Formal Dysphagia Screening Protocols Prevent Pneumonia

摘要: Background— Pneumonia is an important complication of ischemic stroke and increases mortality 3-fold. Five guidelines recommend a dysphagia screen before oral intake. What constitutes adequate which patients should receive it remain unclear. Methods— Fifteen acute care institutions prospectively collected data on all admitted with stroke. Sites were required to collect demographics 4 quality indicators. Optional included severity complications. We measured adherence for dysphagia, the type screen, development in-hospital pneumonia. Results— Between December 2001 January 2003, 2532 cases collected. In-hospital complications recorded 2329 (92%) cases. Stroke was captured 1361 (54%). Adherence 61%. Six sites had formal their rate 78% compared 57% at no screen. The pneumonia ...