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South African Journal of Communication Disorders
On-line version ISSN 2225-4765
Print version ISSN 0379-8046
Abstract
KATER, Kelly-Ann. Triage and dysphagia: Are hospitals in the South African public health sector ready?. S. Afr. J. Commun. Disord. [online]. 2022, vol.69, n.1, pp.1-4. ISSN 2225-4765. http://dx.doi.org/10.4102/sajcd.v69i1.852.
Dysphagia screening is unequivocally beneficial for individuals who may be at risk of swallowing impairment. Benefits range from capitalising on early intervention, facilitating hydration and nutrition, reduced financial costs for the patient and prevention of dysphagia-related complications. Why then is there a need for triage? Inefficiencies and often non-existence of screening and referral processes require one to consider if triage may be a more viable option in the public healthcare context. Dysphagia triage could potentially prioritise emergency swallowing care and identify patients who need immediate swallowing attention because of the nature or severity of dysphagia. The use of a dysphagia triage checklist could have implications for patient health outcomes in terms of the safety of oral diets, development of aspiration pneumonia, malnutrition, administration of oral medication and overall patient prognosis.
Keywords : dysphagia; emergency department; triage; speech-language therapy; evidence-based practice; dysphagia triage.