Barnes Jewish Hospital Stroke Dysphagia Screen

By Dr. Costa / July 2, 2026

Stroke / Neurology

Barnes-Jewish Hospital Stroke Dysphagia Screen

Assesses swallowing safety and aspiration risk after stroke using a staged bedside screening process.

Answer all questions. Any “Yes” result fails the screen and stops the water test.

GCS < 13

No Yes

Facial asymmetry/weakness present

No Yes

Tongue asymmetry/weakness present

No Yes

Palatal asymmetry/weakness present

No Yes

Complete this step only after all four initial screening questions are answered “No”.

Proceed with the water test only when the initial screening stage has been passed.

Any signs of aspiration during 3 oz water test

No Yes

Screen result

Complete the four initial screening questions to calculate the result.

Clinical decision-support only. Use alongside local stroke and dysphagia screening protocols and clinical judgement.

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