Post-Cerebrovascular Stroke and Early Dysphagia Assessment: A Systematic Review

Post-Cerebrovascular Stroke and Early Dysphagia Assessment: A Systematic Review

Authors

  • Antonino Maniaci Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section; University of Catania- Italy
  • Jerome R Lechien 2 Research Committee of the Young Otolaryngologists, International Federations of ORL Societies, Paris, France. 3 Department of Human Anatomy and Experimental Oncology, School of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium. 4 Department of Otorhinolaryngology-Head and Neck Surgery, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium. 5 Department of Otolaryngology-Head and Neck Surgery, Foch Hospital (University of Paris-Saclay), Paris, France
  • Emanuele D'amico Department "G.F. Ingrassia", MS Center, Organization University of Catania, Catania, Italy.
  • Ignazio La Mantia Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Catania, Italy.
  • Francesco Cancemi Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Catania, Italy.
  • Francesco Patti Department "G.F. Ingrassia", MS Center, Organization University of Catania, Catania, Italy
  • Claudio Faia Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT
  • Elio Privitera Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Catania, Italy.
  • Milena Di Luca Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Catania, Italy.
  • Giannicola Iannella 7 Department of Head-Neck Surgery, Otolaryngology, Head-Neck, and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy. 8 Department of 'Organi di Senso', University "Sapienza", Rome, Italy.
  • Giuseppe Magliulo Department of 'Organi di Senso', University "Sapienza", Rome, Italy.
  • Annalisa Pace Department of 'Organi di Senso', University "Sapienza", Rome, Italy
  • Paola Di Mauro Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Catania, Italy
  • Christian Calvo-Henriquez Task Force COVID-19 of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS); Department of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain
  • Salvatore Ferlito Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Catania, Italy.
  • Gaetano Motta Clinic of Otorhinolaryngology, Head and Neck Surgery Unit, Department of Anesthesiology, Surgical and Emergency Science, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Giuditta Mannelli Unit of Otorhinolaryngology-Head and Neck Surgery, Department of Surgery and Translational Medicine, University of Florence, AOU-Careggi, Florence, Italy.
  • Mario Zappia Department "G.F. Ingrassia", MS Center, Organization University of Catania, Catania, Italy.
  • Claudio Vicini Department of Head-Neck Surgery, Otolaryngology, Head-Neck, and Oral Surgery Unit, Morgagn
  • Salvatore Cocuzza Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Catania, Italy.

Keywords:

Dysphagia; stroke; FEES; VFFS; BDS

Abstract

Purpose: We performed a systematic review on the early assessment of swallowing function after cerebrovascular stroke.

Materials and Methods: A systematic review of the English language literature of the past 20 years was performed regarding swallowing function and cerebrovascular stroke. All articles reporting swallowing evaluation through clinical examination validated scores, and diagnostic tools were included in the summary.

Results: The systematic review of the literature identified 1,768 potentially relevant studies with 7 papers retrieved with a total of 589 stroke dysphagic patients. While at the clinical neurological assessment, The National Institutes of Health Stroke Scale was more frequently used as a clinical outcome predictor. The Bedside screening approach was carried out in 6 papers to assess patients with probable swallowing disorders. Among the diagnostic tools, seven studies performed the Flexible Fiberoptic Endoscopic evaluation assessing scoring validated system while two papers reported early swallowing outcomes Videofluoroscopic Swallow Study.

Conclusions: Our systematic review revealed the findings significantly associated with dysphagia in post-cerebrovascular patients. Endoscopic evaluation of swallowing proved to be the most used method in the literature, effective in identifying early predictors of dysphagia.

Given the presence of different assessing scores employed and reduced study samples enrolled, further studies with large courts are necessary for a greater significance.

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31-08-2022

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Post-Cerebrovascular Stroke and Early Dysphagia Assessment: A Systematic Review. Acta Biomed [Internet]. 2022 Aug. 31 [cited 2024 May 19];93(4):e2022263. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/12135

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