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Anderson JA, Petersen N, Daniels S. Feasibility of screening swallowing in patients with stroke symptoms in the emergency department. [Abstract]. Stroke; A Journal of Cerebral Circulation. 2011 Mar 1; 42(3):e328.
Early detection of dysphagia is critical in acute stroke as it allows for immediate intervention thereby reducing morbidity, length of stay, and healthcare costs. Completing a swallowing screening test (SST) in the emergency department (ED) appears most logical given American Heart Association/American Stroke Association recommendations and the potential need for rapid administration of medication. Research has suggested that SSTs with trial water swallows are the most accurate in identification of patients with risk of dysphagia. Barriers to implementing a SST, particularly one with a water swallow component, in the ED are unknown.