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Journal of Nutrition Research
An official journal of IAPEN India association

Article

Consensus on the Screening, Assessment, and Nutritional Management of Dysphagia
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Journal of Nutrition Research

DOI: 10.55289/jnutres/v12i2.7

Year: 2024, Volume: 12, Issue: 2, Pages: 53-74

Guideline

Consensus on the Screening, Assessment, and Nutritional Management of Dysphagia

Sreemathy Venkatraman1∗, Amit Yelsangikar2, Purabi Mahajan3, Eileen Canday4, Sivakumar Vidhyadharan5, Mukundan Subramanian6, Nihar Ranjan Dash7, Preetie Shetty Akkunje8, Sachdev Meenakshi9, Bidita Shah10, Shilpa Thakur11, Prasanna Hegde12, B S Premalatha13, C J Arya14, Smita Caren Mathias15, Mala Manral16, Rohtagi P17, Edwina Raj18, Vilasini Raman19, Mansi Jagtap20, Susan Itty21, Charu Dua22,Manju P George23

1Chief Clinical Nutritionist, Trustwell Hospitals, Bangalore, Karnataka, India
2Consultant Gastroenterologist, Aster CMI Hospital, Bangalore, Karnataka, India
3Senior Clinical Dietitian, Tata Memorial Hospital, Mumbai, Maharashtra, India
4HOD, Nutrition and Dietetics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India
5Consultant Head and Neck Surgeon, The Head and Neck Centre and Hospital, Chennai,Tamil Nadu, India
6Consultant ENT Surgeon, VHS Hospital, Chennai, Tamil Nadu, India
7Consultant GI Surgeon, Department of GI Surgery, AIIMS, New Delhi, India
8Assistant Professor, Department of Audiology and Speech Language Pathology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
9Dietician, Tamil Nadu Government Multi Super Specialty Hospital, Chennai, Tamil Nadu, India
10Clinical Nutritionist, Gujarat Gastro and Vascular Hospital, Surat, Gujarat, India
11Senior consultant, Dietetics, Asian Institute of Medical Sciences, Faridabad, Haryana, India
12Program Director and Clinical Lead, Department of Deglutology and Speech-Language Pathology, HCG Hospital, Bengaluru, Karnataka, India
13Professor and Deglutologist, Department of Speech Language Studies, Dr. S. R. Chandrasekhar Institute of Speech & Hearing, Bangalore, Karnataka, India
14Senior Deglutologist, AIMS, Kochi, Kerala, India
15Senior and clinical lead of speech-language pathology, Deglutology, Narayana Health Group of Hospitals, Bengaluru, Karnataka, India
16Dietitian, Cardiothoracic and Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
17Chief Clinical Dietitian, Apollo Hospitals, Bengaluru, Karnataka, India
18Head of Clinical Nutrition and Dietetics, Aster CMI Hospital, Bengaluru, Karnataka, India
19Speech and Swallowing therapist, Department of Surgical Oncology, Cancer Institute (WIA), Adyar, Chennai, Tamil Nadu, India
20Speech & Swallow Pathologist, Bhartiya Arogya Nidhi Hospital, Mumbai, Maharashtra, India
21Chief Clinical Nutritionist, Aster Medcity, Cochin, Kerala, India
22Chief Clinical Nutritionist, Amrita Institute of Medical Sciences and Research Hospital, Faridabad, Haryana, India
23Chief Dietitian, VPS Lakeshore Hospital, Kochi, Kerala, India

*Corresponding Author
Email: [email protected]

Received Date:19 February 2024, Accepted Date:25 December 2024, Published Date:30 December 2024

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Dysphagia, characterized by impaired swallowing function, presents a substantial healthcare burden globally, affecting various populations and conditions. The present article aims to present a comprehensive clinical consensus on dysphagia diagnosis, assessment, and management, derived from an expert group comprising diverse healthcare professionals in India. Through systematic literature reviews and consensus development methodologies adhering to international standards, evidence-based recommendations were formulated to address key aspects of dysphagia care. Recommendations encompass screening protocols, diagnostic modalities, nutritional assessments, and therapeutic interventions, including exercises and feeding strategies. The consensus underscores the importance of early detection and tailored interventions, particularly in high-risk populations such as stroke patients. By integrating contemporary evidence and expert insights, this consensus offers a structured framework to enhance dysphagia care standards, with the overarching goal of improving patient outcomes and reducing associated morbidity and mortality. This comprehensive guideline is a valuable resource for healthcare practitioners involved in managing dysphagia, facilitating optimized patient care and improved quality of life.

Keywords: Dysphagia, Texture-modified, Commercial thickeners, Aspiration, Swallowing

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© This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Published By India Association for Parenteral and Enteral Nutrition (IAPEN)

  • 24 January 2025

Year: 2024, Volume: 12, Issue: 2


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