Evidence map›Paper›PMID 34746431›Full record

ArticleEuropean stroke journal2021

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

Rainer Dziewas, Emilia Michou, Michaela Trapl-Grundschober, Avtar Lal, Ethem Murat Arsava, Philip M Bath, Pere Clavé, Jörg Glahn, Shaheen Hamdy, Sue Pownall and 5 more

3 registry-linked trialsOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European stroke journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 165 papers, 26 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
165citing papers in PubMed, 26 pooled it
44.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06010940 nacompletednot on this map

Impact of Physical Therapy of Dysphagia on Preventing Pneumonia in Acute Stroke Patients

TypeinterventionalSponsorCairo UniversityRan2020 to 2023Enrolled70ConditionsStroke, Acute, Dysphagia, PneumoniaArmsDietary supplement, Physical therapy
NCT06013267 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effects of Chin Tuck Against Resistance Exercise on Patients With Dysphagia After Stroke: A Randomized Controlled Trial

TypeinterventionalSponsorChang Gung University of Science and TechnologyRan2023 to 2024Enrolled80ConditionsStrokeArmsChin tuck against resistance exercise
NCT07267468 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of an mHealth Intervention, Based on Rehabilitation and a Personalised Nutrition Plan, in the Recovery and Improvement of Dysphagia in Patients Diagnosed With Stroke

TypeinterventionalSponsorUniversity of CadizRan2026 to 2026Enrolled74ConditionsStroke, Deglutition DisordersArmsmHealth intervention
3 · Its place in the literature

Who cites it

165 citing papers in PubMed, 26 syntheses or guidelines pooled it, 258 citations in OpenAlex.

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105 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 15 institutions in 11 countries.

Rainer DziewasDepartment of Neurology, University Hospital Münster, Münster, Germany.ORCID https://orcid.org/0000-0003-1592-8461
Emilia MichouDepartment of Speech Language Therapy, School of Health Rehabilitation Sciences, University of Patras, Greece.
Michaela Trapl-GrundschoberDepartment of Neurology, University Hospital Tulln, Tulln, Austria.ORCID https://orcid.org/0000-0003-3740-9136
Avtar LalGuidelines Methodologist, European Stroke Organisation, Basel, Switzerland.
Ethem Murat ArsavaDepartment of Neurology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Philip M BathStroke Trials Unit, Division of Clinical Neuroscience, University of Nottingham, Nottingham, UK.
Pere ClavéCentro de Investigación Biomédica en Red de Enfermedades, Hepáticas y Digestivas (CIBERehd), Hospital de Mataró, Universitat Autònoma de Barcelona, Mataró, Spain.
Jörg GlahnDepartment of Neurology and Neurogeriatry, Johannes Wesling Medical Center Minden, University Hospital Ruhr-University Bochum, Germany.
Shaheen HamdyCentre for Gastrointestinal Sciences, Faculty of Biology, Medicine and Health, University of Manchester and the Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK.
Sue PownallDepartment of Speech & Language Therapy, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Antonio SchindlerDepartment of Biomedical and Clinical Sciences, Phoniatric Unit, Sacco Hospital Milano, University of Milano, Milan, Italy.
Margaret WalsheDepartment of Clinical Speech and Language Studies, Trinity College, Dublin, Ireland.
Rainer WirthDepartment of Geriatric Medicine, Marien Hospital Herne, University Hospital Ruhr-University Bochum, Germany.
David WrightSchool of Pharmacy, University of East Anglia, Norwich Research Park, Norwich, UK.
Eric VerinDepartment of Physical and Rehabilitation Medicine, Rouen University Hospital, Rouen, France.
European CanCer Organisation · BEHacettepe University · TRJohannes Wesling Klinikum Minden · DEManchester Academic Health Science Centre · GBSheffield Teaching Hospitals NHS Foundation Trust · GBTrinity College Dublin · IEUniversitat Autònoma de Barcelona · ESUniversitätsklinik Marien Hospital Herne · DEUniversitätsklinikum Tulln · ATUniversité de Rouen Normandie · FRUniversity Hospital Münster · DEUniversity of East Anglia · GBUniversity of Milan · ITUniversity of Nottingham · GBUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

Indexed as

dysphagiaDysphagiaflexible endoscopic evaluation of swallowingimpaired deglutitionneurostimulationscreeningstrokeswallowingvideofluoroscopic swallowing study

Identifiers

PMID34746431
PMCPMC8564153
OpenAlexW3213704860

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.