Economic Evaluation of Clinical, Nutritional and Rehabilitation Interventions on Oropharyngeal Dysphagia After Stroke: A Systematic Review
Nutrients
Marin, S., Ortega, O., et al. (2023).
Nutrients, 15(7), 1714.
This systematic review investigates the cost-effectiveness of interventions to manage post-stroke oropharyngeal dysphagia.
Nutricia Danone Advanced Medical Nutrition; Fundació Salut Del Csdm (Spain); Centro de Investigación Biomédica en Red en El Área
de Enfermedades Hepáticas Y Digestivas (Spain); Instituto de Salud Carlos III (Spain)
From database inception to June 30, 2021
Peer-reviewed articles
10
<div>For acute stroke patients, there were no significant differences in total hospitalization cost when assessed with the water swallow test (WST) alone as compared follow-up with the volume-viscosity swallow test (V-VST) if the WST failed. When the V-VST was used, there were significant reductions in pneumonia and rates of nasogastric tube placement. One study showed reduced hospital costs when swallowing was evaluated within the first 24 hours following admission. Another study found videofluoroscopic study to be more cost effective for screening oropharyngeal dysphagia than bedside swallow study or a combined approach.</div>
<div>Rehabilitation with post-stroke inpatient swallow training saw reduced costs in one study. An additional study found a short-course program that included speech-language pathology services showed reduced Barthel index scores (i.e., a measure of daily functioning) and reduced costs.</div>
<div>Texture-modified diets with gum-based thickener were found to be cost-effective in one study. Another study found thickened liquids that were commercially prepared were more cost effective and consistent than those prepared on site.</div>
