identification of aspiration risk in stroke patients. In this study, we present the development of a novel, context-specific screening tool for the prediction of aspiration risk on recent stroke survivors, the Functional Bedside Aspiration Screen (FBAS), and examine its construct validity, reliability with the predictive values toward pragmatic patients' outcomes.
METHODS
We conducted a prospective validation study of 104 acute ischemic stroke patients admitted to clinical wards in a tertiary university hospital. A group of experts developed and administered the FBAS 10-point scale to all patients. Outcome measures were compared with those of the validated Yale Swallow Protocol (YSP, reference measure) and health indicators.
KEY RESULTS
A strong association was found between the FBAS cutoff criterion and the YSP (Pearson χ
CONCLUSIONS AND INFERENCES
The FBAS is a potentially useful tool for timely prediction of aspiration risk and health outcome in acute stroke.
Types de publication
Journal Article
Validation Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13683Informations de copyright
© 2019 John Wiley & Sons Ltd.
Références
The Joint Commission. Specifications manual for Joint Commission National Quality Core Measures (2010A1). 2010; https://manual.jointcommission.org/releases/archive/TJC2010B/DataElem0205.html
Bray BD, Smith CJ, Cloud GC, et al. The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia. J Neurol Neurosurg Psychiatry. 2017;88(1):25-30.
Daniels SK, Pathak S, Rosenbek JC, Morgan RO, Anderson JA. Rapid aspiration screening for suspected stroke: part 1: development and validation. Arch Phys Med Rehabil. 2016;97(9):1440-1448.
Daniels SK, Anderson JA, Willson PC. Valid items for screening dysphagia risk in patients with stroke: a systematic review. Stroke. 2012;43(3):892-897.
Martino R, Silver F, Teasell R, et al. The Toronto Bedside Swallowing Screening Test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke. 2009;40(2):555-561.
DePippo KL, Holas MA, Reding MJ. The Burke dysphagia screening test: validation of its use in patients with stroke. Arch Phys Med Rehabil. 1994;75(12):1284-1286.
Suiter DM, Leder SB. Clinical utility of the 3-ounce water swallow test. Dysphagia. 2008;23(3):244-250.
DePippo KL, Holas MA, Reding MJ. Validation of the 3-oz water swallow test for aspiration following stroke. Arch Neurol. 1992;49(12):1259-1261.
Edmiaston J, Connor LT, Loehr L, Nassief A. Validation of a dysphagia screening tool in acute stroke patients. Am J Crit Care. 2010;19(4):357-364.
Brodsky MB, Suiter DM, González-Fernández M, et al. Screening accuracy for aspiration using bedside water swallow tests: a systematic review and meta-analysis. Chest. 2016;150(1):148-163.
Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr. 2008;27(6):806-815.
Trapl M, Enderle P, Nowotny M, et al. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke. 2007;38(11):2948-2952.
Warnecke T, Im S, Kaiser C, Hamacher C, Oelenberg S, Dziewas R. Aspiration and dysphagia screening in acute stroke - the Gugging Swallowing Screen revisited. Eur J Neurol. 2017;24(4):594-601.
Lopes M, Freitas E, Oliveira M, et al. Impact of the systematic use of the Gugging Swallowing Screen in patients with acute ischaemic stroke. Eur J Neurol. 2019;26(5):722-726.
Suiter DM, Sloggy JoAnna, Leder SB. Validation of the Yale Swallow Protocol: a prospective double-blinded videofluoroscopic study. Dysphagia. 2014;29(2):199-203.
Daniels SK, Brailey K, Priestly DH, Herrington LR, Weisberg LA, Foundas AL. Aspiration in patients with acute stroke. Arch Phys Med Rehabil. 1998;79(1):14-19.
Lim S, Lieu PK, Phua SY, et al. Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia. 2001;16(1):1-6.
Leder S, Suiter D. The Yale Swallow Protocol: An Evidence-Based Approach to Decision Making. Switzerland: Springer International Publishing; 2014;1-157.
Warner HL, Suiter DM, Nystrom KV, Poskus K, Leder SB. Comparing accuracy of the Yale Swallow Protocol when administered by registered nurses and speech-language pathologists. J Clin Nurs. 2014;23(13-14):1908-1915.
Poorjavad M, Jalaie S. Systemic review on highly qualified screening tests for swallowing disorders following stroke: validity and reliability issues. J Res Med Sci. 2014;19(8):776-785.
Schepp SK, Tirschwell DL, Miller RM, Longstreth Jr WT. Swallowing screens after acute stroke: a systematic review. Stroke. 2012;43(3):869-871.
Virvidaki IE, Nasios G, Kosmidou M, Giannopoulos S, Milionis H. Swallowing and aspiration risk: a critical review of non instrumental bedside screening tests. J Clin Neurol. 2018;14(3):265.
Polit DF, Beck CT, Polit DF. Resource Manual for Nursing Research: Generating and Assessing Evidence for Nursing Practice, 10th edn. Philadelphia, PA: Wolters Kluwer; 2017: vii, 488 pages.
Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA. 2003;289(19):2560-2572.
World Health Organization. Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications: Report of a WHO Consultation. Part 1, Diagnosis and Classification of Diabetes Mellitus. Geneva, Switzerland: World Health Organization; 1999, Report No 99.2.
Nelson RH. Hyperlipidemia as a risk factor for cardiovascular disease. Prim Care. 2013;40(1):195-211.
Arboix A. Cardiovascular risk factors for acute stroke: Risk profiles in the different subtypes of ischemic stroke. World J Clin Cases. 2015;3(5):418-429.
Chaker L, Baumgartner C, den Elzen W, et al. Subclinical hypothyroidism and the risk of stroke events and fatal stroke: an individual participant data analysis. J Clin Endocrinol Metab. 2015;100(6):2181-2191.
Dhillon N, Liang K. Prevention of stroke in rheumatoid arthritis. Curr Treat Options Neurol. 2015;17(7):356.
Leung JM, Sin DD. Chronic obstructive pulmonary disease and stroke. Strange bedfellows. Am J Respir Crit Care Med. 2016;193(3):227-228.
Adams HP, Bendixen BH, Kappelle LJ, et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in acute stroke treatment. Stroke. 1993;24(1):35-41.
Jeyaseelan RD, Vargo MM, Chae J. National Institutes of Health Stroke Scale (NIHSS) as an early predictor of poststroke dysphagia. PM R. 2015;7(6):593-598.
Banks JL, Marotta CA. Outcomes validity and reliability of the modified Rankin scale: implications for stroke clinical trials: a literature review and synthesis. Stroke. 2007;38(3):1091-1096.
Smith CJ, Kishore AK, Vail A, et al. Diagnosis of stroke-associated pneumonia: recommendations from the pneumonia in Stroke Consensus Group. Stroke. 2015;46(8):2335-2340.
Cohen J. A coefficient of agreement for nominal scales. Educat Phychol Measure. 1960;20:37-46.
Kidd D, Lawson J, Nesbitt R, MacMahon J. Aspiration in acute stroke: a clinical study with videofluoroscopy. Q J Med. 1993;86(12):825-829.
Smithard DG, O'Neill PA, England RE, et al. The natural history of dysphagia following a stroke. Dysphagia. 1997;12(4):188-193.
Smithard DG. Swallowing and stroke. Neurological effects and recovery. Cerebrovasc Dis. 2002;14(1):1-8.
Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005;36(12):2756-2763.
Mann G. MASA: The Mann Assessment of Swallowing Ability. Clifton Park, NY: Singular/Thomson Learning; 2002.
Perry L, Love CP. Screening for dysphagia and aspiration in acute stroke: a systematic review. Dysphagia. 2001;16(1):7-18.
Perry L. Screening swallowing function of patients with acute stroke. Part two: detailed evaluation of the tool used by nurses. J Clin Nurs. 2001;10(4):474-481.
Crary MA, Carnaby GD, Sia I. Spontaneous swallow frequency compared with clinical screening in the identification of dysphagia in acute stroke. J Stroke Cerebrovasc Dis. 2014;23(8):2047-2053.
Murray J, Langmore SE, Ginsberg S, Dostie A. The significance of accumulated oropharyngeal secretions and swallowing frequency in predicting aspiration. Dysphagia. 1996;11(2):99-103.
McCullough GH, Rosenbek JC, Wertz RT, McCoy S, Mann G, McCullough K. Utility of clinical swallowing examination measures for detecting aspiration post-stroke. J Speech Lang Hear Res. 2005;48(6):1280-1293.
Daniels SK, Ballo LA, Mahoney M-C, Foundas AL. Clinical predictors of dysphagia and aspiration risk: outcome measures in acute stroke patients. Arch Phys Med Rehabil. 2000;81(8):1030-1033.
Mendes Bahia M, Mourão L, Chun R. Dysarthria as a predictor of dysphagia following stroke. NeuroRehabilitation. 2016;38(2):155-162.
Clavé P, De kraa M, Arreola V, et al. The effect of bolus viscosity on swallowing function in neurogenic dysphagia. Aliment Pharmacol Ther. 2006;24(9):1385-1394.
Hinchey JA, Shephard T, Furie K, Smith D, Wang D, Tonn S. Formal dysphagia screening protocols prevent pneumonia. Stroke. 2005;36(9):1972-1976.
Lakshminarayan K, Tsai AW, Tong X, et al. Utility of dysphagia screening results in predicting poststroke pneumonia. Stroke. 2010;41(12):2849-2854.
Chamorro Á, Urra X, Planas AM. Infection after acute ischemic stroke: a manifestation of brain-induced immunodepression. Stroke. 2007;38(3):1097-1103.
Hoffmann S, Harms H, Ulm L, et al. Stroke-induced immunodepression and dysphagia independently predict stroke-associated pneumonia - the PREDICT study. J Cereb Blood Flow Metab. 2017;37(12):3671-3682.
Warnecke T, Ritter MA, Kröger B, et al. Fiberoptic endoscopic Dysphagia severity scale predicts outcome after acute stroke. Cerebrovasc Dis. 2009;28(3):283-289.