Identification of dysphagia using the Toronto Bedside Swallowing Screening Test (TOR-BSST©): Are 10 teaspoons of water necessary?
| Autor: | Nicholas E. Diamant, Ellen Maki, Rosemary Martino |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Screening test Dysphagia screening Point-of-Care Systems medicine.medical_treatment Original research Language and Linguistics Speech and Hearing Swallowing Predictive Value of Tests otorhinolaryngologic diseases medicine Humans Prospective Studies Stroke Aged Rehabilitation Research and Theory business.industry Stroke Rehabilitation Reproducibility of Results Water LPN and LVN medicine.disease Dysphagia Confidence interval Deglutition Otorhinolaryngology Physical therapy Female medicine.symptom Deglutition Disorders business |
| Zdroj: | International Journal of Speech-Language Pathology. 16:193-198 |
| ISSN: | 1754-9515 1754-9507 |
| DOI: | 10.3109/17549507.2014.902995 |
| Popis: | Dysphagia screening often includes administration of water. This study assessed the accuracy in identifying dysphagia with each additional teaspoon of water. The original research of the TOR-BSST(©) permitted this assessment. Trained nurses from acute and rehabilitation facilities prospectively administered the TOR-BSST(©) to 311 eligible stroke inpatients. A sensitivity analysis was conducted for the water item using 10 teaspoons plus a sip as the standard. The proportion of positive screenings was 59.2% in acute and 38.5% in rehabilitation. Of all four items that form the TOR-BSST(©), the water swallow item contributed to the identification of dysphagia in 42.7% in acute and 29.0% in rehabilitation patients. Across all patients, dysphagia accuracy was that five teaspoons resulted in a sensitivity of 79% (95% confidence interval [CI] = 70-86), eight a sensitivity of 92% (95% CI = 85-96) and 10 a sensitivity of 96% (95% CI = 90-99). Although a primary contributor, the water swallow item alone does not identify all patients with dysphagia. For a water swallow to accurately identify dysphagia, it is critical to administer 10 teaspoons. The TOR-BSST(©) water swallow item contributes largely to the total TOR-BSST(©)'s screening score and in making the test highly accurate and reliable. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|