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Dysphagia

, Volume 28, Issue 3, pp 395–403 | Cite as

Evaluation of Dysphagia in Early Stroke Patients by Bedside, Endoscopic, and Electrophysiological Methods

  • Ebru Karaca UmayEmail author
  • Ece Unlu
  • Guleser Kılıc Saylam
  • Aytul Cakci
  • Hakan Korkmaz
Original Article

Abstract

We aimed in this study to evaluate dysphagia in early stroke patients using a bedside screening test and flexible fiberoptic endoscopic evaluation of swallowing (FFEES) and electrophysiological evaluation (EE) methods and to compare the effectiveness of these methods. Twenty-four patients who were hospitalized in our clinic within the first 3 months after stroke were included in this study. Patients were evaluated using a bedside screening test [including bedside dysphagia score (BDS), neurological examination dysphagia score (NEDS), and total dysphagia score (TDS)] and FFEES and EE methods. Patients were divided into normal-swallowing and dysphagia groups according to the results of the evaluation methods. Patients with dysphagia as determined by any of these methods were compared to the patients with normal swallowing based on the results of the other two methods. Based on the results of our study, a high BDS was positively correlated with dysphagia identified by FFEES and EE methods. Moreover, the FFEES and EE methods were positively correlated. There was no significant correlation between NEDS and TDS levels and either EE or FFEES method. Bedside screening tests should be used mainly as an initial screening test; then FFEES and EE methods should be combined in patients who show risks. This diagnostic algorithm may provide a practical and fast solution for selected stroke patients.

Keywords

Stroke Deglutition Deglutition disorders Bedside screening test Endoscopy Electromyography 

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Ebru Karaca Umay
    • 1
    Email author
  • Ece Unlu
    • 1
  • Guleser Kılıc Saylam
    • 2
  • Aytul Cakci
    • 1
  • Hakan Korkmaz
    • 2
  1. 1.Ministry of Health Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Physical Medicine And Rehabilitation ClinicAnkaraTurkey
  2. 2.Ministry of Health Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Otolaryngology-Head & Neck Surgery ClinicAnkaraTurkey

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