Natural Course of Swallowing Recovery and Associated Factors in Post-Ischemic Stroke Dysphagia / 대한연하장애학회지
Journal of the Korean Dysphagia Society
; (2): 115-122, 2022.
Article
en En
| WPRIM
| ID: wpr-938240
Biblioteca responsable:
WPRO
ABSTRACT
Objective@#To identify factors associated with swallowing recovery in patients with dysphagia after ischemic stroke. @*Methods@#Patients admitted to Kangbuk Samsung Hospital from 2011 to 2019 for first acute ischemic stroke and dysphagia, as confirmed by a videofluoroscopic swallowing study (VFSS), were enrolled in this retrospective study. Patients whose Dysphagia Outcome and Severity Scale (DOSS) level was <6 as determined by VFSS were monitored in a dysphagia clinic and additional VFSS was performed periodically until one year after stroke. Follow-up was discontinued when the DOSS level reached 6 or 7. The main study outcomes were full recovery and tube removal rate. Cox regression analysis was used to identify prognostic factors of dysphagia. The Kaplan-Meier method was used to generate curves of the proportions of patients that achieved full recovery. @*Results@#One hundred and thirteen patients were enrolled. Multivariate analysis showed that only initial DOSS was significantly associated with swallowing recovery (13.0% for non-oral feeding vs. 35.6 % for a modified diet). @*Conclusion@#Initial swallowing status (as determined by VFSS findings) is strongly associated with swallowing recovery in post-ischemic stroke patients. Assessments of dysphagia are important for predicting dysphagia recovery and planning management strategies.
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1
Base de datos:
WPRIM
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Idioma:
En
Revista:
Journal of the Korean Dysphagia Society
Año:
2022
Tipo del documento:
Article