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Status Of Dysphagia After Ischemic Stroke: A Korean Nationwide Study
- Source :
- Archives of Physical Medicine and Rehabilitation. 102:2343-2352.e3
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Objective To identify the incidence of dysphagia after ischemic stroke and determine factors affecting the presence of dysphagia. Design Retrospective case-control study. This was an interim analysis of a prospective multicenter Korean stroke cohort. Setting Acute care university hospitals. Participants Patients (N=6000) with first-ever acute ischemic stroke. Patients were divided into 2 groups according to the presence or absence of dysphagia confirmed at 7 days after onset using the American Speech-Language-Hearing Association National Outcomes Measurement System (ASHA-NOMS) scale, which was determined after conducting screening or standardized tests. Interventions Not applicable. Main Outcome Measures Age at stroke onset, body mass index (BMI), premorbid modified Rankin Scale (mRS), brainstem lesions, National Institutes of Health Stroke Scale (NIHSS), poststroke mRS, and ASHA-NOMS swallowing level at poststroke day 7 were evaluated. Results Among patients with ischemic stroke, 32.3% (n=1940) had dysphagia at 7 days after stroke onset. At discharge, 80.5% (n=1561) still had dysphagia. The prediction model for the presence of dysphagia identified age at onset, underweight (BMI Conclusions The incidence of dysphagia after ischemic stroke was 32.3%. The prediction model for the presence of dysphagia identified age, low BMI, premorbid disabilities, brainstem lesions, and NIHSS as predictive factors.
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Physical Therapy, Sports Therapy and Rehabilitation
Cohort Studies
Disability Evaluation
Swallowing
Risk Factors
Modified Rankin Scale
Surveys and Questionnaires
Acute care
Republic of Korea
otorhinolaryngologic diseases
Humans
Medicine
Prospective Studies
cardiovascular diseases
Stroke
Aged
Ischemic Stroke
Retrospective Studies
business.industry
Incidence
Rehabilitation
Recovery of Function
Odds ratio
Middle Aged
medicine.disease
Dysphagia
Cohort
Female
medicine.symptom
Deglutition Disorders
business
Body mass index
Subjects
Details
- ISSN :
- 00039993
- Volume :
- 102
- Database :
- OpenAIRE
- Journal :
- Archives of Physical Medicine and Rehabilitation
- Accession number :
- edsair.doi.dedup.....954050cd6b0279a08a2aa849e860cb99