{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:31:04Z","timestamp":1790947864018,"version":"4.1.0"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec>\n                    <jats:title>Aim(s)<\/jats:title>\n                    <jats:p>To evaluate the effects of an evidence-based discharge planning on the health outcomes of stroke patients with dysphagia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was conducted with stroke patients who were diagnosed with dysphagia and scheduled to be discharged to their homes. A total of 90 eligible patients were consecutively enrolled to the exposed group and non-exposed group. The exposed group received an evidence-based discharge planning with follow-up at 7 and 30\u202fdays after discharge. The non-exposed group received routine care with the same length of care and follow-up as the exposed group. Trained research assistant collected all patients\u2019 baseline data on admission (T0), recorded unplanned re-admission and aspiration, evaluated the discharge readiness, self-management ability and safe feeding on the day of discharge (T1), 7\u202fdays post-discharge (T2), and 30\u202fdays post-discharge (T3).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with the non-exposed group, the exposed group showed significantly lower rate of unplanned readmission, lower incidence of aspiration, improvement in discharge readiness, self-management ability, and safe feeding scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An evidence-based discharge planning can significantly reduce unplanned readmission rate and aspiration in stroke patients with dysphagia, and significantly improving patients\u2019 discharge readiness, self-management ability and safe feeding. It provides clinical care with a clear and effective guideline plan for the management of patients with dysphagia in stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>\n                      The study has been registered with the Chinese Clinical Trial Registry (\n                      <jats:uri>http:\/\/www.chictr.org.cn<\/jats:uri>\n                      ) under registration number ChiCTR24000087983.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneur.2025.1707847","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T06:59:59Z","timestamp":1767769199000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["The effect of evidence-based discharge planning on the health outcomes of stroke patients with dysphagia: a prospective cohort study"],"prefix":"10.3389","volume":"16","author":[{"given":"Yanping","family":"Lei","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenxing","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dandan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoling","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GangRong","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.1016\/S0140-6736(19)30427-1","article-title":"Mortality, 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