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[Dysphagia] Hospital "Savings" if NO Inpatient Dysphagia Program


  • Subject: [Dysphagia] Hospital "Savings" if NO Inpatient Dysphagia Program
  • From: eripley at yahoo.com (Irene Campbell-Taylor)
  • Date: Wed Aug 4 16:49:10 2004
  • In-reply-to: <s11110cd.001@mail.bethesdahealthcare.com>

The Odderson article included only 124 patients and made the same mistake made by so many - the scientifically impossibility of attempting to prove a negative. None of their patients developed pneumonia and they make the unwarranted assumption that this was because of early intervention. This cannot be proven! EVER. The only thing that can be proven unequivocally is the maintenance or improvement of nutrition/hydration which is the sole purpose of intervention in the first place.

Nancy Spence <Nancy.Spence@bethesdahealthcare.com> wrote:Periodically (and repeatedly) over many years, financial justification
for dysphagia (or other) programs comes up during the budget process.
This year, it's "What if we stop doing inpatient swallowing tests?"
(after doing clinicals 25 years, videos 20 years, fees/sts 3 years).

I pulled out a couple of references to articles from Protocol 201
summary materials by Odderson that supported economic and quality
results from day 1 intervention with stroke patients. I recall
information on cost of aspiration pneumonia vs. prevention, but not the
references. These folks are more interested in numbers ($) than words -
who can help?

Thank you! 
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