The Oropharyngeal Dysphagia Screening Test for Patients and Professionals: Validation in Cognitive Impairment and in Severe Mental Illness.

The sample was small and came from one local institution, and the paper says this prevented analysis by dementia, intellectual disability, or specific severe mental illness diagnoses. The groups were not balanced: there were significant differences in sex and age, and the severe mental illness group without dysphagia was younger than the other three groups. Dysphagia status was based on previous diagnoses and medical history, not on a new instrumental swallowing assessment during the study. The Spanish EAT-10 lacked normative scores or specific cut-off points, and the Spanish SWAL-QOL adaptation was ongoing with no psychometric data. The ODS-PP was completed by caregivers, nurses, or nursing assistants, so the results apply to caregiver report, not patient self-report in these groups. The paper did not report sensitivity, specificity, or a cutoff score for ODS-PP. Item 18 about eating time showed weak association with the total score and may need to be reconsidered.

The supplied text names Universidad de Granada as funder. It also reports a collaboration agreement between the University of Granada and the FIDMAG Germanes Hospitalàries Research Foundation, and ethical approval from the CEIC-CEI FIDMAG Germanes Hospitalàries. No separate author conflict-of-interest disclosure is provided.

Do not treat a high ODS-PP score as proof that a patient has dysphagia. The study validated caregiver report in 148 institutionalized older adults with cognitive impairment or severe mental illness, not a diagnostic accuracy study with a new instrumental swallowing test or a cutoff score.