Advancing Stroke Patient Care: A Network Meta-Analysis of Dysphagia Screening Efficacy and Personalization
Frontiers in Neurology
Jiang, Y., Chi, Y., et al. (2024).
Frontiers in Neurology, 15, 1380287.
<div>This systematic review and meta-analysis investigates the psychometric properties of non-instrumental assessments for post-stroke dysphagia.</div>
High Level Project of Medicine (China); District Level Scientific Research Project of Medical and Health Institutions (China)
From database inception to December 10, 2023
<div>Diagnostic accuracy studies, randomized-controlled trials, and prospective cohort studies</div>
21
<div>Meta-analysis highlighted the Mann Assessment of Swallowing Ability (MASA), Volume-Viscosity Swallow Test (V-VST), and Gugging Swallow Screen (GUSS) as reliable and accurate for clinical dysphagia screening for stroke patients. Detailed findings were as follows:</div>
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<ul>
<li>MASA and V-VST: sensitivity = 0.954, specificity = 0.922;</li>
<li>GUSS: sensitivity = 0.954, specificity = 0.657;</li>
<li>Bedside Swallow Screening Tool: sensitivity = 0.903, specificity = 0.726;</li>
<li>Dysphagia Trained Nurse Assessment: sensitivity = 0.884, specificity = 0.820; and</li>
<li>Water Swallow Test: sensitivity = 0.788, specificity = 0.937.</li>
</ul>
<div>Limitations to this review include the exclusion of aspiration-specific tools as well as heterogeneity of the included studies.</div>
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