SynthesisJournal of hospital medicine2015
Bedside diagnosis of dysphagia: a systematic review.
Synthesis in Journal of hospital medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03387267 (A Prospective Multi-center Study Comparing the Performance of the Dysphagia Detection System), which is not on this map. Cited by 57 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Prospective Multi-center Study Comparing the Performance of the Dysphagia Detection System (DDS) in Detecting Impaired Swallowing Safety and Efficiency as Compared to the Clinical Reference Method - Videofluoroscopic Swallowing Study
Who cites it
57 citing papers in PubMed, 5 syntheses or guidelines pooled it, 163 citations in OpenAlex.
- Frequency and associated factors for swallowing impairment in community-dwelling older persons: a systematic review and meta-analysis.Aging clinical and experimental research · 2022Pooled it
- Screening for aspiration risk associated with dysphagia in acute stroke.The Cochrane database of systematic reviews · 2021Pooled it
- Acupuncture Treatment for Post-Stroke Dysphagia: An Update Meta-Analysis of Randomized Controlled Trials.Chinese journal of integrative medicine · 2018Pooled it
- Screening Accuracy for Aspiration Using Bedside Water Swallow Tests: A Systematic Review and Meta-Analysis.Chest · 2016Pooled it
- Efficacy of Mealtime Interventions for Malnutrition and Oral Intake in Persons With Dementia: A Systematic Review.Alzheimer disease and associated disordersPooled it
- Accuracy of Dysphagia Standard Assessment (DSA®) bedside screening test: a flowchart for patient eligibility.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022Trial
- Trial
- Artificial intelligence for dysphagia screening: A machine learning approach.PLOS digital health · 2026Article
- Post-Stroke Dysphagia: Moving Toward Evidence-Based, Recovery-Oriented Systems of Care.Current neurology and neuroscience reports · 2026Review
- Review
- Article
- Early injection laryngoplasty improves swallowing outcomes in inpatients with acute vocal fold motion impairment.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Interpretable machine learning for accessible dysphagia screening and staging in older adults.iScience · 2026Article
- Sounding out Dysphagia: Using a Digital Stethoscope to Assess Audiometric Differences in Swallowing.The Laryngoscope · 2026Article
- Acoustic Vowel Metrics as Correlates of Dysphagia and Dysarthria in Brainstem Neurodegenerative Diseases.Audiology research · 2025Article
- Utilization of Dysphagia Services Among Older Adults Hospitalized With Pneumonia in a Large Sample of US Hospitals.Journal of the American Geriatrics Society · 2025Article
- Diagnostic Validity of Clinical Observations for Detecting Physiologic Swallowing Impairment.Dysphagia · 2025Article
- Digital health technologies in swallowing care from screening to rehabilitation: A narrative review.Auris, nasus, larynx · 2025Review
- Bedside Clinical Swallow Test and the Fiberoptic Endoscopic Evaluation of Swallow - Level of Agreement.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024Article
- Effects of high-flow nasal therapy on swallowing function: a scoping review.ERJ open research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Dysphagia is associated with aspiration, pneumonia, and malnutrition, but remains challenging to identify at the bedside. A variety of exam protocols and maneuvers are commonly used, but the efficacy of these maneuvers is highly variable. We conducted a comprehensive search of 7 databases, including MEDLINE, Embase, and Scopus, from each database's earliest inception through June 9, 2014. Studies reporting diagnostic performance of a bedside examination maneuver compared to a reference gold standard (videofluoroscopic swallow study or flexible endoscopic evaluation of swallowing with sensory testing) were included for analysis. From each study, data were abstracted based on the type of diagnostic method and reference standard study population and inclusion/exclusion characteristics, design, and prediction of aspiration. The search strategy identified 38 articles meeting inclusion criteria. Overall, most bedside examinations lacked sufficient sensitivity to be used for screening purposes across all patient populations examined. Individual studies found dysphonia assessments, abnormal pharyngeal sensation assessments, dual axis accelerometry, and 1 description of water swallow testing to be sensitive tools, but none were reported as consistently sensitive. A preponderance of identified studies was in poststroke adults, limiting the generalizability of results. No bedside screening protocol has been shown to provide adequate predictive value for presence of aspiration. Several individual exam maneuvers demonstrated reasonable sensitivity, but reproducibility and consistency of these protocols was not established. More research is needed to design an optimal protocol for dysphagia detection.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.