-
Dysphagia Screening Measures for Use in Nursing Homes: A Systematic Review
-
Yeon-Hwan Park, Hwal Lan Bang, Hae-Ra Han, Hee-Kyung Chang
-
J Korean Acad Nurs 2015;45(1):1-13. Published online February 27, 2015
-
DOI: https://doi.org/10.4040/jkan.2015.45.1.1
-
-
Abstract
PDF
-
Purpose
The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia in older adults to identify the 'right tool' for nurses to use in nursing homes.
Methods
A systematic review was done. Electronic databases were searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality and applicability. Tools were evaluated for feasible incorporation into routine care by nurses.
Results
29 tools from 31 studies were identified. Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52% and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometric quality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagia and aspiration of nursing home residents.
Conclusion
Results show that GUSS and SSA are reliable and sensitive tools for screening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identified tools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.
-
Citations
Citations to this article as recorded by 
- Evaluation of the performance of screening tools for dysphagia in older adults: A diagnostic meta-analysis
Lingli Zhang, Ran Hou, Lin Liu, Yan Liu, Qinqin Yu Geriatric Nursing.2025; 61: 629. CrossRef - Effect of artificial intelligence-based video-game system on dysphagia in patients with stroke: A randomized controlled trial
Bohan Zhang, Ka Po Wong, Mingyue Liu, Vivian Hui, Cai Guo, Zihan Liu, Yue Liu, Qian Xiao, Jing Qin Clinical Nutrition.2025; 45: 81. CrossRef - Progress on aspiration assessment methods for patients after esophageal cancer surgery in early: A review
Yushuang Su, Yan Li, Zhongbin Chen, Hong Gao, Yaxie He, Xiaohua Li, Xiaying Zeng, Wei Lan, Qin Yang Medicine.2025; 104(3): e41214. CrossRef - eTWST: An Extension to the Timed Water Swallow Test for Increased Dysphagia Screening Accuracy
Louise Brage, Fredrik Nylén, Patricia Hägglund, Thorbjörn Holmlund Dysphagia.2024;[Epub] CrossRef - Feasibility of Oral Function Evaluation According to Dementia Severity in Older Adults with Alzheimer’s Disease
Maki Shirobe, Ayako Edahiro, Keiko Motokawa, Shiho Morishita, Yoshiko Motohashi, Chiaki Matsubara, Masanori Iwasaki, Yutaka Watanabe, Hirohiko Hirano Nutrients.2024; 16(7): 992. CrossRef - Research trends on dysphagia among Korean older adults in long-term care facilities: A scoping review
Seyoung Cho, Dukyoo Jung, Jisung Park Journal of Korean Gerontological Nursing.2024; 26(2): 134. CrossRef - Appropriate volumes of water for non-invasive swallowing assessments of nursing home residents: A descriptive correlational study
Meng Rung Tsai, Wann Yun Shieh, Hsiu Hsin Tsai, Yea Ing Lotus Shyu, Kuo Hsuan Chang, Fur Hsing Wen, Chia Yih Liu Heliyon.2024; 10(17): e37340. CrossRef - Aspiration pneumonia in nursing literature—a mapping review
Dominika Lisiecka, Áine Kearns, William Evans, Dawn Farrell Frontiers in Rehabilitation Sciences.2024;[Epub] CrossRef - Development and validation of a nomogram for predicting dysphagia in long-term care facility residents
Jinmei Liu, Mingshu Liao, Hui Yang, Xiaofang Chen, Yang Peng, Jing Zeng Aging Clinical and Experimental Research.2023; 35(6): 1293. CrossRef - Understanding how primary care practitioners can be supported to recognise, screen and initially diagnose oropharyngeal dysphagia: protocol for a behavioural science realist review
Caroline Smith, Debi Bhattacharya, Sion Scott BMJ Open.2023; 13(2): e065121. CrossRef - Effects of chin tuck against resistance exercise on post-stroke dysphagia rehabilitation: A systematic review and meta-analysis
Jing Liu, Qiuyi Wang, Jing Tian, Wanqiong Zhou, Yitian Gao, Xuemei Chen, Wei Zhang, Yajing Gao, Lanshu Zhou Frontiers in Neurology.2023;[Epub] CrossRef - Development and validation of a predictive model for patients with post-extubation dysphagia
Jia-ying Tang, Xiu-qin Feng, Xiao-xia Huang, Yu-ping Zhang, Zhi-ting Guo, Lan Chen, Hao-tian Chen, Xiao-xiao Ying World Journal of Emergency Medicine.2023; 14(1): 49. CrossRef - Evaluation of preventive care for swallowing difficulty through policy changes in Japanese long-term care insurance: analysis of a nationwide claims dataset for long-term care insurance
Hiroko Mori, Ayako Nakane, Haruka Tohara, Takeo Nakayama BMC Health Services Research.2023;[Epub] CrossRef - Are Oropharyngeal Dysphagia Screening Tests Effective in Preventing Pneumonia?
Ikuko Okuni, Satoru Ebihara Journal of Clinical Medicine.2022; 11(2): 370. CrossRef - Altered Brain Function Activity in Patients With Dysphagia After Cerebral Infarction: A Resting-State Functional Magnetic Resonance Imaging Study
Lei Li, Jiayu Liu, Fenxiong Liang, Haidong Chen, Rungen Zhan, Shengli Zhao, Tiao Li, Yongjun Peng Frontiers in Neurology.2022;[Epub] CrossRef - The Role of Instrumental Swallowing Assessment in Adults in Residential Aged Care Homes: A National Modified Delphi Survey Examining Beliefs and Practices
Olga Birchall, Michelle Bennett, Nadine Lawson, Susan M. Cotton, Adam P. Vogel Dysphagia.2022; 37(3): 510. CrossRef - Predicting feeding-tube dependence in patients following endotracheal extubation: a two-item swallowing screen
Shu-Fen Siao, Wen-Hsuan Tseng, Tyng-Guey Wang, Yu-Chung Wei, Tzu-Yu Hsiao, Shih-Chi Ku, Cheryl Chia-Hui Chen BMC Pulmonary Medicine.2021;[Epub] CrossRef - European white paper: oropharyngeal dysphagia in head and neck cancer
Laura W. J. Baijens, Margaret Walshe, Leena-Maija Aaltonen, Christoph Arens, Reinie Cordier, Patrick Cras, Lise Crevier-Buchman, Chris Curtis, Wojciech Golusinski, Roganie Govender, Jesper Grau Eriksen, Kevin Hansen, Kate Heathcote, Markus M. Hess, Sefik European Archives of Oto-Rhino-Laryngology.2021; 278(2): 577. CrossRef - Dysphagia screening in residential care settings: A scoping review
Constantino Estupiñán Artiles, Julie Regan, Claire Donnellan International Journal of Nursing Studies.2021; 114: 103813. CrossRef - A Swallowing Screening Test Enhances a Better Recognition of Patients with a Hip Fracture at Risk for Oropharyngeal Dysphagia
Hugo Wijnen, Peter P. Schmitz, Martine Jansen, Linda Hendrix, Job L. C. van Susante, Hanna Willems Orthopaedic Nursing.2021; 40(2): 94. CrossRef - Comparison studies of ultrasound-guided botulinum toxin injection and balloon catheter dilatation in the treatment of neurogenic cricopharyngeal muscle dysfunction
Shuo Luan, Shao-Ling Wu, Ling-Jun Xiao, Hai-Yun Yang, Mei-Xin Liao, Shao-Ling Wang, Sheng-Nuo Fan, Chao Ma NeuroRehabilitation.2021; 49(4): 629. CrossRef - Instrumental Swallowing Assessment in Adults in Residential Aged Care Homes: A Scoping Review
Olga Birchall, Michelle Bennett, Nadine Lawson, Susan M. Cotton, Adam P. Vogel Journal of the American Medical Directors Association.2021; 22(2): 372. CrossRef - Validation of the Munich Swallowing Score (MUCSS) in patients with neurogenic dysphagia: A preliminary study
G. Bartolome, U. Starrost, H. Schröter-Morasch, B. Schilling, L. Fischbacher, L. Kues, S. Graf, W. Ziegler NeuroRehabilitation.2021; 49(3): 445. CrossRef - Dietary inflammatory index is associated with pain intensity and some components of quality of life in patients with knee osteoarthritis
Vahideh Toopchizadeh, Neda Dolatkhah, Dawood Aghamohammadi, Mahrokh Rasouli, Maryam Hashemian BMC Research Notes.2020;[Epub] CrossRef - Dysphagia and mealtime difficulties in dementia: Speech and language therapists’ practices and perspectives
Aisling Egan, Carolyn Andrews, Anja Lowit International Journal of Language & Communication Disorders.2020; 55(5): 777. CrossRef - The Gugging Swallowing Screen in dysphagia screening for patients with stroke: A systematic review
Ki Deok Park, Tae Hee Kim, Seon Heui Lee International Journal of Nursing Studies.2020; 107: 103588. CrossRef - Optimising Medicines Administration for Patients with Dysphagia in Hospital: Medical or Nursing Responsibility?
David J. Wright, David G. Smithard, Richard Griffith Geriatrics.2020; 5(1): 9. CrossRef - Risk Factors of Dysphagia Among Community-Dwelling Middle-Aged Women
Young Hee Lee, Dukyoo Jung, Ok Jong Yun, Hyesoon Lee, Minkyung Lee Gastroenterology Nursing.2020; 43(2): 164. CrossRef - Developing and Testing the Diagnostic Accuracy of a Brief Nursing Dysphagia Screen
Sarah Groppo-Lawless, Claire C. Davies, Alex Lengerich Rehabilitation Nursing.2020; 45(6): 367. CrossRef - The Easy Dysphagia Symptom Questionnaire (EDSQ): a new dysphagia screening questionnaire for the older adults
Kyeong Eun Uhm, Minsun Kim, Yong Min Lee, Bo-Ram Kim, Yoon-Sook Kim, Jaekyung Choi, Seol-Heui Han, Hee Joung Kim, Kwang Ha Yoo, Jongmin Lee European Geriatric Medicine.2019; 10(1): 47. CrossRef - Sarcopenia is an Independent Risk Factor for Dysphagia in Community-Dwelling Older Adults
Seungwoo Cha, Won-Seok Kim, Ki Woong Kim, Ji Won Han, Hak Chul Jang, Soo Lim, Nam-Jong Paik Dysphagia.2019; 34(5): 692. CrossRef - The GUSS test as a good indicator to evaluate dysphagia in healthy older people: a multicenter reliability and validity study
Ebru Umay, Sibel Eyigor, Ali Yavuz Karahan, Ilknur Albayrak Gezer, Ayse Kurkcu, Dilek Keskin, Gulten Karaca, Zeliha Unlu, Canan Tıkız, Meltem Vural, Banu Aydeniz, Ebru Alemdaroglu, Emine Esra Bilir, Ayse Yalıman, Ekin Ilke Sen, Mazlum Serdar Akaltun, Ozle European Geriatric Medicine.2019; 10(6): 879. CrossRef - Repetitive Saliva Swallowing Test: Norms, Clinical Relevance and the Impact of Saliva Secretion
Emmelie Persson, Inger Wårdh, Per Östberg Dysphagia.2019; 34(2): 271. CrossRef - Dysphagia in Frail Older Persons: Making the Most of Current Knowledge
Nicole Rogus-Pulia, Rainer Wirth, Philip D. Sloane Journal of the American Medical Directors Association.2018; 19(9): 736. CrossRef - Frailty, Swallowing and Dysphagia
David G. Smithard, Mariyam Shazra, Dharinee Hansjee, Ian Swaine Current Physical Medicine and Rehabilitation Reports.2018; 6(3): 192. CrossRef - Nursing interventions in adult patients with oropharyngeal dysphagia: a systematic review
Lorena Molina, Susana Santos-Ruiz, Pere Clavé, Luis González-de Paz, Esther Cabrera European Geriatric Medicine.2018; 9(1): 5. CrossRef - Nursing home-acquired pneumonia, dysphagia and associated diseases in nursing home residents: A retrospective, cross-sectional study
Vanessa R.Y. Hollaar, Gert-Jan van der Putten, Claar D. van der Maarel-Wierink, Ewald M. Bronkhorst, Bert J.M. de Swart, Cees de Baat, Nico H.J. Creugers Geriatric Nursing.2017; 38(5): 437. CrossRef - Oropharyngeal dysphagia: manifestations and diagnosis
Nathalie Rommel, Shaheen Hamdy Nature Reviews Gastroenterology & Hepatology.2016; 13(1): 49. CrossRef - Dysphagia and Aspiration
John E. Morley Journal of the American Medical Directors Association.2015; 16(8): 631. CrossRef - Expanding Instrumental Options for Dysphagia Diagnosis and Research: Ultrasound and Manometry
Maggie-Lee Huckabee, Phoebe Macrae, Kristin Lamvik Folia Phoniatrica et Logopaedica.2015; 67(6): 269. CrossRef
-
537
View
-
15
Download
-
40
Crossref
|