Abstract | BACKGROUND: METHODS: A survey concerning the current state of dysphagia diagnostics and therapy was carried out among certified stoke units in Germany. RESULTS: Of the 163 invited hospitals 51% participated in the study. A standardized dysphagia program lying mainly within the responsibility of speech language therapists (64%) is established in 94%. Main elements are swallowing assessments carried out by nurses (72%) and the clinical swallowing examination (93%). Instrumental diagnostics are available in 55% with videoendoscopy (52%) being more widely used than videofluoroscopy (17%). In the acute stage nutrition with texture modified diets is the primary therapeutic strategy. CONCLUSIONS: Structured programs for the diagnosis and treatment of dysphagia have generally been established but individual strategies differ and differences in the quality of care are obvious.
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Authors | S Suntrup, A Meisel, R Dziewas, F Ende, H Reichmann, P Heuschmann, G W Ickenstein |
Journal | Der Nervenarzt
(Nervenarzt)
Vol. 83
Issue 12
Pg. 1619-24
(Dec 2012)
ISSN: 1433-0407 [Electronic] Germany |
Vernacular Title | Dysphagiediagnostik und -therapie des akuten Schlaganfalls : Eine bundesweite Erhebung auf zertifizierten Stroke-Units. |
PMID | 22763869
(Publication Type: Journal Article, Multicenter Study)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Causality
- Certification
(statistics & numerical data)
- Comorbidity
- Deglutition Disorders
(diagnosis, mortality, therapy)
- Female
- Germany
(epidemiology)
- Humans
- Incidence
- Intensive Care Units
(standards, statistics & numerical data)
- Male
- Middle Aged
- Practice Patterns, Physicians'
(statistics & numerical data)
- Risk Factors
- Stroke
(diagnosis, mortality, therapy)
- Survival Analysis
- Survival Rate
- Treatment Outcome
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