Post-stroke dysphagia: A review and design considerations for future trials

被引：329

作者：

Cohen, David L. ^{[1
]}

Roffe, Christine ^{[2
]}

Beavan, Jessica ^{[3
]}

Blackett, Brenda ^{[4
]}

Fairfield, Carol A. ^{[5
]}

Hamdy, Shaheen ^{[6
]}

Havard, Di ^{[7
]}

McFarlane, Mary ^{[8
]}

McLauglin, Carolee ^{[9
]}

Randall, Mark ^{[10
]}

Robson, Katie ^{[7
]}

Scutt, Polly ^{[7
]}

Smith, Craig ^{[11
]}

Smithard, David ^{[12
]}

Sprigg, Nikola ^{[7
]}

Warusevitane, Anushka ^{[13
]}

Watkins, Caroline ^{[14
]}

Woodhouse, Lisa ^{[7
]}

Bath, Philip M. ^{[7
]}

机构：

[1] Northwick Pk Hosp & Clin Res Ctr, Care Older People, London, England

[2] Keele Univ, Univ Hosp North Midlands, Stroke Res, Keele, Staffs, England

[3] Royal Derby Hosp, Stroke, Derby, England

[4] Salford Royal Hosp, Nutr, Salford, Lancs, England

[5] Univ Reading, Sch Psychol & Clin Language Sci, Reading RG6 2AH, Berks, England

[6] Univ Manchester, Inst Inflammat & Repair, Manchester M13 9PL, Lancs, England

[7] Univ Nottingham, Div Clin Neurosci, Stroke Trials Unit, Nottingham NG7 2RD, England

[8] Northwick Pk Hosp & Clin Res Ctr, Speech & Language, Harrow, Middx, England

[9] Royal Victoria Hosp, Speech & Language, Belfast, Antrim, North Ireland

[10] Leeds Teaching Hosp, Neurol, Leeds, W Yorkshire, England

[11] Univ Manchester, Stroke & Vasc Res Ctr, Manchester M13 9PL, Lancs, England

[12] Princess Royal Univ Hosp, Elderly Med, Orpington, Kent, England

[13] Univ Hosp North Midlands, Acute Stroke Unit, Stoke On Trent, Staffs, England

[14] Univ Cent Lancashire, Coll Hlth & Wellbeing, Preston PR1 2HE, Lancs, England

来源：

INTERNATIONAL JOURNAL OF STROKE | 2016年 / 11卷 / 04期

基金：

美国国家卫生研究院;

关键词：

Stroke; dysphagia; treatment; randomized controlled trial; design; pneumonia; aspiration; rehabilitation; FIBEROPTIC ENDOSCOPIC EVALUATION; ACUTE ISCHEMIC-STROKE; OROPHARYNGEAL DYSPHAGIA; MEDICAL COMPLICATIONS; SWALLOWING FUNCTION; SILENT ASPIRATION; NATURAL-HISTORY; PNEUMONIA; CARE; RISK;

D O I：

10.1177/1747493016639057

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Post-stroke dysphagia (a difficulty in swallowing after a stroke) is a common and expensive complication of acute stroke and is associated with increased mortality, morbidity, and institutionalization due in part to aspiration, pneumonia, and malnutrition. Although most patients recover swallowing spontaneously, a significant minority still have dysphagia at six months. Although multiple advances have been made in the hyperacute treatment of stroke and secondary prevention, the management of dysphagia post-stroke remains a neglected area of research, and its optimal management, including diagnosis, investigation and treatment, have still to be defined.

引用

页码：399 / 411

页数：13

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