To Thicken or Not to Thicken: Exploring the Use of Math-Based Clinical Decision Making

Author:

Benson Doreen1ORCID,Barnes George2ORCID

Affiliation:

1. Rehabilitation Department, Shenandoah Memorial Hospital, Woodstock, VA

2. FEESible Swallow Solutions LLC, Jersey City, NJ

Abstract

Purpose: The goal of this clinical focus article was to explore the utility of a mathematical prediction model (Bayes' theorem) in dysphagia management. Conclusions: Bayes' theorem shows promise as a means of incorporating evidence-based care into individual patient consultations by predicting both the risk of pneumonia and the impact of speech-language pathology and care team interventions on that risk. However, more research is needed on risk factors for pneumonia and the prevalence of pneumonia before the model can be accurately applied to clinical decision-making for patients with dysphagia. Supplemental Material: https://doi.org/10.23641/asha.19393802

Publisher

American Speech Language Hearing Association

Subject

General Medicine

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