Annals of Emergency Medicine
Volume 54, Issue 3 , Pages 344-348.e1 , September 2009

A Feasibility Study of the Sensitivity of Emergency Physician Dysphagia Screening in Acute Stroke Patients

Presented as a poster at the American College of Emergency Physicians Scientific Assembly, October 2008, Chicago, IL.

  • Danielle E. Turner-Lawrence, MD

      Affiliations

    • William Beaumont Hospital, Department of Emergency Medicine, Royal Oak, MI
    • ,
  • Meredith Peebles, CCC-SLP

      Affiliations

    • Department of Speech and Audiology, Carolinas Medical Center, Charlotte, NC
    • ,
  • Marlow F. Price, RN

      Affiliations

    • Neuroscience and Spine Institute, Carolinas Medical Center, Charlotte, NC
    • ,
  • Sam J. Singh, BS

      Affiliations

    • Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC
    • ,
  • Andrew W. Asimos, MD

      Affiliations

    • Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC
    • Corresponding Author InformationAddress for correspondence: Andrew W. Asimos, MD, Carolinas Medical Center, Department of Emergency Medicine, PO Box 32861, Charlotte, NC, 28232-2861; 704-355-4212, fax 704-355-5609

Received 12 December 2008 ,Revised 6 February 2009 ,Accepted 4 March 2009.

References 

  1. Hinchey JAM. Formal dysphagia screening protocols prevent pneumonia. Stroke. 2005;36:1972–1976
  2. Smith HA, Lee SH, O'Neill PA, et al. The combination of bedside swallowing assessment and oxygen saturation monitoring of swallowing in acute stroke: a safe and humane screening tool. Age Ageing. 2000;29:495–499
  3. Smithard DG, Smeeton NC, Wolfe CD, et al. Long-term outcome after stroke: does dysphagia matter?. Age Ageing. 2007;36:90–94
  4. Smithard DG, O'Neill PA, Parks C, et al. Complications and outcome after acute stroke? (Does dysphagia matter?). [published correction in Stroke. 1998;29:1480-1481]. Stroke. 1996;27:1200–1204
  5. Ramsey DJC. Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke. 2003;34:1252–1257
  6. Joint Commission. Stroke Performance Measure Implementation Guide. 2. 2007. Oakbrook Terrace, IL: Joint Commission; 2007;
  7. Carnaby G, Hankey GJ, Pizzi J, et al. Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol. 2006;5:31–37
  8. Lowry R. VassarStats: Web site for statistical computation. http://faculty.vassar.edu/lowry/VassarStats.html1998-2009;Accessed February 6, 2009.
  9. Parker C, Power M, Hamdy S, et al. Awareness of dysphagia by patients following stroke predicts swallowing performance. Dysphagia. 2004;19:28–35
  10. Collins MJ, Bakheit AM, Collins MJ, et al. Does pulse oximetry reliably detect aspiration in dysphagic stroke patients?. Stroke. 1997;28:1773–1775

 Supervising editor: Robert Silbergleit, MD

 Author contributions: DET-L and AWA conceived the study, designed the trial, and obtained research funding. DET-L, MP, MFP, and AWA supervised the conduct of the trial, patient enrollment, and data collection. DET-L and SJS performed chart review and some data collection. DET-L and AWA provided statistical advice. DET-L performed all data analyses. DET-L drafted the article, and AWA contributed substantially to its revision. DET-L and AWA take responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Supported by an Emergency Medicine Foundation 2007-2008 Resident Research Grant.

 Publication date: Available online May 2, 2009.

 Reprints not available from the authors.

PII: S0196-0644(09)00240-6

doi: 10.1016/j.annemergmed.2009.03.007

Annals of Emergency Medicine
Volume 54, Issue 3 , Pages 344-348.e1 , September 2009

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