Care for patients with dysphagia after acute stroke in the Czech republic

Česká verzia

Authors: G. Solná ¹; D. Václavík ¹; N. Lasotová ²
Authors place of work: Neurologické oddělení, Vzdělávací a výzkumný institut Agel, o. p. s., Vítkovická nemocnice, a. s., Ostrava ¹; Neurologická klinika LF MU a FN Brno ²
Published in the journal: Cesk Slov Neurol N 2018; 81(5): 528-531
Category: Review Article
doi: https://doi.org/10.14735/amcsnn2018528

Summary

In the Czech Republic, there is a network of 45 comprehensive stroke centres and stroke centres dealing with acute stroke, including dysphagia as one of the most serious symptoms. In 2014, for the first time, a questionnaire survey mapped the situation about the care for patients with dysphagia across these centres. In order to improve the care management of these patients and based on the results of the questionnaire survey, the standard of treatment plan called Care for Patients with Dysphagia Following Stroke was published in 2015. After 3 years, the questionnaire survey was repeated in all centres to compare to the situation in 2014 and to find out the current form of management in the stroke units – e. g. a method of detection of dysphagia, type of screening used, possibility of implementation of an objective examination, introduction of nutrition management, etc. The aim of the paper was to report on the current state of care for dysphagic patients based on data from the comparative questionnaire survey from 2014 and 2017. The results of the survey showed that in the Czech Republic in the last 3 years, all comprehensive stroke centres and stroke centres have been systematically involved in the issue of dysphagia. For the screening swallowing test, the Gugging Swallowing Screen was mostly used. Nutrition management was in place in almost all centres. Over 50% of the centres had the ability to perform an objective swallowing examination. Improvements in screening and overall care were evaluated by more than 20 centres. In eight centres, there was an increase in the number of clinical speech therapists.

Key words:
dysphagia – screening – The Gugging Swallowing Screen

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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