Dysphagia is a strong predictor of death and functional dependence at three months post-stroke
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000500462 |
Resumo: | ABSTRACT Background: Few Brazilian studies investigated risk factors for dysphagia and associated complications in a large cohort. Objective: To investigate frequency, predictors, and associated outcomes of dysphagia in patients up to three months post-stroke. Methods: Prospective cohort study of consecutively admitted patients in a specialized center for acute stroke. Patients with a transient ischemic attack, subarachnoid hemorrhage, cerebral venous thrombosis, hemorrhagic stroke with secondary cause, non-acute stroke, or those who did not consent to participate were excluded. Swallowing was evaluated by speech language pathologists using Volume-Viscosity Swallow Test. General function at three months post-stroke was assessed using the following instruments: Modified Rankin scale, Barthel Index and Functional Independence Measure. Results: A total of 831 patients were admitted and 305 patients were included according to the inclusion and exclusion criteria. The mean age of patients was 63.6±13.3 years, mean time from stroke to swallowing assessment was 4.2±4.1 days, and 45.2% of the patients had dysphagia. Age (OR=1.02; 95%CI 1.00-1.04; p=0.017), known medical history of obstructive sleep apnea (OR=5.13; 95%CI 1.74-15.15; p=0.003), and stroke severity at hospital admission (OR=1.10; 95%CI 1.06-1.15; p<0.001) were independently associated with dysphagia. Dysphagia (OR=3.78; 95%CI 2.16-6.61; p<0.001) and stroke severity (OR=1.05; 95%CI 1.00-1.09; p=0.024) were independently associated with death or functional dependence at three months. Conclusions: Dysphagia was present in almost half of stroke patients. Age, obstructive sleep apnea, and stroke severity were predictors of dysphagia, which was independently associated with death or functional dependence at three months. |
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Dysphagia is a strong predictor of death and functional dependence at three months post-strokeDeglutitionDeglutition DisordersStrokeOutcome Assessment, Health CareABSTRACT Background: Few Brazilian studies investigated risk factors for dysphagia and associated complications in a large cohort. Objective: To investigate frequency, predictors, and associated outcomes of dysphagia in patients up to three months post-stroke. Methods: Prospective cohort study of consecutively admitted patients in a specialized center for acute stroke. Patients with a transient ischemic attack, subarachnoid hemorrhage, cerebral venous thrombosis, hemorrhagic stroke with secondary cause, non-acute stroke, or those who did not consent to participate were excluded. Swallowing was evaluated by speech language pathologists using Volume-Viscosity Swallow Test. General function at three months post-stroke was assessed using the following instruments: Modified Rankin scale, Barthel Index and Functional Independence Measure. Results: A total of 831 patients were admitted and 305 patients were included according to the inclusion and exclusion criteria. The mean age of patients was 63.6±13.3 years, mean time from stroke to swallowing assessment was 4.2±4.1 days, and 45.2% of the patients had dysphagia. Age (OR=1.02; 95%CI 1.00-1.04; p=0.017), known medical history of obstructive sleep apnea (OR=5.13; 95%CI 1.74-15.15; p=0.003), and stroke severity at hospital admission (OR=1.10; 95%CI 1.06-1.15; p<0.001) were independently associated with dysphagia. Dysphagia (OR=3.78; 95%CI 2.16-6.61; p<0.001) and stroke severity (OR=1.05; 95%CI 1.00-1.09; p=0.024) were independently associated with death or functional dependence at three months. Conclusions: Dysphagia was present in almost half of stroke patients. Age, obstructive sleep apnea, and stroke severity were predictors of dysphagia, which was independently associated with death or functional dependence at three months.Academia Brasileira de Neurologia - ABNEURO2022-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000500462Arquivos de Neuro-Psiquiatria v.80 n.5 2022reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x-anp-2021-0127info:eu-repo/semantics/openAccessPACHECO-CASTILHO,Aline CristinaMIRANDA,Rubia Poliana CrisóstomoNORBERTO,Ana Maria QueirósFAVORETTO,Diandra BosiRIMOLI,Brunna PileggiALVES,Luciana Bezerra de MelloWEBER,Karina TavaresSANTOS,Taiza Elaine GrespanMORIGUTI,Julio CesarLEITE,João PereiraDANTAS,Roberto OliveiraMARTINO,RosemaryPONTES-NETO,Octávio Marqueseng2022-06-20T00:00:00Zoai:scielo:S0004-282X2022000500462Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2022-06-20T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Dysphagia is a strong predictor of death and functional dependence at three months post-stroke |
title |
Dysphagia is a strong predictor of death and functional dependence at three months post-stroke |
spellingShingle |
Dysphagia is a strong predictor of death and functional dependence at three months post-stroke PACHECO-CASTILHO,Aline Cristina Deglutition Deglutition Disorders Stroke Outcome Assessment, Health Care |
title_short |
Dysphagia is a strong predictor of death and functional dependence at three months post-stroke |
title_full |
Dysphagia is a strong predictor of death and functional dependence at three months post-stroke |
title_fullStr |
Dysphagia is a strong predictor of death and functional dependence at three months post-stroke |
title_full_unstemmed |
Dysphagia is a strong predictor of death and functional dependence at three months post-stroke |
title_sort |
Dysphagia is a strong predictor of death and functional dependence at three months post-stroke |
author |
PACHECO-CASTILHO,Aline Cristina |
author_facet |
PACHECO-CASTILHO,Aline Cristina MIRANDA,Rubia Poliana Crisóstomo NORBERTO,Ana Maria Queirós FAVORETTO,Diandra Bosi RIMOLI,Brunna Pileggi ALVES,Luciana Bezerra de Mello WEBER,Karina Tavares SANTOS,Taiza Elaine Grespan MORIGUTI,Julio Cesar LEITE,João Pereira DANTAS,Roberto Oliveira MARTINO,Rosemary PONTES-NETO,Octávio Marques |
author_role |
author |
author2 |
MIRANDA,Rubia Poliana Crisóstomo NORBERTO,Ana Maria Queirós FAVORETTO,Diandra Bosi RIMOLI,Brunna Pileggi ALVES,Luciana Bezerra de Mello WEBER,Karina Tavares SANTOS,Taiza Elaine Grespan MORIGUTI,Julio Cesar LEITE,João Pereira DANTAS,Roberto Oliveira MARTINO,Rosemary PONTES-NETO,Octávio Marques |
author2_role |
author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
PACHECO-CASTILHO,Aline Cristina MIRANDA,Rubia Poliana Crisóstomo NORBERTO,Ana Maria Queirós FAVORETTO,Diandra Bosi RIMOLI,Brunna Pileggi ALVES,Luciana Bezerra de Mello WEBER,Karina Tavares SANTOS,Taiza Elaine Grespan MORIGUTI,Julio Cesar LEITE,João Pereira DANTAS,Roberto Oliveira MARTINO,Rosemary PONTES-NETO,Octávio Marques |
dc.subject.por.fl_str_mv |
Deglutition Deglutition Disorders Stroke Outcome Assessment, Health Care |
topic |
Deglutition Deglutition Disorders Stroke Outcome Assessment, Health Care |
description |
ABSTRACT Background: Few Brazilian studies investigated risk factors for dysphagia and associated complications in a large cohort. Objective: To investigate frequency, predictors, and associated outcomes of dysphagia in patients up to three months post-stroke. Methods: Prospective cohort study of consecutively admitted patients in a specialized center for acute stroke. Patients with a transient ischemic attack, subarachnoid hemorrhage, cerebral venous thrombosis, hemorrhagic stroke with secondary cause, non-acute stroke, or those who did not consent to participate were excluded. Swallowing was evaluated by speech language pathologists using Volume-Viscosity Swallow Test. General function at three months post-stroke was assessed using the following instruments: Modified Rankin scale, Barthel Index and Functional Independence Measure. Results: A total of 831 patients were admitted and 305 patients were included according to the inclusion and exclusion criteria. The mean age of patients was 63.6±13.3 years, mean time from stroke to swallowing assessment was 4.2±4.1 days, and 45.2% of the patients had dysphagia. Age (OR=1.02; 95%CI 1.00-1.04; p=0.017), known medical history of obstructive sleep apnea (OR=5.13; 95%CI 1.74-15.15; p=0.003), and stroke severity at hospital admission (OR=1.10; 95%CI 1.06-1.15; p<0.001) were independently associated with dysphagia. Dysphagia (OR=3.78; 95%CI 2.16-6.61; p<0.001) and stroke severity (OR=1.05; 95%CI 1.00-1.09; p=0.024) were independently associated with death or functional dependence at three months. Conclusions: Dysphagia was present in almost half of stroke patients. Age, obstructive sleep apnea, and stroke severity were predictors of dysphagia, which was independently associated with death or functional dependence at three months. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000500462 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000500462 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282x-anp-2021-0127 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.80 n.5 2022 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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