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Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review

Oropharyngeal dysphagia is common post-stroke and can have serious consequences for patients. Understanding dysphagia recovery is critically important to inform prognostication and support patients and professionals with care planning. This systematic review was undertaken to identify clinical predi...

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Autores principales: D’Netto, Pamela, Rumbach, Anna, Dunn, Katrina, Finch, Emma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873776/
https://www.ncbi.nlm.nih.gov/pubmed/35445366
http://dx.doi.org/10.1007/s00455-022-10443-3
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author D’Netto, Pamela
Rumbach, Anna
Dunn, Katrina
Finch, Emma
author_facet D’Netto, Pamela
Rumbach, Anna
Dunn, Katrina
Finch, Emma
author_sort D’Netto, Pamela
collection PubMed
description Oropharyngeal dysphagia is common post-stroke and can have serious consequences for patients. Understanding dysphagia recovery is critically important to inform prognostication and support patients and professionals with care planning. This systematic review was undertaken to identify clinical predictors of dysphagia recovery post-stroke. Online databases (EMBASE, Scopus, Web of Science, PubMed, CINAHL, and Cochrane) were searched for studies reporting longitudinal swallowing recovery in adults post-stroke. Dysphagia recovery was defined as improvement measured on a clinical swallowing scale or upgrade in oral and/or enteral feeding status by the end of the follow-up period. The search strategy returned 6598 studies from which 87 studies went through full-text screening, and 19 studies were included that met the eligibility criteria. Age, airway compromise identified on instrumental assessment, dysphagia severity, bilateral lesions, and stroke severity were identified as predictors of persistent dysphagia and negative recovery in multiple logistic regression analysis. The available literature was predominated by retrospective data, and comparison of outcomes was limited by methodological differences across the studies in terms of the choice of assessment, measure of recovery, and period of follow-up. Future prospective research is warranted with increased representation of haemorrhagic strokes and uniform use of standardized scales of swallowing function.
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spelling pubmed-98737762023-01-26 Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review D’Netto, Pamela Rumbach, Anna Dunn, Katrina Finch, Emma Dysphagia Review Oropharyngeal dysphagia is common post-stroke and can have serious consequences for patients. Understanding dysphagia recovery is critically important to inform prognostication and support patients and professionals with care planning. This systematic review was undertaken to identify clinical predictors of dysphagia recovery post-stroke. Online databases (EMBASE, Scopus, Web of Science, PubMed, CINAHL, and Cochrane) were searched for studies reporting longitudinal swallowing recovery in adults post-stroke. Dysphagia recovery was defined as improvement measured on a clinical swallowing scale or upgrade in oral and/or enteral feeding status by the end of the follow-up period. The search strategy returned 6598 studies from which 87 studies went through full-text screening, and 19 studies were included that met the eligibility criteria. Age, airway compromise identified on instrumental assessment, dysphagia severity, bilateral lesions, and stroke severity were identified as predictors of persistent dysphagia and negative recovery in multiple logistic regression analysis. The available literature was predominated by retrospective data, and comparison of outcomes was limited by methodological differences across the studies in terms of the choice of assessment, measure of recovery, and period of follow-up. Future prospective research is warranted with increased representation of haemorrhagic strokes and uniform use of standardized scales of swallowing function. Springer US 2022-04-20 2023 /pmc/articles/PMC9873776/ /pubmed/35445366 http://dx.doi.org/10.1007/s00455-022-10443-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review
D’Netto, Pamela
Rumbach, Anna
Dunn, Katrina
Finch, Emma
Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review
title Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review
title_full Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review
title_fullStr Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review
title_full_unstemmed Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review
title_short Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review
title_sort clinical predictors of dysphagia recovery after stroke: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873776/
https://www.ncbi.nlm.nih.gov/pubmed/35445366
http://dx.doi.org/10.1007/s00455-022-10443-3
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