The reliability and validity of cervical auscultation in the diagnosis of dysphagia: a systematic review

Clinical Rehabilitation
Marloes L J LagardeLenie van den Engel-Hoek

Abstract

To systematically review the available evidence for the reliability and validity of cervical auscultation in diagnosing the several aspects of dysphagia in adults and children suffering from dysphagia. Medline (PubMed), Embase and the Cochrane Library databases. The systematic review was carried out applying the steps of the PRISMA-statement. The methodological quality of the included studies were evaluated using the Dutch 'Cochrane checklist for diagnostic accuracy studies'. A total of 90 articles were identified through the search strategy, and after applying the inclusion and exclusion criteria, six articles were included in this review. In the six studies, 197 patients were assessed with cervical auscultation. Two of the six articles were considered to be of 'good' quality and three studies were of 'moderate' quality. One article was excluded because of a 'poor' methodological quality. Sensitivity ranges from 23%-94% and specificity ranges from 50%-74%. Inter-rater reliability was 'poor' or 'fair' in all studies. The intra-rater reliability shows a wide variance among speech language therapists. In this systematic review, conflicting evidence is found for the validity of cervical auscultation. The reliability of cervical au...Continue Reading

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Citations

Sep 15, 2016·Journal of Oral Rehabilitation·Q PanS Minagi
May 20, 2017·Logopedics, Phoniatrics, Vocology·Neville W HennesseyNatalie Ciccone
Feb 6, 2017·The South African Journal of Communication Disorders. Die Suid-Afrikaanse Tydskrif Vir Kommunikasieafwykings·Mckinley Andrews, Mershen Pillay
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Aug 22, 2021·Developmental Medicine and Child Neurology·Florentine V SchepersLenie van den Engel-Hoek

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