Department of Physical Medicine and Rehabilitation Ankara, University of Health Sciences Turkey, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Department of Physical Medicine and Rehabilitation, Ege University, Izmir, Turkey.
Dysphagia. 2022 Apr;37(2):217-236. doi: 10.1007/s00455-021-10273-9. Epub 2021 Mar 9.
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.
吞咽困难是中风最常见和最重要的并发症之一。它是急性中风后预后不良的独立标志物,并且可能在急性发作期后变为慢性,并继续影响患者生活的各个方面。中风患者可能会在急诊室或门诊遇到任何医学分支,并且与我国一样,并非每家医院都有特定的吞咽困难专家,如言语语言病理学家(SLP)。本研究旨在提高对吞咽困难中风患者的医学专家的认识并形成共识。这份推荐文件由多学科团队撰写,为吞咽困难的中风患者提供了 45 条建议。它是通过电子邮件使用八步德尔菲法完成的。本研究主要针对土耳其,但由于它包含了与中风相关的各个学科的详细建议,因此这份基于共识的推荐文件不仅是一个有用的指南,可用于解决吞咽困难的临床管理方面的实践中的临床问题,包括管理、诊断和随访,而且还包含了这些主题的详细评论。