A feasible and reliable screening for patients with dementia
Dysphagia is a dangerous illness, which significantly reduces a patient's quality of life. It often occurs in combination with dementia and can be fatal mainly as a result of malnutrition or pneumonia. Although this is will known, there is no dedicated swallowing screening for patients with dementia.
To determine whether the TOR-BSST©, a valid and reliable screening method that detects dysphagia in stroke patients, is equally feasible for patients with dementia, it was conducted with 51 residents of the psycho-geriatric ward of a nursing home.
To find out more about the interraterreliability of the TOR-BSST©, two measurements were taken on the same day with an intermission of one hour and were carried out by two independent examiners. Information about the interraterreliability was obtained by conducting two further measurements two weeks later.
The screenings's feasibility for dementia patients was determined with the help of a constructed scale that was filled in after each patient's first measurement.
The results show a good interraterreliability of the TOR-BSST© (k=0.68) and a less satisfying intraraterreliability (krt= 0.34 & kr2= 0.5). However, analysing the feasibility scale showed that adaptations to the TOR-BSST© become necessary to make it a feasible screening for patients with dementia.
diagnostizierte Demenz, aufrechtes Sitzen ist möglich, orale Einnahme möglich
Hals-Nacken-Tumore, Percutan-endoskopische Gastrostomie (PEG)
deskriptive Statistik, Inter- und Intraraterreliabilität mittels Cohens Kappa, Spearman Korrelation