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The role of the Sapienza GLObal Bedside Evaluation of Swallowing after Stroke (GLOBE-3S) in the prevention of stroke-associated pneumonia (SAP)
- Source :
- Neurological Sciences
- Publication Year :
- 2021
-
Abstract
- Background and purpose Stroke-associated pneumonia (SAP) affects 10 to 38% of patients in the acute phase of stroke. Stroke patients diagnosed with dysphagia have an 11-fold higher risk of developing SAP. Thus, identifying dysphagic patients through a highly accurate screening tool might be crucial in reducing the incidence of SAP. We present a case–control study designed to evaluate efficacy in reducing the risk of SAP between two swallowing screening tools, the classic water swallow test (WST) and a recently validated tool such as the GLOBE-3S (the Sapienza GLObal Bedside Evaluation of Swallowing after Stroke), which is a highly sensitive swallowing screening tool particularly accurate in detecting silent aspiration as well. Methods We analyzed the occurrence of dysphagia in 100 acute stroke patients distributed in two groups: half were screened with WST and the other half with GLOBE-3S. Results Dysphagia was diagnosed in 28 patients. The main result is that, among patients who passed the dysphagia screenings, none of those screened with the GLOBE-3S method developed pneumonia compared to 31.82% in the WST group. Discriminant function analysis (DFA) showed that NIH Stroke Scale (NIHSS) score and the dysphagia screening method (i.e., GLOBE-3S vs. WST) were the two main factors in the SAP’s predicting model and the only significant ones per se. Conclusions The new GLOBE-3S screening test can reduce the risk of SAP compared to WST.
- Subjects :
- medicine.medical_specialty
Neurology
Stroke-associated pneumonia
genetic structures
GLOBE-3S
Dermatology
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Swallowing
Internal medicine
medicine
otorhinolaryngologic diseases
Humans
Mass Screening
Acute stroke
Stroke
Neuroradiology
business.industry
Incidence (epidemiology)
General Medicine
Pneumonia
Dysphagia
medicine.disease
eye diseases
Deglutition
Psychiatry and Mental health
Silent aspiration
Original Article
Neurology (clinical)
Neurosurgery
medicine.symptom
acute stroke
dysphagia
silent aspiration
stroke-associated pneumonia
business
Deglutition Disorders
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15903478
- Volume :
- 43
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
- Accession number :
- edsair.doi.dedup.....a28f9819b5f875616d21998cfdcfca48