Objective To retrieve, evaluate and integrate the best current evidence regarding recognition of dysphagia for acute stroke patients. Methods We searched such electronic databases as the Up to Date, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, National Guideline Clearinghouse, Chinese Medicine Guideline, European Stroke Organization, American Heart Association/American Stroke Association, Australian Stroke Foundation, Cochrane Library,JBI Library,PubMed,and Chinese Biomedical databases to collect guidelines, evidence summary, recommended practice, and systematic review regarding recognition of dysphagia in acute stroke from January 2010 to December 2018. Researchers independently assessed quality of the included literature and extracted evidence. Results Five guidelines，3 evidence summaries and 1 systematic review were eligible.Six items of best evidence were summarized and categorized into 5 aspects including screening time, tools, practitioners, assessment and training. Conclusion Best evidence summarized in this study provides evidence-based reference for recognition of dysphagia in acute stroke patients.