Dysphagia Screening in Residential Care Settings: A Scoping Review

International Journal of Nursing Studies

Estupiñán Artiles, C., Regan, J., et al. (2021).

International Journal of Nursing Studies, 114, 103813.

This scoping review investigates the diagnostic accuracy and reliability of screening tools for dysphagia in adults living in long-term residential care settings.

No funding received



No date limits up to Sept. 2020

Peer-reviewed studies (not further specified)

20

Ten of the 20 studies examined the diagnostic accuracy of six dysphagia screening tools:<br /><ul> <li>9-Clinical Indicators of Dysphagia</li> <li>Modified Water Swallow Test</li> <li>3-Ounce Water Swallow Test</li> <li>Gugging Swallowing Screen</li> <li>Eating Assessment Tool–10</li> <li>Yale Swallow Protocol</li></ul>Of the screening tools examined, the 3-Ounce Water Swallow Test, the Yale Swallow Protocol and the Gugging Swallowing Screen were found to have the best diagnostic accuracy values for the identification of dysphagia. The Modified Water Swallow Test had the highest reported specificity (0.88) and the Gugging Swallowing Screen instrument had the highest reported sensitivity (1.0). The reported sensitivity and specificity of the Yale Swallow Protocol was 0.95 and 0.67 respectively. <br /><br /><br /><div><br /></div>