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Article ; Online: Dysphagia management: Does structured training improve the validity and reliability of cervical auscultation?

Bergström, Liza / Cichero, Julie Ay

International journal of speech-language pathology

2021 Volume 24, Issue 1, Page(s) 77–87

Abstract: ... ...

Abstract	Purpose
MeSH term(s)	Auscultation/methods ; Deglutition ; Deglutition Disorders/diagnosis ; Humans ; Reproducibility of Results
Language	English
Publishing date	2021-07-30
Publishing country	England
Document type	Journal Article
ZDB-ID	2402483-1
ISSN	1754-9515 ; 1754-9507
ISSN (online)	1754-9515
ISSN	1754-9507
DOI	10.1080/17549507.2021.1953592
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Article ; Online: Translation, and validation of Dysphagia Outcome and Severity Scale (DOSS): Swedish version.

Movander, Klara / Larsson Palmquist, Tove / Hägglund, Patricia / Bergström, Liza

BMC research notes

2023 Volume 16, Issue 1, Page(s) 369

Abstract: Background: Swallowing dysfunction (dysphagia) significantly impacts patient and medical outcomes. In Sweden, there is no comprehensive outcome measure for dysphagia that incorporates holistic assessment and dysphagia impact on a person's impairment, ... ...

Abstract	Background: Swallowing dysfunction (dysphagia) significantly impacts patient and medical outcomes. In Sweden, there is no comprehensive outcome measure for dysphagia that incorporates holistic assessment and dysphagia impact on a person's impairment, function and participation. The Dysphagia Outcome and Severity Scale (DOSS) was developed and validated (in English) and incorporates the World Health Organisation's (WHO) aforementioned, International Classification of Functioning (ICF) aspects. This study translated then evaluated the validity and reliability of the Swedish version, DOSS-S. Method: Translation occurred based on WHO recommendations. The Content Validity Index (CVI) of the translated version (DOSS-S) was assessed twice by 11 (multi-professional) dysphagia experts. Criterion validity and rater reliability was calculated using 18 Speech Pathologists assessing patient cases from International Dysphagia Diet Standardization Initiative-Functional Diet Scale (IDDS-FDS) research. Results: Very high CVI values (0.96-0.99) for the linguistic correlation, and high CVI values (0.84-0.94) for applicability correlation were achieved. High criterion validity of DOSS-S with IDDSI-FDS was demonstrated (r Conclusion: The DOSS-S demonstrated very high validity values, and very high inter and intra rater reliability. This research contributes to improved dysphagia management by providing interprofessional dysphagia clinicians with a validated scale to identify patient progression, communicate dysphagia status between regions and countries, and document patient outcomes using an ICF framework.
MeSH term(s)	Humans ; Deglutition Disorders/diagnosis ; Sweden ; Reproducibility of Results ; Deglutition ; Language
Language	English
Publishing date	2023-12-14
Publishing country	England
Document type	Journal Article
ZDB-ID	2413336-X
ISSN	1756-0500 ; 1756-0500
ISSN (online)	1756-0500
ISSN	1756-0500
DOI	10.1186/s13104-023-06637-z
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Article ; Online: Dysphagia Management and Cervical Auscultation: Reliability and Validity Against FEES.

Jaghbeer, Mariam / Sutt, Anna-Liisa / Bergström, Liza

Dysphagia

2022 Volume 38, Issue 1, Page(s) 305–314

Abstract: This study investigated the reliability and validity (sensitivity and specificity) of cervical auscultation (CA) using both swallow and pre-post swallow-respiratory sounds, as compared with Flexible Endoscopic Evaluation of Swallowing (FEES). With 103 ... ...

Abstract	This study investigated the reliability and validity (sensitivity and specificity) of cervical auscultation (CA) using both swallow and pre-post swallow-respiratory sounds, as compared with Flexible Endoscopic Evaluation of Swallowing (FEES). With 103 swallow-respiratory sequences from 23 heterogenic patients, these swallows sounds were rated by eight CA-trained Speech-Language Pathologists (SLPs) to investigate: (1) if the swallow was safe (primary outcome); (2) patient dysphagia status; (3) the influence of liquid viscosity on CA accuracy (secondary outcomes). Primary outcome data showed high CA sensitivity (85.4%), and specificity (80.3%) with all consistencies for the safe measurement, with CA predictive values of [Formula: see text] 90% to accurately detect unsafe swallows. Intra-rater reliability was good (Kappa [Formula: see text] 0.65), inter rater reliability moderate (Kappa [Formula: see text] 0.58). Secondary outcome measures showed high sensitivity (80.1%) to identify if a patient was dysphagic, low specificity (22.9%), and moderate correlation (r
MeSH term(s)	Humans ; Deglutition Disorders/diagnosis ; Deglutition Disorders/complications ; Deglutition ; Reproducibility of Results ; Respiratory Sounds ; Auscultation/methods
Language	English
Publishing date	2022-07-15
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632764-3
ISSN	1432-0460 ; 0179-051X
ISSN (online)	1432-0460
ISSN	0179-051X
DOI	10.1007/s00455-022-10468-8
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Article ; Online: Dysphagia terminology for texture modified fluid and food: a national survey of speech-language pathologists' practice.

Yli-Hukka, Julia / Lignell, Joanna / Eriksson, Karin / Bergström, Liza

Logopedics, phoniatrics, vocology

2022 , Page(s) 1–11

Abstract: Purpose: To investigate: (a) Swedish Speech-Language Pathologists (SLPs) dysphagia management with TMC, including terminology, inter-professional collaboration, and knowledge of standard TMC guides; and (b) the current TMC terminology/guides used within ...

Abstract	Purpose: To investigate: (a) Swedish Speech-Language Pathologists (SLPs) dysphagia management with TMC, including terminology, inter-professional collaboration, and knowledge of standard TMC guides; and (b) the current TMC terminology/guides used within university hospitals, in Sweden. Method: Part One surveyed SLPs from 19/21 regions. Recruitment occurred via regional SLP/department managers, the national SLP association and email lists. Non-parametric statistics were employed. Part Two explored TMC guides within the seven university hospitals. Result: The initial survey identified 78 Swedish TMC terms. Overlap of both TMC Conclusion: Variable TMC terminology is used in Sweden, impacting optimal dysphagia management. Future research should focus upon implementation of standardised TMC terminology.
Language	English
Publishing date	2022-09-06
Publishing country	England
Document type	Journal Article
ZDB-ID	1340538-x
ISSN	1651-2022 ; 1401-5439
ISSN (online)	1651-2022
ISSN	1401-5439
DOI	10.1080/14015439.2022.2117844
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Article ; Online: How Valid and Reliable Is the International Dysphagia Diet Standardisation Initiative (IDDSI) When Translated into Another Language?

Dahlström, Sara / Henning, Ida / McGreevy, Jenny / Bergström, Liza

Dysphagia

2022 Volume 38, Issue 2, Page(s) 667–675

Abstract: Swallowing difficulties are estimated to affect 590 million people worldwide and the modification of food and fluids is considered the cornerstone of dysphagia management. Contemporary practice uses the International Dysphagia Diet Standardisation ... ...

Abstract	Swallowing difficulties are estimated to affect 590 million people worldwide and the modification of food and fluids is considered the cornerstone of dysphagia management. Contemporary practice uses the International Dysphagia Diet Standardisation Initiative (IDDSI), however, the validity and reliability of IDDSI when translated into another language has not been investigated. This study describes the translation process and confirms the validity and reliability of IDDSI when translated into another language (Swedish). The translation used a 12-step process based on the World Health Organization recommendations. Validity was tested using Content Validity Index (CVI) based on three ratings by a panel of 10-12 experts (Dietitians and Speech-Language Pathologists [SLPs]). The translation was rated for linguistic correlation as well as understandability and applicability in a Swedish context. Inter-rater reliability was calculated using Intraclass Correlation Coefficient (ICC) from 20 SLP assessments of 10 previously published patient cases. Significant improvement (p < 0.05) of CVI between Expert Panel assessments was shown for linguistic correlation (improvement from 0.74-0.98) and understandability/applicability (improvement from 0.79-0.93 across ratings). Excellent validity (Item-CVI > 0.78 and Scale-CVI/Average > 0.8) and very high inter-rater reliability (ICC > 0.9) were demonstrated. Results show that, when using a multi-step translation process, a translated version of IDDSI (into Swedish) demonstrates high validity and reliability. This further contributes to the evidence for use of IDDSI.
MeSH term(s)	Humans ; Deglutition Disorders ; Reproducibility of Results ; Diet ; Food ; Language
Language	English
Publishing date	2022-08-22
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632764-3
ISSN	1432-0460 ; 0179-051X
ISSN (online)	1432-0460
ISSN	0179-051X
DOI	10.1007/s00455-022-10498-2
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Article ; Online: High-flow via a tracheostomy tube and speaking valve during weaning from mechanical ventilation and tracheostomy.

Egbers, Peter H / Sutt, Anna-Liisa / Petersson, Jenny E / Bergström, Liza / Sundman, Eva

Acta anaesthesiologica Scandinavica

2023 Volume 67, Issue 10, Page(s) 1403–1413

Abstract: Background: Weaning from mechanical ventilation and tracheostomy after prolonged intensive care consume enormous resources with optimal management not currently well described. Restoration of respiratory flow via the upper airway is essential and early ... ...

Abstract	Background: Weaning from mechanical ventilation and tracheostomy after prolonged intensive care consume enormous resources with optimal management not currently well described. Restoration of respiratory flow via the upper airway is essential and early cuff-deflation using a one-way valve (OWV) is recommended. However, extended OWV use may cause dry airways and thickened secretions which challenge the weaning process. High-flow therapy via the tracheostomy tube (HFT-T) humidifies inspired air and may be connected via an in-line OWV (HFT-T-OWV) alleviating these problems. We aim to provide clinical and experimental data on the safety of HFT-T-OWV along with a practical guide to facilitate clinical use during weaning from mechanical ventilation and tracheostomy. Methods: Data on adverse events of HFT-T-OWV were retrieved from a quality register for patients treated at an intensive care rehabilitation center between 2019 and 2022. Benchtop experiments were performed to measure maximum pressures and pressure support generated by HFT-T-OWV at 25-60 L/min flow using two different HFT-T adapters (interfaces). In simulated airway obstruction using a standard OWV (not in-line) maximum pressures were measured with oxygen delivered via the side port at 1-3 L/min. Results: Of 128 tracheostomized patients who underwent weaning attempts, 124 were treated with HFT-T-OWV. The therapy was well tolerated, and no adverse events related to the practice were detected. The main reason for not using HFT-T-OWV was partial upper airway obstruction using a OWV. Benchtop experiments demonstrated HFT-T-OWV maximum pressures <4 cmH Conclusions: Current study clinical data and benchtop experiments indicate that HFT-T-OWV was well tolerated and appeared safe. Pressure support was low, but humidification may enable extended use of a OWV without dry airway mucosa and thickened secretions. Results suggest the treatment could offer advantages to standard OWV use, with or without supplementary oxygen, as well as to HFT-T without a OWV, for weaning from mechanical ventilation and tracheostomy. However, for definitive treatment recommendations, randomized clinical trials are needed.
Language	English
Publishing date	2023-07-12
Publishing country	England
Document type	Journal Article
ZDB-ID	80002-8
ISSN	1399-6576 ; 0001-5172
ISSN (online)	1399-6576
ISSN	0001-5172
DOI	10.1111/aas.14305
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Article ; Online: Tracheostomy management by speech-language pathologists in Sweden.

Wiberg, Sara / Whitling, Susanna / Bergström, Liza

Logopedics, phoniatrics, vocology

2020 Volume 47, Issue 3, Page(s) 146–156

Abstract: Purpose: ...

Abstract	Purpose:
MeSH term(s)	COVID-19 ; Communication Disorders ; Humans ; Pandemics ; Pathologists ; Speech ; Speech-Language Pathology/methods ; Surveys and Questionnaires ; Sweden ; Tracheostomy/adverse effects ; Voice Quality
Language	English
Publishing date	2020-12-26
Publishing country	England
Document type	Journal Article
ZDB-ID	1340538-x
ISSN	1651-2022 ; 1401-5439
ISSN (online)	1651-2022
ISSN	1401-5439
DOI	10.1080/14015439.2020.1847320
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Article ; Online: Prevalence of Oropharyngeal Dysphagia in Adults in Different Healthcare Settings: A Systematic Review and Meta-analyses.

Rivelsrud, Maribeth Caya / Hartelius, Lena / Bergström, Liza / Løvstad, Marianne / Speyer, Renée

Dysphagia

2022 Volume 38, Issue 1, Page(s) 76–121

Abstract: Oropharyngeal dysphagia (OD) is prevalent in the elderly and persons with complex medical conditions, resulting in considerable medical and psychosocial consequences and reduced quality of life. Many prevalence studies regard OD in relation to age or ... ...

Abstract	Oropharyngeal dysphagia (OD) is prevalent in the elderly and persons with complex medical conditions, resulting in considerable medical and psychosocial consequences and reduced quality of life. Many prevalence studies regard OD in relation to age or diagnosis. Knowledge on the prevalence of OD in different healthcare settings is lacking. This systematic review aimed to estimate the prevalence of OD in adults admitted to hospitals, rehabilitation facilities, nursing homes, and palliative care facilities through meta-analyses. A systematic literature search was completed including all dates up to March 30, 2021. The methodology and reporting were based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Forty-four out of 1,956 screened articles were deemed eligible. Considerable heterogeneity in definitions of OD and type and quality of selected outcome measures were observed. Overall within-group pooled prevalence estimates for OD determined by meta-analysis were 36.5% (95% CI 29.9 - 43.6) in the hospital setting, 42.5% (95% CI 35.8 - 49.5) in the rehabilitation setting, and 50.2% (95% CI 33.3-67.2) in nursing homes. No OD prevalence data were identified for palliative care facilities. Results for between-group analyses of OD prevalence estimates in the hospital setting were non-significant for type of assessment method, diagnostic group, and type of hospital ward, but indicated significantly higher prevalence estimates in nursing homes when using screening compared to patient-report. Future research should provide OD prevalence data for palliative care, achieve consensus in OD-related terminology when performing prevalence studies, and use screening and assessments with optimal diagnostic performance and psychometric properties.
MeSH term(s)	Humans ; Adult ; Aged ; Deglutition Disorders/epidemiology ; Deglutition Disorders/diagnosis ; Prevalence ; Quality of Life/psychology ; Hospitals ; Delivery of Health Care
Language	English
Publishing date	2022-05-31
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	632764-3
ISSN	1432-0460 ; 0179-051X
ISSN (online)	1432-0460
ISSN	0179-051X
DOI	10.1007/s00455-022-10465-x
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Article ; Online: Experiences of living with persisting post-stroke dysphagia and of dysphagia management - a qualitative study.

Helldén, Josefin / Bergström, Liza / Karlsson, Staffan

International journal of qualitative studies on health and well-being

2018 Volume 13, Issue sup1, Page(s) 1522194

Abstract: Purpose: The aim of this study was to investigate people's experiences of living with dysphagia after stroke, and their experiences of dysphagia management.: Methods: The study design was qualitative, and an open-ended approach to data collection was ...

Abstract	Purpose: The aim of this study was to investigate people's experiences of living with dysphagia after stroke, and their experiences of dysphagia management. Methods: The study design was qualitative, and an open-ended approach to data collection was used, with follow-up probing questions to gain more information as needed. Personal interviews were conducted with five persons who had persisting moderate to severe dysphagia after stroke, living in the south-west part of Sweden. The data were analysed with qualitative content analysis. Results: When analysing the data, the following theme emerged; "Dysphagia impacts life situations negatively and requires individually adapted, long term support from skilled health care professionals". The theme consists of three categories: "Learning to manage dysphagia and its complications", "Professional support with dysphagia varies" and "Finding small moments of joy despite large restrictions in life situations". Conclusions: Findings indicated that people with dysphagia experienced a lack of support from health care professionals. Better health care support following discharge from hospital is required to ensure an optimal quality of life. Actions to achieve this may include developing national guidelines for adequate dysphagia follow-up and establishing multidisciplinary dysphagia teams in hospitals and long-term care facilities.
MeSH term(s)	Adaptation, Psychological ; Aged ; Aged, 80 and over ; Attitude ; Deglutition Disorders/etiology ; Deglutition Disorders/therapy ; Disease Management ; Health Personnel ; Humans ; Male ; Middle Aged ; Qualitative Research ; Quality of Life ; Stroke/complications ; Surveys and Questionnaires ; Sweden
Language	English
Publishing date	2018-10-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2232726-5
ISSN	1748-2631 ; 1748-2623
ISSN (online)	1748-2631
ISSN	1748-2623
DOI	10.1080/17482631.2018.1522194
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Neurostimulation in People with Oropharyngeal Dysphagia: A Systematic Review and Meta-Analysis of Randomised Controlled Trials-Part II: Brain Neurostimulation.

Speyer, Renée / Sutt, Anna-Liisa / Bergström, Liza / Hamdy, Shaheen / Pommée, Timothy / Balaguer, Mathieu / Kaale, Anett / Cordier, Reinie

Journal of clinical medicine

2022 Volume 11, Issue 4

Abstract: Objective. ...

Abstract	Objective.
Language	English
Publishing date	2022-02-14
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm11040993
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