{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T19:16:09Z","timestamp":1770923769665,"version":"3.50.1"},"reference-count":27,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"\n Objective<\/jats:title>\n To evaluate the efficacy of the Multimodal Aspiration Prevention System (MAPS) in reducing aspiration incidence, preventing pneumonia, and improving swallowing function in stroke rehabilitation patients.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A before-after controlled study was conducted involving 855 stroke rehabilitation patients (408 in the MAPS intervention group, 447 in the historical control group). The intervention group received MAPS, including a three-tier risk warning system, standardized intervention procedures, and multidisciplinary collaboration, while the control group received conventional care. Primary outcomes included overt aspiration incidence, with secondary outcomes assessing stroke-associated pneumonia rates, swallowing function improvement, psychological status, and patient satisfaction.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The MAPS group demonstrated a significantly lower incidence of overt aspiration compared to control group (p\u2009<\u20090.05), with complete elimination of aspiration events achieved by the second month of implementation. Secondary outcomes revealed clinically meaningful improvements following MAPS adoption: stroke-associated pneumonia rates decreased substantially (p\u2009<\u20090.05), psychological assessments indicated significant alleviation of anxiety and depression symptoms (p\u2009<\u20090.05), and patient satisfaction scores reached 99.2%. Although swallowing function showed numerical improvement in the MAPS group, the difference did not reach statistical significance when compared to the control group (p\u2009>\u20090.05).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n MAPS effectively reduces aspiration and pneumonia risks while enhancing psychological well-being and patient satisfaction in stroke rehabilitation. Its closed-loop management model demonstrates clinical applicability. Further multicenter studies are warranted to validate long-term benefits.<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0342253","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T18:24:36Z","timestamp":1770920676000},"page":"e0342253","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the effectiveness of a multimodal aspiration prevention system in stroke rehabilitation 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