Post-stroke Malnutrition and Dysphagia

Stroke is the third leading cause of death in the USA and swallowing problems may affect half or more of stroke patients at some time during the course of their disease. Slightly more than half of stroke patients are malnourished. Pre-existing subclinical swallowing dysfunction may further predispose elderly stroke patients to dysphagia. Early dysphagia assessment is important to minimize aspiration risk and to avoid dehydration and malnutrition that can lead to further complications and impair the recovery process. Stroke patients with suspected dysphagia should be assessed on a timely basis with a clinical examination and appropriate instrumental tests. Recommendations for dietary modifications or specific therapeutic strategies to assure adequate nutritional intake, hydration and oral hygiene should be made in close consultation with a nutritionist.