Tsang, Kawai, Lau, Esther, Shazra, Mariyam, Eyres, Ruth, Hansjee, Dharinee and Smithard, David (2020) A new simple screening tool—4QT: can it identify those with swallowing problems? A pilot study. Geriatrics, 5 (1):11. ISSN 2308-3417 (Print), 2308-3417 (Online) (doi:10.3390/geriatrics5010011)

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Abstract

As people and the population age, the prevalence of swallowing problems (dysphagia) increases. The screening for dysphagia is considered good practice in stroke care, yet is not routinely undertaken in the management of frail older adults. A short swallow screen, the 4QT, was developed following a review of the literature. The screen has four questions relating to swallowing that can be asked by a member of the health care team. A convenience sample of 48 older frail patients on an acute frailty ward was recruited into a Quality Improvement project. Their swallow was screened using the EAT-10 and 4QT. A speech and language therapist assessed for the presence of dysphagia using a standardised assessment for dysphagia. The 4QT was as effective as the EAT-10 in identifying older frail adults with potential swallowing problems (Κ = 0.73). The 4QT has 100% sensitivity, 80.4% specificity and positive predictive value (PPV) 50%, negative predictive value (NPV) 100%. The 4QT is a highly sensitive but not specific swallow screen, only 50% of people reporting swallowing problems were confirmed to have a degree of dysphagia by the SLT. The 4QT is a simple screening tool that could be used by all staff, but requires further research/evaluation before it is widely accepted into clinical practice.

Item Type:	Article
Uncontrolled Keywords:	swallow screen, dysphagia, 4QT, frail
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing T Technology > T Technology (General)
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Chronic Illness and Ageing Faculty of Education, Health & Human Sciences > School of Health Sciences (HEA)
Related URLs:	Publisher Publisher http://pubmed.ncbi.nlm.nih.gov/32120993/
Last Modified:	22 Nov 2021 12:49
URI:	http://gala.gre.ac.uk/id/eprint/34429

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