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Dysphagia in Acute Stroke: Incidence, Burden and Impact on Clinical Outcome.

Authors :
Marcel Arnold
Kai Liesirova
Anne Broeg-Morvay
Julia Meisterernst
Markus Schlager
Marie-Luise Mono
Marwan El-Koussy
Georg Kägi
Simon Jung
Hakan Sarikaya
Source :
PLoS ONE, Vol 11, Iss 2, p e0148424 (2016)
Publication Year :
2016
Publisher :
Public Library of Science (PLoS), 2016.

Abstract

BACKGROUND:Reported frequency of post-stroke dysphagia in the literature is highly variable. In view of progress in stroke management, we aimed to assess the current burden of dysphagia in acute ischemic stroke. METHODS:We studied 570 consecutive patients treated in a tertiary stroke center. Dysphagia was evaluated by using the Gugging Swallowing Screen (GUSS). We investigated the relationship of dysphagia with pneumonia, length of hospital stay and discharge destination and compared rates of favourable clinical outcome and mortality at 3 months between dysphagic patients and those without dysphagia. RESULTS:Dysphagia was diagnosed in 118 of 570 (20.7%) patients and persisted in 60 (50.9%) at hospital discharge. Thirty-six (30.5%) patients needed nasogastric tube because of severe dysphagia. Stroke severity rather than infarct location was associated with dysphagia. Dysphagic patients suffered more frequently from pneumonia (23.1% vs. 1.1%, p

Subjects

Subjects :
Medicine
Science

Details

Language :
English
ISSN :
19326203
Volume :
11
Issue :
2
Database :
Directory of Open Access Journals
Journal :
PLoS ONE
Publication Type :
Academic Journal
Accession number :
edsdoj.5d77a21d5964aa9844124fb8caf61e0
Document Type :
article
Full Text :
https://doi.org/10.1371/journal.pone.0148424