Clinical Red Flags
Clinical Red Flags Requiring Escalation or Specialized Referral
- Aspiration or rapid decline in swallowing function
- Unexplained weight loss
- Persistent respiratory symptoms
- New, rapid-onset weakness inconsistent with typically slow KD progression
- Severe metabolic disturbance (e.g., early-onset diabetes, dyslipidemia)
- Rapid or atypical progression
- Aspiration pneumonia
- Progressive dysphagia or inability to maintain hydration/nutrition
- Unexplained loss of function
- Respiratory insufficiency or suspected sleep-disordered breathing
