The Burke Dysphagia Screening Test is used to identify patients in the rehabilitation phase following a stroke who are at risk for aspiration pneumonia, recurrent upper airway obstruction and death.
The patient is evaluated for the presence or absence of each of the following items:
(1) bilateral stroke
(2) brainstem stroke
(3) history of pneumonia during the acute stroke phase
(4) coughing associated with feeding or during a 3 ounce water swallow test
(5) persistent failure to consume one half of meals
(6) prolonged time required for feeding
(7) non-oral feeding program in progress
total score =
= SUM(points for all 7 items)
• The Burke Dysphagia Screening Test is considered positive if at least one of the above items is present.
• The Burke Dysphagia Screening Test is considered negative if all of the above items are absent.
• In the initial evaluation, the screening test identified 11 of 12 patients with pneumonia, upper airway obstruction or death.
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