A Cost-Effectiveness Analysis of Screening Methods for Dysphagia After Stroke

摘要: Objective To provide a cost-effectiveness analysis of dysphagia screening in the acute poststroke period with use videofluoroscopic swallowing study, clinical bedside evaluation, or combined approach. Design Decision-analysis model. Methods A decision-analysis model was used information derived from multiple data sources, including meta-analyses and other relevant studies. Univariate probabilistic sensitivity analyses were performed. Main Outcome Measures The assessed direct medical costs pneumonia. Strategies compared on basis an incremental analysis, effectiveness measured quality-adjusted life-years. Results strategy having each patient undergo study for more effective less costly than strategies evaluation alone most influenced by reduction risk pneumonia attributable to treatment mild/moderate severe dysphagia, baseline probability pneumonia, cost study. Conclusions is cost-effective often saves Research aimed at improving understanding prevention aspiration resulting mortality would improve