European Stroke Organisation and European Society for Swallowing Disorders guideline for the diagnosis and treatment of post-stroke dysphagia

• DOI: 10.1177/23969873211039721
• Publication Date: 2021-09-03T13:53:08Z
• Authors: Rainer Dziewas; Emilia Michou; Michaela Trapl-Gr...; Avtar Lal; Ethem Murat Arsava; Philip M Bath; Pere Clavé; Jörg Glahn; Shaheen Hamdy; Sue Pownall; Antonio Schindler; Margaret Walshe; Rainer Wirth; David Wright; Eric Verin
• Keywords: Stroke; Guideline; Aspiration Pneumonia

Post-stroke dysphagia (PSD) is present in more than 50% of acute stroke patients, increases the risk complications, particular aspiration pneumonia, malnutrition and dehydration, linked to poor outcome mortality. The aim this guideline assist all members multidisciplinary team their management patients with PSD. These guidelines were developed based on European Stroke Organisation (ESO) standard operating procedure followed Grading Recommendations, Assessment, Development Evaluation (GRADE) approach. An interdisciplinary working group identified 20 relevant questions, performed systematic reviews meta-analyses literature, assessed quality available evidence wrote evidence-based recommendations. Expert opinion was provided if not enough provide recommendations GRADE We found moderate recommend screening prevent post-stroke pneumonia early mortality low suggest assessment having been at being for a variety treatment options improve swallowing physiology safety. include dietary interventions, behavioural including acupuncture, nutritional oral health care, different pharmacological agents types neurostimulation treatment. Some studied interventions also had an impact other clinical endpoints such as feedings status or pneumonia. Overall, further randomized trials are needed