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Dysphagia
Erschienen in: Dysphagia 2/2022

09.03.2021 | Review

Best Practice Recommendations for Stroke Patients with Dysphagia: A Delphi-Based Consensus Study of Experts in Turkey-Part I: Management, Diagnosis, and Follow-up

verfasst von: Ebru Umay, Sibel Eyigor, Cumhur Ertekin, Zeliha Unlu, Barin Selcuk, Gulistan Bahat, Ali Yavuz Karahan, Yaprak Secil, Eda Gurcay, Nefati Kıylioglu, Betul Yavuz Keles, Esra Giray, Canan Tikiz, Ilknur Albayrak Gezer, Ayse Yalıman, Ekin Ilke Sen, Meltem Vural, Guleser Saylam, Mazlum Serdar Akaltun, Aylin Sari, Sibel Alicura, Fatih Karaahmet, Murat Inanir, Aylin Demirhan, Banu Aydeniz, Meral Bilgilisoy, Arif Yuksel, Zeynep Alev Ozcete, Yalkın Calik, Ebru Alemdaroglu, Dilek Keskin, Sevnaz Sahin, Mehmet Fevzi Oztekin, Baha Sezgin, Ozgur Karaahmet, Serkan Bengisu, Tanu Yalcin Gokler, Serdar Mercimekci

Erschienen in: Dysphagia | Ausgabe 2/2022

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Abstract

Dysphagia is one of the most common and important complications of stroke. It is an independent marker of poor outcome after acute stroke and may become chronic after the acute period and continues to affect all aspects of the patient's life. Patients with stroke may encounter any of the medical branches in the emergency room or outpatient clinic, and as in our country, there may not be specialists specific for dysphagia, such as speech-language pathologists (SLP), in every hospital. This study aimed to raise awareness and create a common opinion of medical specialists for stroke patients with dysphagia. This recommendation paper has been written by a multidisciplinary team and offers 45 recommendations for stroke patients with dysphagia. It was created using the eight-step Delphi round via e-mail. This study is mostly specific to Turkey. However, since it contains detailed recommendations from the perspective of various disciplines associated with stroke, this consensus-based recommendation paper is not only a useful guide to address clinical questions in practice for the clinical management of dysphagia in terms of management, diagnosis, and follow-up, but also includes detailed comments for these topics.
Literatur
1.
2.
3.
Kim TU, Hyun JK, Lee SJ. Differences in Videofluoroscopic Swallowing Study (VFSS) Findings According to the Vascular Territory Involved in Stroke. Dysphagia. 2014;29(4):444–9.PubMed
4.
5.
6.
7.
Skulmoski GJ, Hartman FT, Krahn J. The Delphi method for graduate research. Journal of Information Technology Education. 2007;6:257–81.
8.
Ziglio E. The Delphi Method and its contribution to decision making. In: Adler M, Ziglio E, editors. Gazing into the oracle: The Delphi method and its application to social policy and public health. London: Kingsley; 1996. p. 3–33.
9.
10.
11.
12.
13.
14.
Burgos R, Breton I, Cereda E, et al. ESPEN guideline clinical nutrition in neurology. Clin Nutr. 2018;37:354–96.PubMed
15.
Bischoff SC, Austin P, Boeykens K, et al. ESPEN guideline on home enteral nutrition. Clin Nutr. 2020;39:5–22.PubMed
16.
17.
18.
19.
20.
21.
Management of Stroke Rehabilitation Working Group. VA/DOD Clinical practice guideline for the management of stroke rehabilitation. J Rehabil Res Dev. 2010;47(9):1–43.
22.
Royal College of Physicians-Intercollegiate Stroke Working Party. National clinical guideline for stroke. 5th ed. UK: London; 2016.
23.
Smith EE, Kent DM, Bulsara KR, Leung LY, et al. Effect of Dysphagia Screening Strategies on Clinical Outcomes After Stroke: A Systematic Review for the 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke. Stroke. 2018;49(3):123–8.
24.
Hebert D, Lindsay MP, McIntyre A, et al. Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015. Int J Stroke. 2015;11(4):459–84.
25.
McGinnis CM, Homan K, Solomon M, Taylor J, Staebell K, Erger D, Raut N. Dysphagia: Interprofessional Management, Impact, and Patient-Centered Care. Nutr Clin Pract. 2019;34(1):80–95.PubMed
26.
27.
Jauch EC, Saver JL, Adams HP Jr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44:870–947.PubMed
28.
29.
Donovan NJ, Daniels SK, Edmiaston J, Weinhardt J, Summers D, Mitchell PH, AHA Council on Cardiovascular Nursing and Stroke Council. Dysphagia screening: state of the art: invitational conference proceeding from the State-of-the-Art Nursing Symposium, International Stroke Conference 2012. Stroke. 2013;44(4):24–31.
30.
O’Horo JC, Rogus-Pulia N, Garcia-Arguello L, Robbins J, Safdar N. Bedside diagnosis of dysphagia: a systematic review. J Hosp Med. 2015;10(4):256–65.PubMed
31.
Finlayson O, Kapral M, Hall R, Asllani E, Selchen D, Saposnik G, Canadian Stroke Network, Stroke Outcome Research Canada (SORCan) Working Group. Risk factors, inpatient care, and outcomes of pneumonia after ischemic stroke. Neurology. 2011;77:1338–45.PubMed
32.
33.
34.
American Heart Association. Guidelines for Adult Stroke Rehabilitation and Recovery. A guideline for healthcare professionals from the American Heart Association/American. Stroke. 2016;47:98–169.
35.
Arsava EM, Aydogdu I, Gungor L, Isıkay CT, Yaka E. Nutritional Approach and Treatment in Patients with Stroke, An Expert Opinion for Turkey. Turk J Neurol. 2018;24(3):226–42.
36.
37.
38.
39.
40.
Kottner J, Audigé L, Brorson S, et al. Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed. J Clin Epidemiol. 2011;64(1):96–106.PubMed
41.
American Society of Anesthesiologists. Practice guidelines for chronic pain management. Anesthesiology. 2010;112:1–24.
42.
Nair R, Aggarwal R, Khanna D. Methods of formal consensus in classification/diagnostic criteria and guideline development. Semin Arthritis Rheum. 2011;41(2):95–105.PubMedPubMedCentral
43.
Kraemer HC, Periyakoil VS, Noda A. Kappa coefficients in medical research. Stat Med. 2002;21:2109–29.
44.
Vach W. The dependence of Cohen’s kappa on the prevalence does not matter. J Clin Epidemiol. 2005;58:655–61.PubMed
45.
Rofes L, Muriana D, Palomeras E, et al. Prevalence, risk factors and complications of oropharyngeal dysphagia in stroke patients: A cohort study. Neurogastroenterology and motility: the official journal of the European Gastrointestinal Motility Society. 2018. https://​doi.​org/​10.​1111/​nmo.​13338.CrossRef
46.
González-Fernández M, Ottenstein L, Atanelov L, Christian AB. Dysphagia after Stroke: an Overview. Curr Phys Med Rehabil Rep. 2013;1:187–96.PubMedPubMedCentral
47.
Mozzanica F, Rosa S, Scarponi L, Schindler A. Prevalence of dysphagia, malnutrition and dehydration at admission in a Stroke Unit. Otorinolaringol. 2018;68:23–7.
48.
49.
50.
Eltringham SA, Kilner K, Gee M, et al. Impact of dysphagia assessment and management on risk of stroke-associated pneumonia: a systematic review. Cerebrovasc Dis. 2018;46:97–105.
51.
52.
Pacheco-Castilho AC, Vanin GM, Dantas RO, Pontes-Neto OM, Martino R. Dysphagia and Associated Pneumonia in Stroke Patients from Brazil: A Systematic Review. Dysphagia. 2019;34(4):499–520.PubMed
53.
Al-Khaled M, Matthis C, Binder A, et al. Dysphagia in patients with acute ischemic stroke: early dysphagia screening may reduce stroke-related pneumonia and improve stroke outcomes. Cerebrovasc Dis. 2016;42:81–9.PubMed
54.
Kishore AK, Vail A, Chamorro A, et al. How is pneumonia diagnosed in clinical stroke research? A systematic review and meta-analysis Stroke. 2015;46(5):1202–9.PubMed
55.
Kumar S, Selim MH, Caplan LR. Medical complications after stroke. Lancet Neurol. 2010;9:105–18.PubMed
56.
Wilson RD. Mortality and cost of pneumonia after stroke for different risk groups. J Stroke Cerebrovasc Dis. 2012;21(1):61–7.PubMed
57.
58.
Chang CY, Cheng TJ, Lin CY, Chen JY, Lu TH, Kawachi I. Reporting of aspiration pneumonia or choking as a cause of death in patients who died with stroke. Stroke. 2013;44(4):1182–5.PubMed
59.
Ramsey D, Smithard D, Kalra L. Silent Aspiration: What Do We Know? Dysphagia. 2005;20:218–25.PubMed
60.
Zheng L, Li Y, Liu Y. The individualized rehabilitation interventions for dysphagia: a multidisciplinary case control study of acute stroke patients. Int J Clin Exp Med. 2014;7(10):3789–94.PubMedPubMedCentral
61.
Balamurali K, Sekar D, Thangaraj M, Kumar MA. Dysphagia in patients with stroke: a prospective study. IJCMSR. 2018;3(2):116–20.
62.
63.
Bakhtiyari J, Sarraf P, Nakhostin-Ansari N, Tafakhori A, Logemann J, Faghihzadeh S, Harirchian MH. Effects of early intervention of swallowing therapy on recovery from dysphagia following stroke. Iran J Neurol. 2015;14(3):119–24.PubMedPubMedCentral
64.
Forough AS, Wong SYM, Lau ETL, et al. Nurse experiences of medication administration to people with swallowing difficulties living in aged care facilities: a systematic review of qualitative evidence. JBI Database System Rev Implement Rep. 2018;16(1):71–86.PubMed
65.
66.
Bray BD, Smith CJ, Cloud GC, et al. The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia. J Neurol Neurosurg Psychiatry. 2017;88(1):25–30.PubMed
67.
Palli C, Fandler S, Doppelhofer K, et al. Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients: A Clinical Intervention Study. Stroke. 2017;48(9):2583–5.PubMed
68.
69.
Ickenstein GW, Höhlig C, Prosiegel M, et al. Prediction of outcome in neurogenic oropharyngeal dysphagia within 72 hours of acute stroke. J Stroke Cerebrovasc Dis. 2012;21(7):569–76.PubMed
70.
Wilson JMG, Jungner G. Principles And Practice of Screening For Disease. Geneva: World Health Organization; 1968. p. 11–4.
71.
Jaeschke R, Guyatt G, Sackett DL. Users’ guides to the medical literature: III. How to use an article about a diagnostic test. A. Are the results of the study valid? JAMA. 1994;271:389–91.PubMed
72.
Baijens LW, Clavé P, Cras P, et al. European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper: oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging. 2016;11:1403–28.PubMedPubMedCentral
73.
Archer SK, Wellwood I, Smith CH, Newham DJ. Dysphagia therapy in stroke: a survey of speech and language therapists. Int J Lang Commun Disord. 2013;48(3):283–96.PubMed
74.
Armstrong JR, Mosher BD. Aspiration pneumonia after stroke: intervention and prevention. Neurohospitalist. 2011;1(2):85–93.PubMedPubMedCentral
75.
76.
Umay E. Screening Test. In: Eyigor S, Aydogdu I, Bilge O, Bor S, Demirag K, Ozturk K, editors. Dysphagia: Multidisciplinary Approach from Diagnosis to Treatment. Izmir: Us Academy Intertip Publisher; 2019. p. 1–22.
77.
Poorjavad M, Jalaie S. Systemic review on highly qualified screening tests for swallowing disorders following stroke: validity and reliability issues. J Res Med Sci. 2014;19:776–85.PubMedPubMedCentral
78.
Li L, Zhang L, Xu W, Hu J. Risk assessment of iskemic stroke associated pneumonia. World Emerg Med. 2014;5(3):209–13.
79.
Jiang JL, Fu SY, Wang WH, Ma YC. Validity and reliability of swallowing screening tools used by nurses for dysphagia: A systematic review. Tzu Chi Medical Journal. 2016;28:41–8.PubMedPubMedCentral
80.
Whiting PF, Rutjes AW, Westwood ME, et al. QUADAS 2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011;155:529–36.PubMed
81.
Reitsma JB, Rutjes AWS, Whiting P, Vlassov VV, Leeflang MMG, Deeks JJ. Cochrane Handbook for Systematic Reviews of Diagnostic Test Accuracy Version 1.0.0. United Kingdom: Oxfordshire; 2009.
82.
Edmiaston J, Connor LT, Loehr L, Nassief A. Validation of a dysphagia screening tool in acute stroke patients. Am J Crit Care. 2010;19(4):357–64.PubMed
83.
Kepner CH, Tregoe BB. The Rational Manager: A Systematic Approach to Problem Solving and Decision Making. New York: McGraw-Hill; 1965.
84.
Rofes L, Arreola V, Mukherjee R, Clavé P. Sensitivity and specificity of the Eating Assessment Tool and the Volume-Viscosity Swallow Test for clinical evaluation of oropharyngeal dysphagia. Neurogastroenterol Motil. 2014;26(9):1256–65.PubMedPubMedCentral
85.
Kertscher B, Speyer R, Palmieri M, Plant C. Bedside screening to detect oropharyngeal dysphagia in patients with neurological disorders: an updated systematic review. Dysphagia. 2014;29(2):204–12.PubMed
86.
Bartlett RS, Moore JE, Thibeault SL. Temporal Analysis of Factors Associated with EAT-10 in Outpatients with Oropharyngeal Dysphagia from a Tertiary Care Clinic. Dysphagia. 2018;33(4):457–67.PubMedPubMedCentral
87.
Chen PC, Chuang CH, Leong CP, Guo SE, Hsin YJ. Systematic review and meta-analysis of the diagnostic accuracy of the water swallow test for screening aspiration in stroke patients. J Adv Nurs. 2016;72(11):2575–86.PubMed
88.
Abu-Snieneh HM, Saleh MYN. Registered Nurse’s Competency To Screen Dysphagia Among Stroke Patients: Literature Review. Open Nurs J. 2018;12:184–94.PubMedPubMedCentral
89.
Leder SB, Suiter DM, Green BG. Silent aspiration risk is volume-dependent. Dysphagia. 2011;26:304–9.PubMed
90.
Oh JC, Park JH, Jung MY, Yoo EY, Chang KY, Lee TY. Relationship between Quantified Instrumental Swallowing Examination and Comprehensive Clinical Swallowing Examination. Occup Ther Int. 2016;23:3–10.PubMed
91.
Guillén-Solà A, Marco E, Martínez-Orfila J, et al. Usefulness of the volume-viscosity swallow test for screening dysphagia in subacute stroke patients in rehabilitation income. NeuroRehabilitation. 2013;33(4):631–8.PubMed
92.
Middleton S, McElduff P, Ward J, et al. Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial. Lancet. 2011;378(9804):1699–706.PubMed
93.
Gong S, Zhou Z, Zhou M, Lei Z, Guo J, Chen N, He L. Validation of risk scoring models for predicting stroke-associated pneumonia in patients with ischaemic stroke. Stroke Vasc Neurol. 2016;1(3):122–6.PubMedPubMedCentral
94.
Kalra L, Irshad S, Hodsoll J, et al. Prophylactic antibiotics after acute stroke for reducing pneumonia in patients with dysphagia (STROKE-INF): a prospective, cluster-randomised, open-label, masked endpoint, controlled clinical trial. Lancet. 2015;386(10006):1835–44.PubMed
95.
Hoffmann S, Harms H, Ulm L, et al. Stroke-induced immunodepression and dysphagia independently predict stroke-associated pneumonia - The PREDICT study. J Cereb Blood Flow Metab. 2017;37(12):3671–82.PubMed
96.
Hoffmann S, Malzahn U, Harms H, et al. Development of a clinical score (A2DS2) to predict pneumonia in acute ischemic stroke. Stroke. 2012;43(10):2617–23.PubMed
97.
Harms H, Grittner U, Droge H, Meisel A. Predicting post-stroke pneumonia: the PANTHERIS score. Acta Neurol Scand. 2013;128(3):178–84.PubMed
98.
Huang GQ, Lin YT, Wu YM, Cheng QQ, Cheng HR, Wang Z. Individualized Prediction Of Stroke-Associated Pneumonia For Patients With Acute Ischemic Stroke. Clin Interv Aging. 2019;14:1951–62.PubMedPubMedCentral
99.
Virvidaki IE, Nasios G, Kosmidou M, Giannopoulos S, Milionis H. Swallowing and Aspiration Risk: A Critical Review of Non Instrumental Bedside Screening Tests. Journal of Clinical Neurology (Seoul, Korea). 2018;14(3):265–74.
100.
Xu Z, Gu Y, Li J, Wang C, Wang R, Huang Y, Zhang J. Dysphagia and aspiration pneumonia in elderly hospitalization stroke patients: Risk factors, cerebral infarction area comparison. J Back Musculoskelet Rehabil. 2019;32(1):85–91.PubMed
101.
Ding R, Logemann JA. Pneumonia in stroke patients: a retrospective study. Dysphagia. 2000;15:51–7.PubMed
102.
103.
Oliveira AR, Costa AG, Morais HC, Cavalcante TF, Lopes MV, Araujo TL. Clinical factors predicting risk for aspiration and respiratory aspiration among patients with Stroke. Rev Lat Am Enfermagem. 2015;23(2):216–24.PubMedPubMedCentral
104.
Joundi RA, Martino R, Saposnik G, Giannakeas V, Fang J, Kapral MK. Predictors and Outcomes of Dysphagia Screening After Acute Ischemic Stroke. Stroke. 2017;48(4):900–6.PubMed
105.
106.
Fattori B, Giusti P, Mancini V, Grosso M, Barillari MR, Bastiani L, Molinaro S, Nacci A. Comparison between videofluoroscopy, fiberoptic endoscopy and scintigraphy for diagnosis of oro-pharyngeal dysphagia. Acta Otorhinolaryngol Ital. 2016;36(5):395–402.PubMedPubMedCentral
107.
Giraldo-Cadavid LF, Leal-Leaño LR, Leon-Basantes GA, Bastidas AR, Garcia R, Ovalle S, Abondano-Garavito JE. Accuracy of endoscopic and videofluoroscopic evaluations of swallowing for oropharyngeal dysphagia. Laryngoscope. 2017;127(9):2002–10.PubMed
108.
Bax L, McFarlane M, Green E, Miles A. Speech-language pathologist-led fiberoptic endoscopic evaluation of swallowing: functional outcomes for patients after stroke. J Stroke Cerebrovasc Dis. 2014;23(3):195–200.
109.
110.
Perry SE, Miles A, Fink JN, Huckabee ML. The Dysphagia in Stroke Protocol Reduces Aspiration Pneumonia in Patients with Dysphagia Following Acute Stroke: a Clinical Audit. Transl Stroke Res. 2019;10(1):36–43.PubMed
111.
Smith Hammond CA, Goldstein LB. Cough and aspiration of food and liquids due to oral-pharyngeal dysphagia: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1):154–68.
112.
Langmore SE. History of Fiberoptic Endoscopic Evaluation of Swallowing for Evaluation and Management of Pharyngeal Dysphagia: Changes over the Years. Dysphagia. 2017;32(1):27–38.PubMed
113.
Umay EK, Unlu E, Saylam GK, Cakci A, Korkmaz H. Evaluation of dysphagia in early stroke patients by bedside, endoscopic, and electrophysiological methods. Dysphagia. 2013;28(3):395–403.PubMed
114.
Ertekin C, Arici S, Gurgor N. Sequential water swallowing in normal adults and patients with neurogenic dysphagia: A review. Neurol Sci Neurophysiol. 2019;36(4):174–92.
115.
Aydogdu I, Kiylioglu N, Tarlaci S, et al. Diagnostic value of “dysphagia limit” for neurogenic dysphagia: 17 years of experience in 1278 adults. Clin Neurophysiol. 2015;126(3):634–43.PubMed
116.
Hsiao MY, Chang YC, Chen WS, Chang HY, Wang TG. Application of ultrasonography in assessing oropharyngeal dysphagia in stroke patients. Ultrasound Med Biol. 2012;38(9):1522–8.PubMed
117.
Leite KKA, Mangilli LD, Sassi FC, Limongi SCO, Andrade CRF. Ultrasonography and swallowing: a critical review of the literature. Audiol Commun Res. 2014;19(4):412–20.
118.
Knigge MA, Thibeault S, McCulloch TM. Implementation of high-resolution manometry in the clinical practice of speech-language pathology. Dysphagia. 2014;29:2–16.PubMedPubMedCentral
119.
Omari T, Schar M. High-resolution manometry: what about the pharynx? Curr Opin Otolaryngol Head Neck Surg. 2018;26(6):382–91.PubMed
120.
Movahedi F, Kurosu A, Coyle JL, Perera S, Sejdić E. A comparison between swallowing sounds and vibrations in patients with dysphagia. Comput Methods Programs Biomed. 2017;144:179–87.PubMedPubMedCentral
121.
122.
Lim HJ, Choue R. Nutritional status assessed by the Patient-Generated Subjective Global Assessment (PG-SGA) is associated with qualities of diet and life in Korean cerebral infarction patients. Nutrition. 2010;26:766–71.PubMed
123.
Sura L, Madhavan A, Carnaby G, Crary MA. Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging. 2012;7:287–98.PubMedPubMedCentral
124.
Nii M, Maeda K, Wakabayashi H, Nishioka S, Tanaka A. Nutritional improvement and energy intake are associated with functional recovery in patients after cerebrovascular disorders. J Stroke Cerebrovasc Dis. 2016;25:57–62.PubMed
125.
Nishioka S, Okamoto T, Takayama M, et al. Malnutrition risk predicts recovery of full oral intake among older adult stroke undergoing enteral nutrition: Secondary analysis of a multicentre survey (the APPLE patients study). Clin Nutr. 2016;36:1089–96.PubMed
126.
Metadaten
Titel
Best Practice Recommendations for Stroke Patients with Dysphagia: A Delphi-Based Consensus Study of Experts in Turkey-Part I: Management, Diagnosis, and Follow-up
verfasst von
Ebru Umay
Sibel Eyigor
Cumhur Ertekin
Zeliha Unlu
Barin Selcuk
Gulistan Bahat
Ali Yavuz Karahan
Yaprak Secil
Eda Gurcay
Nefati Kıylioglu
Betul Yavuz Keles
Esra Giray
Canan Tikiz
Ilknur Albayrak Gezer
Ayse Yalıman
Ekin Ilke Sen
Meltem Vural
Guleser Saylam
Mazlum Serdar Akaltun
Aylin Sari
Sibel Alicura
Fatih Karaahmet
Murat Inanir
Aylin Demirhan
Banu Aydeniz
Meral Bilgilisoy
Arif Yuksel
Zeynep Alev Ozcete
Yalkın Calik
Ebru Alemdaroglu
Dilek Keskin
Sevnaz Sahin
Mehmet Fevzi Oztekin
Baha Sezgin
Ozgur Karaahmet
Serkan Bengisu
Tanu Yalcin Gokler
Serdar Mercimekci
Publikationsdatum
09.03.2021
Verlag
Springer US
Erschienen in
Dysphagia / Ausgabe 2/2022
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-021-10273-9

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