| Assessment of swallowing and referral to speech and language therapists in acute stroke. | |
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MedLine Citation:
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PMID: 10024948 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The best clinical assessment of swallowing following acute stroke, in order to decide whether to refer a patient to a speech and language therapist (SLT), is uncertain. Independently of the managing clinical team, we prospectively investigated 115 patients (51 male) with acute stroke, mean age 75 years (range 24-94) within 72 h of admission, using a questionnaire, structured examination and timed water swallowing test. Outcome variables included referral to and intervention by a speech and language therapist (SLT), dietary modification, respiratory complications and death. Of those patients in whom an SLT recommended intervention, 97% were detected by an abnormal quantitative water swallowing test; specificity was 69%. An SLT was very unlikely to recommend any intervention if the test was normal. Inability to perform a water test and/or abnormality of the test was associated with significantly increased relative risks of death, chest infection and dietary modification. A timed water swallowing test can be a useful test of swallowing and may be used to screen patients for referral to a speech and language therapist after acute stroke. |
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Authors:
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N P Hinds; C M Wiles |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: QJM : monthly journal of the Association of Physicians Volume: 91 ISSN: 1460-2725 ISO Abbreviation: QJM Publication Date: 1998 Dec |
Date Detail:
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Created Date: 1999-03-08 Completed Date: 1999-03-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9438285 Medline TA: QJM Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 829-35 Citation Subset: IM |
Affiliation:
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Department of Medicine (Neurology), University Hospital of Wales, Cardiff, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aged Cerebrovascular Disorders / complications* Deglutition Deglutition Disorders / diagnosis, etiology* Drinking Female Humans Male Prognosis Referral and Consultation Sensitivity and Specificity Speech-Language Pathology* |
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