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Our study results give evidence that key findings of endoscopic swallowing evaluations of acute stroke patients and the deduction of clinical consequences can reliably be identified by so far inexperienced physicians after receiving a short and structured teaching.
Furthermore, the excellent κ-coefficient achieved by the previously untrained participants of our study at the complete examination-rating may suggest that endoscopic swallowing assessment according to the here described protocol is simpler to score and more reliable compared to videofluoroscopic swallowing evaluations of acute stroke patients [ 5, 14].
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All patients received a clinical bedside swallowing evaluation.
Method: Data was retrospectively reviewed for 12 month period from all ICU referrals made to SLT for swallowing evaluation.
An academic programme was designed to support practitioners to develop their role in swallowing evaluation, evidenced by a clinical portfolio.
In general, Speech and Language Therapy (SLT), makes recommendations based on the results of a clinical bedside swallowing evaluation, despite the unreliability of this method 1.
To provide a cost-effectiveness analysis of dysphagia screening in the acute poststroke period with use of a videofluoroscopic swallowing study, a clinical bedside swallowing evaluation, or a combined approach.
None of the patients in either group developed pneumonia while following recommendations of the clinical or dynamic swallowing evaluation, and 93% of the patients returned to a regular diet.
Previous observational studies have also shown an association of reduced mortality after stroke with nutritional assessment 27 and swallowing evaluation 28 and an increased risk of death with dehydration.
A swallowing evaluation may result in recommendations such as body and head positioning (generally sitting upright, chin down, if possible) and the recommendation to avoid the use of straws.
The paper charts of the corresponding patients were reviewed to determine additional clinical data regarding palliative level of care status relative to swallow evaluation.
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