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Int J Stroke. 2016 Jun;11(4):399-411. doi: 10.1177/1747493016639057. Epub 2016 Mar 22.

Post-stroke dysphagia: A review and design considerations for future trials.

Author information

1
Care of Older People, Northwick Park Hospital, UK.
2
Stroke Research, University Hospital of North Midlands, Keele University, UK.
3
Stroke, Royal Derby Hospital, UK.
4
Nutrition, Salford Royal Hospital, UK.
5
School of Psychology and Clinical Language Sciences, University of Reading, UK.
6
Institute of Inflammation and Repair, University of Manchester, UK.
7
Stroke Trials Unit, Division of Clinical Neuroscience, University of Nottingham, UK.
8
Speech and Language, Northwick Park Hospital, UK.
9
Speech & Language, Royal Victoria Hospital, UK.
10
Neurology, Leeds Teaching Hospitals, UK.
11
Stroke and Vascular Research Centre, University of Manchester, UK.
12
Elderly Medicine, Princess Royal University Hospital, UK.
13
Acute Stroke Unit, University Hospitals of North Midlands, UK.
14
College of Health and Wellbeing, University of Central Lancashire, UK.
15
Stroke Trials Unit, Division of Clinical Neuroscience, University of Nottingham, UK philip.bath@nottingham.ac.uk.

Abstract

Post-stroke dysphagia (a difficulty in swallowing after a stroke) is a common and expensive complication of acute stroke and is associated with increased mortality, morbidity, and institutionalization due in part to aspiration, pneumonia, and malnutrition. Although most patients recover swallowing spontaneously, a significant minority still have dysphagia at six months. Although multiple advances have been made in the hyperacute treatment of stroke and secondary prevention, the management of dysphagia post-stroke remains a neglected area of research, and its optimal management, including diagnosis, investigation and treatment, have still to be defined.

KEYWORDS:

Stroke; aspiration; design; dysphagia; pneumonia; randomized controlled trial; rehabilitation; treatment

PMID:
27006423
DOI:
10.1177/1747493016639057
[Indexed for MEDLINE]

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