![]() ![]() Main Outcomes and Measures Recovery of oral intake (primary end point, Functional Oral Intake Scale ≥5) or return to prestroke diet (secondary end point) measured 7 (indication for NGT feeding) and 30 (indication for PEG feeding) days after stroke. Objective To develop and validate a prognostic model predicting swallowing recovery and the need for enteral tube feeding.ĭesign, Setting, and Participants We enrolled participants with consecutive admissions for acute ischemic stroke and initially severe dysphagia in a prospective single-center derivation (2011-2014) and a multicenter validation (July 2015-March 2018) cohort study in 5 tertiary stroke referral centers in Switzerland.Įxposures Severely impaired oral intake at admission (Functional Oral Intake Scale score <5). ![]() Guidelines recommend nasogastric tube (NGT) feeding if swallowing impairment persists for 7 days or longer and percutaneous endoscopic gastrostomy (PEG) placement if dysphagia does not recover within 30 days, but, to our knowledge, a systematic prediction method does not exist. Importance Predicting the duration of poststroke dysphagia is important to guide therapeutic decisions. Shared Decision Making and Communication. ![]()
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