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Related Experiment Video

Updated: Sep 14, 2025

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Gaps in Guidelines on Long-Term Management Strategies for Post-Stroke Dysphagia.

Anel Karisik1, Bendix Labeit2, Alois Josef Schiefecker1

  • 1Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

European Journal of Neurology
|July 25, 2025
PubMed
Summary

Post-stroke dysphagia (PSD) management needs standardized long-term care guidelines. Current recommendations focus on acute care, with limited guidance for chronic phase rehabilitation and follow-up for stroke survivors.

Keywords:
dysphagiaguidelineslong‐term carerecommendationsstroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Guidelines

Background:

  • Post-stroke dysphagia (PSD) is a common complication impacting stroke rehabilitation.
  • Existing international guidelines offer structured early care but lack consistency in long-term management.
  • This paper reviews guidelines to identify gaps in long-term PSD care.

Purpose of the Study:

  • To synthesize current guidelines on post-stroke dysphagia management.
  • To identify critical gaps in the long-term care of PSD.
  • To advocate for standardized long-term management strategies for PSD.

Main Methods:

  • Systematic literature search and two-step approach to identify guidelines.
  • Inclusion of 14 existing guidelines and 2 newly identified ones (2014-2025).
  • Assessment of guideline quality using AGREE II, focusing on acute, subacute, and chronic phases.

Main Results:

  • Strong consensus exists for acute-phase dysphagia screening within 24 hours of admission.
  • Instrumental assessments like videofluoroscopy and endoscopy are recommended, with varying application criteria.
  • Limited structured guidance is available for long-term follow-up and reassessment intervals post-discharge.

Conclusions:

  • The lack of standardized long-term PSD management stems from insufficient high-quality evidence.
  • Further research is required to define optimal reassessment, identify high-risk groups, and develop long-term rehabilitation strategies.
  • Improved long-term care is crucial for stroke survivors with persistent dysphagia.