American Speech-Language-Hearing Association

EBP Compendium: Summary of Clinical Practice Guideline

American Heart Association/American Stroke Association Stroke Council; Clinical Cardiology Council; Cardiovascular Radiology and Intervention Council; and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups
Guidelines for the Early Management of Adults with Ischemic Stroke

Adams, H. P., Jr., del Zoppo, G., et al. (2007).
Stroke, 38(5), 1655–711.

AGREE Rating: Recommended with Provisos

Description:

This guideline was developed to assist physicians and other health care providers who treat patients within the first 48 hours post-stroke.

Recommendations:

  • Assessment/Diagnosis
    • Assessment Instruments
      • Swallowing
        • Bedside Swallow Exam and Videofluoroscopy - “An assessment of the ability to swallow is important before the patient is allowed to eat or drink. A water swallow test performed at the bedside is a useful screening tool, and documentation of this assessment is included as a quality-of-care measure after stroke. A wet voice after swallowing is a predictor of a high risk for aspiration. A videofluoroscopic modified barium swallow examination may be performed if indicated” (p. 1688). 

Keywords: Stroke

Access the Guideline

Added to Compendium: November 2010

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