Efectividad de los métodos de evaluación de la deglución para el diagnóstico de la disfagia en adultos y adultos mayores con accidente cerebrovascular.

Abstract

INTRODUCTION: Dysphagia is a swallowing disorder that is commonly reflected after a stroke and can mainly cause aspiration pneumonia and a number of other complications that can impair a person's quality of life. The objective of this research is to determine the diagnostic accuracy of the GUSS and MECV-V methods for the diagnosis of dysphagia in adults and older adults with stroke. METHODS: A systematic meta-analysis review was carried out by searching the literature in different databases and a statistical analysis of the information using RevMan 5.4. RESULTS: GUSS proves to be more sensitive but less specific than the MECV-V test. since it presents a greater diagnostic capacity with Odds Ratio values of 227.42 in relation to 22.22 of the MECV-V test. ANALYSIS AND DISCUSSION: The analysis of the evidence and diagnostic precision of the tests allows us to determine that MECV-V is more heterogeneous, however it is more precise in the evaluation and diagnosis of dysphagia. CONCLUSIONS: The GUSS is a reliable and sensitive protocol for diagnosing dysphagia in adults and older adults with stroke.