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Although there has been much research on causes and interventions for dysphagia, there has been variable impact in actual hospital practice. Also, nonuniform approaches to evaluating patients, such as screening high\u2010risk populations, makes it difficult to measure outcomes of care. This commentary advises a more systematic approach that includes standardized protocols, risk stratification, and screening high\u2010risk patients; makes the case for broadening the classification of dysphagia; and suggests a growing role for adjunctive enteral nutrition in patients with some compromise to swallowing.<\/jats:p>","DOI":"10.1177\/0194599811415803","type":"journal-article","created":{"date-parts":[[2011,7,13]],"date-time":"2011-07-13T20:19:52Z","timestamp":1310588392000},"page":"895-898","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Dysphagia Evaluation and Care in the Hospital Setting"],"prefix":"10.1002","volume":"145","author":[{"given":"Kenneth W.","family":"Altman","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Mount Sinai School of Medicine New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,7,12]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.129"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.02.032"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.02797.x"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/PL00021290"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000046586.38284.60"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.101.4.461"},{"key":"e_1_2_5_8_2","first-page":"3639","article-title":"Evaluating dysphagia","volume":"61","author":"Spieker MR","year":"2000","journal-title":"Am Fam Phys"},{"key":"e_1_2_5_9_2","first-page":"638","volume-title":"Textbook of Gastroenterology","author":"Castell DO","year":"1995"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811403885"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000177529.86868.8d"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009583"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.510370"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2008.12.0169"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811415803","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599811415803","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811415803","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:20:32Z","timestamp":1760970032000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599811415803"}},"subtitle":["The Need for Protocolization"],"short-title":[],"issued":{"date-parts":[[2011,7,12]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["10.1177\/0194599811415803"],"URL":"https:\/\/doi.org\/10.1177\/0194599811415803","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7,12]]},"assertion":[{"value":"2011-05-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-06-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-07-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}