{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:19:03Z","timestamp":1788405543848,"version":"build-2803163510"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ann Clin Transl Neurol"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aims of the study were to (1) characterize the findings of flexible endoscopic evaluation of swallowing (FEES) in stroke patients undergoing mechanical thrombectomy (MT); (2) analyse the screening performance of the Standardized Swallowing Assessment (SSA); and (3) study the impact of FEES\u2010defined dysphagia on 3\u2010month outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This single\u2010centre study was based on a local registry of consecutive acute ischaemic stroke patients undergoing MT during a 1\u2010year period. Patients received FEES within 5\u2009days of admission regardless of the result of dysphagia screening. We compared baseline demographic and clinical characteristics of patients with and without FEES\u2010defined dysphagia. We collected 3\u2010month modified Rankin Scale (mRS) and individual index values of the European Quality of Life 5 Dimensions (EQ\u20105D\u2010iv). Using univariable and multivariable regression analyses we predicted 3\u2010month outcomes for presence of dysphagia and for FEES\u2010defined dysphagia severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 137 patients with a median age of 74\u2009years, 43.1% were female, median NIHSS was 12 and successful recanalization was achieved in 92.7%. Stroke\u2010associated pneumonia occurred in 8% of patients. FEES\u2010defined dysphagia occurred in 81% of patients. Sensitivity of the SSA as a dysphagia screening was 67%. Presence of dysphagia and increasing severity of dysphagia were independently associated with increasing 3\u2010month mRS score. Increasing dysphagia severity dysphagia was independently associated with lower EQ\u20105D\u2010iv.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Early FEES\u2010defined dysphagia occurs in four in every five patients undergoing MT. SSA has a suboptimal dysphagia screening performance. Presence of dysphagia and increasing dysphagia severity predict worse functional outcome and worse health\u2010related quality\u2010of\u2010life.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acn3.51998","type":"journal-article","created":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T04:34:31Z","timestamp":1705120471000},"page":"757-767","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Early flexible endoscopic evaluation of swallowing after mechanical thrombectomy in stroke patients"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3977-7146","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Pinho","sequence":"first","affiliation":[{"name":"Department of Neurology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tareq","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"Mall","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"Maring","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalena","family":"D\u00f6pp","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Becker","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneke","family":"Wehner","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Thissen","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beate","family":"Schumann\u2010Werner","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital, RWTH Aachen University  Aachen Germany"},{"name":"Department of Neurology and Geriatrics Johanniter\u2010Krankenhaus Genthin\u2010Stendal GmbH  Stendal Germany"},{"name":"Institute of Cognitive Neurology and Dementia Research Otto Von Guericke University Magdeburg  Magdeburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omid","family":"Nikoubashman","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Wiesmann","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology University Hospital, RWTH Aachen University  Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8903-0593","authenticated-orcid":false,"given":"J\u00f6rg. 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