Status Of Dysphagia After Ischemic Stroke: A Korean Nationwide Study
- 주제(키워드) Deglutition disorders , Rehabilitation , Stroke
- 주제(기타) Rehabilitation
- 주제(기타) Sport Sciences
- 설명문(일반) [Ko, Nayeon; Lee, Hyun Haeng; Lee, Jongmin] Konkuk Univ, Dept Rehabil Med, Sch Med, 120-1 Neungdong Ro, Seoul 05030, South Korea; [Sohn, Min Kyun] Chungnam Natl Univ, Sch Med, Dept Rehabil Med, Daejeon, South Korea; [Kim, Deog Young] Yonsei Univ, Dept & Res Inst Rehabil Med, Coll Med, Seoul, South Korea; [Shin, Yong-Il] Pusan Natl Univ, Sch Med, Dept Rehabil Med, Yangsan Hosp, Yangsan, South Korea; [Oh, Gyung-Jae; Lee, Young-Hoon] Wonkwang Univ, Sch Med, Dept Prevent Med, Iksan, South Korea; [Lee, Yang-Soo] Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Dept Rehabil Med, Sch Med, Daegu, South Korea; [Joo, Min Cheol] Wonkwang Univ, gDept Rehabil Med, Sch Med, Iksan, South Korea; [Lee, So Young] Jeju Natl Univ, Jeju Natl Univ Hosp, Dept Rehabil Med, Sch Med, Jeju, South Korea; [Song, Min-Keun] Chonnam Natl Univ, Dept Phys & Rehabil Med, Med Sch, Gwangju, South Korea; [Han, Junhee] Hallym Univ, Dept Stat, Chunchon, South Korea; [Ahn, Jeonghoon] Ewha Womans Univ, Dept Hlth Convergence, Seoul, South Korea; [Chang, Won Hyuk; Kim, Yun-Hee] Sungkyunkwan Univ, Samsung Med Ctr, Sch Med, Dept Phys & Rehabil Med,Heart Vasc Stroke Inst,Ct, Seoul, South Korea; [Choi, Soo Mi; Lee, Seon Kui] Korea Ctr Dis Control & Prevent, Ctr Dis, Div Chron Dis Prevent, Cheongju, South Korea; [Kim, Yun-Hee] Sungkyunkwan Univ, Dept Med Device Management & Res, Dept Digital Healthcare, Dept Hlth Sci & Technol,SAIHST, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 W B SAUNDERS CO-ELSEVIER INC
- 발행년도 2021
- URI http://www.dcollection.net/handler/ewha/000000190540
- 본문언어 영어
- Published As https://doi.org/10.1016/j.apmr.2021.07.788
- PubMed https://pubmed.ncbi.nlm.nih.gov/34348122
초록/요약
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 <18.5 kg/m(2)), premorbid mRS, brain- stem lesions, and NIHSS as independent predictors. The odds ratio (OR) for the presence of dysphagia significantly increased with underweight (OR, 1.6684; 95% confidence interval [CI], 1.27-2.20), increased age at onset (OR, 1.0318; 95% CI, 1.03-1.04), premorbid mRS (OR, 1.1832; 95% CI, 1.13-1.24), brainstem lesions (OR, 1.6494; 95% CI, 1.39-1.96), and NIHSS (OR, 1.2073; 95% CI, 1.19-1.23). 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. (C) 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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