Teleswallowing® Can Reduce Incidence of Stroke-Associated Pneumonia

stroke-associated_pneumonia

The graph above and the following findings are taken from “The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia” 1 (Bray BD, et al on behalf of the Sentinel Stroke National Audit Programme Collaboration):

  • There is a strong relationship between delays in comprehensive dysphagia assessment and incidence of stroke-associated pneumonia.
  • Delays in comprehensive dysphagia assessment were associated with an absolute increase in the risk of stroke-associated pneumonia of 3% over the first 24 hours.
  • Delays in speech and language therapist dysphagia assessment beyond 24 hours were associated with an additional 4% absolute increase in the incidence of stroke-associated pneumonia.
  • There was moderately strong evidence that delays in comprehensive speech and language therapist assessment were associated with an increase in mortality risk.

These findings suggest that reducing delays in screening and assessing for dysphagia in people with acute stroke should be a focus of quality improvement in stroke care.

You can download the full research paper here.

By facilitating the rapid assessment of dysphagia remotely, Teleswallowing® may facilitate the reduction of delays in assessing for dysphagia in people with acute stroke.

Teleswallowing Limited have also conducted a pilot out of hours service at Blackpool Teaching Hospitals NHS Foundation Trust, whereby swallowing assessments can be performed remotely on evenings and weekends by a speech and language therapist on call, working from home.

 

References

1 Bray BD, Smith CJ, Cloud GC, et al. J Neurol Neurosurg Psychiatry
Published Online First: 3 May 2016 doi:10.1136/jnnp- 2016-313356