TY  -  JOUR
AU  -  Rosa, Debora
AU  -  Albanesi, Beatrice
AU  -  Bassola, Barbara
AU  -  Dellafiore, Federica
AU  -  Di Simone, Emanuele
AU  -  Terzoni, Stefano
AU  -  Villa, Giulia
AU  -  Bonetti, Loris
T1  -  Nurse’s bedside screening of dysphagia: an umbrella review
PY  -  2022
Y1  -  2022-06-01
DO  -  10.1701/3827.38109
JO  -  Recenti Progressi in Medicina
JA  -  Recenti Prog Med
VL  -  113
IS  -  6
SP  -  361
EP  -  371
PB  -  Il Pensiero Scientifico Editore
SN  -  2038-1840
Y2  -  2026/04/20
UR  -  http://dx.doi.org/10.1701/3827.38109
N2  -  Summary. Introduction. Dysphagia often results in serious, poor health outcomes. Nurses have an important role in assessing dysphagia. Therefore, they need reliable and effective screening tools to detect dysphagia. The purpose of this umbrella review is to locate the most valid, reliable, and usable bedside screening tools that allow nurses to identify dysphagia in institutionalized patients. Methods. Umbrella Review as suggested by the Joanna Briggs Institute. Inclusion criteria were: systematic reviews of randomized controlled trials or cross-sectional studies. We excluded: pediatric and psychiatric patients. We searched on PubMed, CINAHL, Scopus, Cochrane Library, the Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports, and the Joanna Briggs Institute Evidence-Based Practice Database. Results. Six reviews were included. Four tools were reported in all the reviews: 3 oz swallowing water test, Mann Assessment of Swallowing Ability, Toronto Bedside Swallowing Screening Test, Gugging Swallowing Screen. They have shown fair to good sensitivity and specificity. The reviews analysed did not allow for a comparative analysis between instruments, which may be hindering the selection of the optimal instrument for clinical practice. Conclusions. Almost all reviews have considered stroke patients. The next steps will be to determine if there is a tool applicable in multiple settings with different patients and if this intervention is cost-effective.
ER  -