title: Referral criteria for assessment and treatment in an ambulatory dysphagia clinic.
abstract: Dysphagia is highly prevalent in patients with chronic neurological disorders and can increase the risk for comorbidities such as aspiration pneumonia and malnutrition. Treatment includes timely access to interdisciplinary health care teams with specialized skills in dysphagia management. A retrospective chart review (n=99 of 125 charts screened) was conducted to evaluate the effectiveness of referral criteria to identify and triage patients with suspected dysphagia to an ambulatory dysphagia clinic. Variables collected included demographic information (age), anthropometric information (body mass index [BMI], each patient's sex), reason for referral, primary medical diagnosis, symptomatology (e.g., pneumonia, chest congestion), nutrition and swallowing interventions, clinic wait times, missed/cancelled appointments, and referring health care professional. The mean age and mean BMI ± standard deviation of patients reviewed were 68.7 years ± 18.4 years and 25.2 kg/m² ± 6.7 kg/m², respectively. Average clinic wait times were 158 days (13 to 368 days) for routine and 52 days (0 to 344 days) for urgent assessments (p<0.001). The most common reason(s) for referral was/were related to dysphagia (n=83), surgery (n=50), and/or gastrointestinal symptomatology (n=28); 80% to 90% of patients received varying diagnostic and treatment services for dysphagia. Development of effective referral criteria is critical to ensure that clients with dysphagia receive timely diagnostic, treatment, and nutrition interventions by interdisciplinary health care teams specializing in dysphagia.
authors.affiliation: Nutrition Services, Grey Nuns Community Hospital, Covenant Health, Edmonton, AB.
authors.forename: Klara
authors.initials: K
authors.lastname: Lorinczi
authors.forename: Vanessa
authors.initials: V
authors.lastname: Denheyer
authors.forename: Amanda
authors.initials: A
authors.lastname: Pickard
authors.forename: Alice
authors.initials: A
authors.lastname: Lee
authors.forename: Diana R
authors.initials: DR
authors.lastname: Mager
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000416:Alberta / Q000453:epidemiology; D000554:Ambulatory Care Facilities; D003680:Deglutition Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D015577:Geriatric Assessment / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D010043:Outcome and Process Assessment, Health Care; D012017:Referral and Consultation / Q000592:standards*; D012189:Retrospective Studies; D012307:Risk Factors; D014850:Waiting Lists