Evidence map›Paper›PMID 28588423›Full record

ArticleBMC nursing2017

Dysphagia screening after acute stroke: a quality improvement project using criteria-based clinical audit.

Jorun Sivertsen, Birgitte Graverholt, Birgitte Espehaug

Open access · goldAbstract read
In one paragraph

Article in BMC nursing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Aspiration pneumonia in nursing literature-a mapping review.Frontiers in rehabilitation sciences · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Nurses' knowledge of stroke-related oropharyngeal dysphagia in the Eastern Cape, South Africa.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Jorun SivertsenHelse-Bergen, Haukeland University Hospital, Sjukehusvegen 16, 5704 Voss, Norway.ORCID 0000-0001-7976-799X
Birgitte GraverholtCentre for Evidence-Based Practice, Western Norway University of Applied Sciences, Postbox 7030, 5020 Bergen, Norway.
Birgitte EspehaugCentre for Evidence-Based Practice, Western Norway University of Applied Sciences, Postbox 7030, 5020 Bergen, Norway.
Western Norway University of Applied Sciences · NOHaukeland University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDysphagia is common after stroke and represents a major risk factor for developing aspiration pneumonia. Early detection can reduce the risk of pulmonary complications and death. Despite the fact that evidence-based guidelines recommend screening for swallowing deficit using a standardized screening tool, national audits has identified a gap between practice and this recommendation. The aim was to determine the level of adherence to an evidence-based recommendation on swallow assessment and to take actions to improve practice if necessary.

methodsWe carried out a criteria-based clinical audit (CBCA) in a small stroke unit at a Norwegian hospital. Patients with hemorrhagic stroke, ischemic stroke and transient ischemic attack were included. A power calculation informed the number of included patients at baseline (

resultsAmong 88 cases at baseline, documentation of swallow screening was complete for 6% (95% CI 2-11). In the re-audit (

conclusionA CBCA involving management and staff, and using multiple tailored intervention targeting barriers, led to greater adherence with the recommendation for screening stroke patients for dysphagia.

Indexed as

Criteria-based clinical auditDeglutition disorderDysphagiaStrokeSwallow screening

Identifiers

PMID28588423
PMCPMC5455088
OpenAlexW2621217060

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.