Validation of a Postextubation Dysphagia Screening Tool for Patients After Prolonged Endotracheal Intubation

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
Karen L JohnsonKeri Winchester

Abstract

Patients who receive prolonged endotracheal intubation (> 48 hours) are at risk for dysphagia. Nurses should conduct swallowing assessments after extubation because of the high likelihood of aspiration pneumonia developing. No valid and reliable postextubation dysphagia screening tools are available. To establish content validity, analyze interrater reliability, and determine sensitivity and specificity of an evidence-based postextubation dysphagia screening tool developed by a multidisciplinary team. A prospective nonexperimental study was conducted in 4 medical-surgical intensive care units in 4 hospitals. The study was conducted in 3 phases: (1) establishing content validity with clinical experts who participated in a Delphi survey, (2) establishing inter-rater reliability by agreement with nurses who simultaneously and independently completed the tool, and (3) establishing sensitivity and specificity with speech language pathologists and nurses who independently and blindly completed the tool for eligible patients. Individual item scores were > 0.82 and the overall content validity index was 0.93, indicating content validity. Interrater reliability was established (Cohen κ = 0.92). In 66 eligible patients, the prevalence of...Continue Reading

Citations

May 30, 2020·Dysphagia·Zofia FrajkovaAhmed Geneid
Nov 27, 2019·Intensive Care Medicine·Martin B BrodskyDale M Needham
Apr 19, 2020·American Journal of Physical Medicine & Rehabilitation·Martin B BrodskyMarlís González-Fernández
Jul 19, 2019·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Sarah Groppo-LawlessAlex Lengerich
Dec 16, 2020·The Laryngoscope·Melanie McIntyreSebastian Doeltgen
Aug 3, 2020·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Melanie McIntyreTimothy Chimunda
Dec 18, 2020·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Sarah Groppo-LawlessAlex Lengerich
Mar 4, 2021·American Journal of Physical Medicine & Rehabilitation·Yoichiro AoyagiEiichi Saitoh
May 27, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Melanie McInytreTimothy Chimunda
Jun 25, 2021·Dysphagia·Maria Raffaella MarcheseUNKNOWN “Gemelli Against COVID-19 Post-Acute Care Team”

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