SynthesisEuropean journal of neurology2025
Gaps in Guidelines on Long-Term Management Strategies for Post-Stroke Dysphagia.
Synthesis in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Frailty prediction models in older adults with stroke in China: A systematic review and meta-analysis.International journal of nursing studies advances · 2026Review
- Post-Stroke Dysphagia: Moving Toward Evidence-Based, Recovery-Oriented Systems of Care.Current neurology and neuroscience reports · 2026Review
- Mapping neurogenic dysphagia diagnostics in Germany: accessibility, implementation practices, and barriers to swallowing endoscopy.Neurological research and practice · 2026Article
- Post-stroke dysphagia across the care continuum: a full-cycle framework for rehabilitation, supportive care, and community follow-up.Frontiers in neurology · 2026Review
- The crux of NPO paradox revealed by increased pneumonia incidence in post-stroke dysphagia patients with dietary restrictions.Scientific reports · 2025Article
- Enteral nutritional support combined with fine-tuned nursing care improves nutritional status and postoperative complications in NICU patients with dysphagia.Frontiers in surgery · 2025Article
- Clinical outcomes of rTMS-augmented rehabilitation for post-stroke language and swallowing dysfunction: a sham-controlled prospective study with theory-informed interpretation.Frontiers in neurologyArticle
- Dysphagia in patients with severe stroke: influencing factors and coping strategies.Frontiers in neurologyArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPost-stroke dysphagia (PSD) is a frequent yet overlooked complication of stroke with significant implications for rehabilitation. While international guidelines provide structured recommendations for early screening and management, guidance on long-term care remains inconsistent. This position paper synthesizes existing guidelines, identifies critical gaps, and highlights the need for standardized long-term management strategies.
methodsGuidelines on PSD management were identified through a two-step approach. Fourteen guidelines were included from a previous systematic review (2014-2023), and two additional guidelines were identified through a systematic PubMed search (2014-2025). Inclusion criteria mandated guidelines of moderate-to-high quality (AGREE II assessment) that were published in peer-reviewed journals and provided specific recommendations for managing PSD during acute, subacute, and chronic phases.
resultsAnalysis of 10 moderate-to-high quality guidelines revealed strong consensus on acute-phase screening and early interventions. All recommend dysphagia screening within 24 h of admission, with nine advising nil-per-os status until screening completion. There is consensus on instrumental assessments (videofluoroscopy, endoscopy), though application criteria vary. Management strategies include dietary modifications, nutritional support, oral health care, behavioral interventions, neurostimulation, and pharmacological therapies. While acute-phase recommendations are well defined, structured long-term follow-up guidance remains limited, with only one guideline specifying reassessment intervals beyond hospital discharge.
conclusionThe absence of standardized long-term PSD management likely reflects limited availability of high-quality evidence on long-term care. Further research is needed to establish optimal reassessment intervals, high-risk subgroups, and long-term rehabilitation strategies to improve care for stroke survivors with persistent dysphagia.
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