ArticleGeriatrics (Basel, Switzerland)2019
Variation in Dysphagia Assessment and Management in Acute Stroke: An Interview Study.
Article in Geriatrics (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04779710 (How Does Variation in Assessment and Clinical Management of Dysphagia in Acute Stroke Affect Development of Stroke-associated Pneumonia), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
How Does Variation in Assessment and Clinical Management of Dysphagia in Acute Stroke Affect Development of Stroke-associated Pneumonia (SAP)?
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review.PloS one · 2022Pooled it
- Stroke-Associated Pneumonia and Impaired Functional Recovery After Stroke: The Role of Nutritional-Inflammatory Factors.Advances in respiratory medicine · 2026Article
- Exploring final-year nursing students' experiences in dysphagia management at an Eastern Cape University.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2025Article
- Repetitive Transcranial Magnetic Stimulation Protocols for Swallowing Rehabilitation in Unilateral Hemispheric Stroke: A Scoping Review.Acta medica Philippina · 2025Article
- The Practices of Public Hospital Registered Nurses Regarding Post-Stroke Dysphagia, in China.Journal of multidisciplinary healthcare · 2025Article
- Diagnostic accuracy of bedside screening tools for aspiration risk in acute stroke, a commentary.British journal of neuroscience nursing · 2024Article
- Reversal of the detrimental effects of social isolation on ischemic cerebral injury and stroke-associated pneumonia by inhibiting small intestinalJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023Article
- Research progress of clinical intervention and nursing for patients with post-stroke dysphagia.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022Review
- Review
- Post-stroke Dysphagia: Recent Insights and Unanswered Questions.Current neurology and neuroscience reports · 2020Review
- Experiences of Dysphagia after Stroke: An Interview Study of Stroke Survivors and Their Informal Caregivers.Geriatrics (Basel, Switzerland) · 2019Article
- Prioritisation Systems Used in Adult Speech and Language Therapy Settings: A Scoping Review.International journal of language & communication disordersArticle
- Dysphagia Care Processes on Acute Stroke Wards: An Ethnographic Study of Barriers and Facilitators Relevant to Stroke-Associated Pneumonia.International journal of language & communication disordersArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
(1) Background: Patients with dysphagia are at increased risk of stroke-associated pneumonia. There is wide variation in the way patients are screened and assessed. The aim of this study is to explore staff opinions about current practice of dysphagia screening, assessment and clinical management in acute phase stroke. (2) Methods: Fifteen interviews were conducted in five English National Health Service hospitals. Hospitals were selected based on size and performance against national targets for dysphagia screening and assessment, and prevalence of stroke-associated pneumonia. Participants were purposefully recruited to reflect a range of healthcare professions. Data were analysed using a six-stage thematic process. (3) Results: Three meta themes were identified: delays in care, lack of standardisation and variability in resources. Patient, staff, and service factors that contribute to delays in dysphagia screening, assessment by a speech and language therapist, and delays in nasogastric tube feeding were identified. These included admission route, perceived lack of ownership for screening patients, prioritisation of assessments and staff resources. There was a lack of standardisation of dysphagia screening protocols and oral care. There was variability in staff competences and resources to assess patients, types of medical interventions, and care processes. (4) Conclusion: There is a lack of standardisation in the way patients are assessed for dysphagia and variation in practice relating to staff competences, resources and care processes between hospitals. A range of patient, staff and service factors have the potential to impact on stroke patients being assessed within the recommended national guidelines.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.