Evidence map›Paper›PMID 38407372›Full record

ArticleJournal of clinical nursing2025

Oral intake of solid medications in patients with post-stroke dysphagia. A challenge for nurses?

Michaela Trapl-Grundschober, Steffen Schulz, Simon Sollereder, Lea Schneider, Yvonne Teuschl, Jürgen Osterbrink

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05173051 (Medication Intake of Solid Dosage Forms), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 17% 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.

NCT05173051 nacompletednot on this map

Medication Intake of Solid Dosage Forms: A Risk Factor for Patients With Stroke-induced Dysphagia?

TypeinterventionalSponsorKarl Landsteiner University of Health SciencesRan2022 to 2023Enrolled60ConditionsCerebral Infarction, Stroke, Acute, Stroke, DysphagiaArmsSolid Medication intake vs. crushed medication intake
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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

6 authors at 5 institutions in 2 countries.

Michaela Trapl-GrundschoberKarl Landsteiner University of Health Sciences, Krems, Lower Austria, Austria.ORCID 0000-0003-3740-9136
Steffen SchulzEUFH Campus Rostock, University of Applied Sciences, Rostock, Germany.ORCID 0009-0000-6563-1215
Simon SollerederDivision for Rehabilitation & Recovery, VASCage Center on Clinical Stroke Research, Innsbruck, Austria.ORCID 0000-0002-2551-2366
Lea SchneiderBrothers of St. John of God Hospital Eisenstadt GmbH, Eisenstadt, Austria.ORCID 0009-0004-3176-8212
Yvonne TeuschlDepartment for Clinical Neurosciences and Preventive Medicine, University for Continuing Education Krems, Krems, Austria.ORCID 0000-0002-1755-7943
Jürgen OsterbrinkParacelsus Medical University, Institute for Nursing Science and Practice, Salzburg, Austria.ORCID 0000-0003-0551-8194
Paracelsus Medical University · ATHospital of the Brothers of St. John of God · ATUniversität für Weiterbildung Krems · ATUniversity of Rostock · DEVASP Software (Austria) · AT

Funding

Karl Landsteiner University of Health Science
6 · The paper itself

Abstract

aimTo provide a comprehensive overview of how stroke nurses manage solid medication (SM) delivery to patients with post-stroke dysphagia.

designCross-sectional study.

methodsA self-administered online survey was carried out among nurses in German-speaking countries between September and December 2021.

resultsOut of a total of 754 responses, analysis was conducted on 195 nurses who reported working on a stroke unit. To identify swallowing difficulties in acute stroke care, 99 nurses indicated routinely administering standardised screenings, while 10 use unvalidated screenings, and 82 are waiting for a specialist evaluation. Regardless of whether screening methods are used or not, most preferred a non-oral route of medication administration for patients with suspected dysphagia. None of the respondents reported administering whole SMs orally to patients. If screening methods indicate dysphagia, approximately half of the respondents would modify SMs. Participants who stated to use the Gugging Swallowing Screen managed the SM intake guided by its severity levels. One-third of the group who awaited assessment by the dysphagia specialist provided modified medication before the consultation.

conclusionMost of the nurses on stroke units use swallowing screens and avoid the administration of whole SMs in post-stroke dysphagia. In addition to the non-oral administration, SMs are modified if dysphagia is suspected. Precise guidance on the administration of SM is needed, based on screening tests and prior to expert consultation. TRIAL AND PROTOCOL REGISTRATION: ClinicalTrials.gov: Registration ID: NCT05173051/ Protocol ID: 11TS003721. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The present paper serves to alert nurses to the issue of patient safety when administering medication for acute stroke-induced dysphagia. IMPACT: SM delivery after acute stroke-induced dysphagia is often neglected. While nurses are aware of the risk associated with dysphagia and would not give whole SMs to patients, the modification of tablets and their administration with semisolids are common. REPORTING

methodThis study was reported according to the Checklist for Reporting of Survey Studies (CROSS).

Indexed as

Deglutition DisordersStrokeAdministration, OralAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesdeglutition disordersdysphagiamedication intakepillssolid medicationstroke

Identifiers

PMID38407372
PMCPMC11808410
OpenAlexW4392157745

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.