`The effectiveness of SSA in the detection of dysphagia in acute stroke` would be good.

RUNNING HEAD : SSA : Detecting Dysphagia in Acute Stroke

The Beneficial Effects of SSA in the Detection of Dysphagia in Acute Stroke

TABLE OF CONTENTS ABSTRACT .1

1 . INTRODUCTION .2

Setting of the Study .2

Scope and Limitation .3

Historical and Clinical Management .4

2 . LITERATURE REVIEW

Acute stroke .4

Normal swallowing .5

Swallowing abnormalities .8

Aspiration after stroke .11

Complications of Dysphagia .11

Aspiration pneumonia .11 Dehydration .16

Nutrition .16

Assessment of swallowing .16

3 . METHODS p

Patient selection .27

Clinical Professional Involved .28

Intervention Applied .30

4 . RESULTS . 31

5 . DISCUSSION .33

6 CONCLUSION .35 REFERENCES .36

LIST OF TABLES

Table 1 : Reduction Etiology Table : Participant Characteristics Obtained in 3-month Patient Gathering and Assessments .28

Table 2 :Age , Gender , and VF Assessment -Participant Characteristics Obtained in 3-month Patient Gathering and Assessments .29

Table 3 : SSA Assessment Outcomes : Participant Characteristics Obtained in 3-month Patient Gathering and Assessments .31

Table 4 : VF Utilization Outcomes - Assessed by SP1 , PHYSICIAN-X and VF .32

Table 5 :Aspiration Predictives- Assessed by SP1 and PHYSICIAN-X .32

Table 6 : SSA Assessment Outcomes on Day 1 and 7 .33

APPENDIX A . Dysphagia Screening Test . Staff Swallowing Assessment (SSA .41

ACKNOWLEDGMENTS

Many professionals contributed to the completion of this research effort . I would like to thank my supervisor Professor David Howard Degree Programme Director of School of Education Communication and Language Sciences in the University of Newcastle in United Kingdom he extended my knowledge of statistical analysis and design issues . My thesis committee has been flexible , informative , and extremely helpful I would thank Dr . HYPERLINK "https /owa .ncl .ac .uk /Exchange /a6906223 /Inbox /Out 20of 20Office 20AutoR eply 20Hi .EML ?cmd editrecipient Index -1 " \o "d .m .james newcastle .ac .uk " Deborah James , Dr . Nick Miller and Ms Gillian Cavagan the Office Manager of my school department . I am grateful for the efforts of Drs . Essam Al- Zimaity the head of the ENT Department in King Khalid National Guard Hospital in Jeddah Saudi Arabia for his help and for letting me collecting the data . I am thanking Dr Ashraf Abu alaiz the speech language pathology consultant and all my friend and colleague for there help and support they have been the front line in this effort . I am thanking all the Neurology department in King Khalid Hospital specially the nurses and the clinical nutrition for their help ABSTRACT

Dysphagia is common after acute stroke and there is a risk of aspiration pneumonia and other complications . The early detection of dysphagia in such patients reduces such complications , hospital stay and overall healthcare expenditures . The objective of this study was to detect and manage dysphagia in the first few days after stroke by formal swallowing assessments . A pre- and post-intervention study Standardised Bedside Swallowing Assessment (SSA ) was performed using a standardised bedside swallowing assessment (SSA ) at the neurology ward in King Khalid National Guard Hospital , Jeddah , Saudi Arabia . The ethical committee of the hospital approved the study

The study involved forty consecutively admitted patients with acute . The results mainly indicated that patients...