Best Practice Recommendations for Dysphagia Management in Stroke Patients: A Consensus from a Portuguese Expert Panel

Portuguese Journal of Public Health

Rosa Vilares Santos¹  Pedro Lopes Ferreira²  Germano Rodrigues Couto³  Cláudia Lima⁴  Ana Maria Campolargo⁴  Isabel de Jesus Oliveira⁵ 

[1] Center for Health Technology and Services Research, Porto, Portugal;Centre for Health Studies and Research of the University of Coimbra, Coimbra, Portugal;Health School of the University of Fernando Pessoa, Porto, Portugal;Hospital Center Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal;Portuguese Red Cross Northern Health School, Oliveira de Azeméis, Portugal;

关键词: dysphagia;    stroke;    disease management;    therapeutics;    recommendations;   

DOI  :  10.1159/000520505

来源: DOAJ

【 摘 要 】

Dysphagia is frequent after stroke, and it increases the risk of respiratory infection, dehydration and malnutrition, resulting in worse outcomes. Different clinical guidelines present recommendations for the assessment and management of dysphagia in stroke patients in a scattered way. These best practice recommendations address seven clinical questions on the assessment and management of dysphagia in stroke patients, gathering the best-updated evidence. A systematic literature review using the PICO strategy was performed. The recommendations draft was then appraised by a multidisciplinary panel of experts (nutritionists, physiatrists, speech-language pathologists and rehabilitation nurses) in a total of 3 Delphi rounds. A minimum of 80% consensus was established, and the final version offers a total of 21 recommendations for use in clinical practice for stroke patients. These clinical recommendations are an overview of the most recent evidence combined with experts’ consensus and translated into clinically relevant statements. In implementing recommendations at the local level, health professionals should identify facilitators and barriers to evidence-based practice within their contexts and determine the best strategies to address local needs. Where the change is needed, initial and continuing training on all recommendations is essential and relevant.

【 授权许可】

Unknown