Objective 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. Methods 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. Results The MAPS group demonstrated a significantly lower incidence of overt aspiration compared to control group (p 0.05). Conclusion 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.
Sun et al. (Thu,) studied this question.