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Speech Pathology Reliability for Stroke Swallowing Screening Items.

Stephanie K Daniels1,2, Shweta Pathak3, Carol B Stach4

  • 1Research Service, Michael E. DeBakey VA Medical Center, 2002 Holcombe Blvd, Houston, TX, 77030, USA. stephanie.daniels@va.gov.

Dysphagia
|July 25, 2015
PubMed
Summary
This summary is machine-generated.

Speech-language pathologists (SLPs) show high reliability in swallowing screening for stroke patients. However, variability exists, particularly in assessing speech and voice quality versus trial swallows.

Keywords:
DeglutitionDeglutition disordersReliabilityStrokeSwallowing screening

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Area of Science:

  • Neurology
  • Speech-Language Pathology

Background:

  • Accurate swallowing screening is crucial for identifying aspiration risk in acute stroke patients.
  • Reliability in interpreting screening items is vital for successful patient outcomes.

Purpose of the Study:

  • To examine the inter-rater reliability of speech-language pathologists (SLPs) in interpreting swallowing screening items for acute stroke patients.

Main Methods:

  • 75 individuals admitted with stroke symptoms underwent swallowing screening.
  • Two experienced SLPs independently judged screening observations, including lethargy, dysarthria, voice quality, cough, and water swallow tasks.
  • Inter-rater reliability was assessed using kappa statistics.

Main Results:

  • Overall high agreement was found between SLPs (kappa = 0.83).
  • Individual item reliability varied, with highest agreement for cough after swallow (kappa = 0.95) and lowest for non-swallowing wet voice (kappa = 0.38).
  • Items related to trial swallows showed higher reliability than those assessing speech and voice quality.

Conclusions:

  • SLPs demonstrate high reliability in swallowing screening, but some variability exists.
  • Routine practice is recommended to maintain perceptual discrimination skills.
  • Consider SLP reliability levels when other professionals conduct swallowing screenings.