Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit Experience
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000300009 |
Resumo: | Abstract Introduction: Aspiration pneumonia is a severe complication of stroke, related to higher stroke severity, functional impairment and dysphagia grade, increasing mortality rate, length of hospitalization and health costs. The study aims to analyse the relationship between aspiration pneumonia, the clinical type and severity of ischemic stroke and its consequences and outcomes. Material and Methods: A retrospective study aanalysed 1116 patients admitted to a Portuguese stroke unit between 2017 and 2019, selecting and characterizing ischemic strokes according to Bamford Stroke Classification. The functional status was quantified with the modified-Rankin and Barthel scales, the severity of stroke was evaluated with the National Institutes of Health Stroke Scale, and the dysphagia status was accessed with the Gugging Swallowing Screen. These scales were evaluated at admission and discharge. Aspiration pneumonia was identified based on clinical, laboratory and radiologic findings. Results: A population of 937 individuals (51.5%), and ave-rage age 75.6 years old. Prevalence of aspiration pneumonia of 19.5%. Total anterior circulation infarction with higher rate of aspiration pneumonia (74.3%). The functional status, severity of stroke, and grade of dysphagia were worse in the aspiration pneumonia group. The overall mortality rate was 11.6%, with an average length of 11.0 days of hospitalization, being statistically significant (p < 0.01) in the aspiration pneumonia group (40.4% and 13.8 days, respectively). Discussion/Conclusion: Aspiration pneumonia is related to the severity of stroke, functional status, and grade of dys-phagia, being related to higher mortality rates and longest length of stay. |
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Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit ExperienceDeglutition Disorders/mortalityPneumonia, Aspiration/mortalityStroke/mortalityAbstract Introduction: Aspiration pneumonia is a severe complication of stroke, related to higher stroke severity, functional impairment and dysphagia grade, increasing mortality rate, length of hospitalization and health costs. The study aims to analyse the relationship between aspiration pneumonia, the clinical type and severity of ischemic stroke and its consequences and outcomes. Material and Methods: A retrospective study aanalysed 1116 patients admitted to a Portuguese stroke unit between 2017 and 2019, selecting and characterizing ischemic strokes according to Bamford Stroke Classification. The functional status was quantified with the modified-Rankin and Barthel scales, the severity of stroke was evaluated with the National Institutes of Health Stroke Scale, and the dysphagia status was accessed with the Gugging Swallowing Screen. These scales were evaluated at admission and discharge. Aspiration pneumonia was identified based on clinical, laboratory and radiologic findings. Results: A population of 937 individuals (51.5%), and ave-rage age 75.6 years old. Prevalence of aspiration pneumonia of 19.5%. Total anterior circulation infarction with higher rate of aspiration pneumonia (74.3%). The functional status, severity of stroke, and grade of dysphagia were worse in the aspiration pneumonia group. The overall mortality rate was 11.6%, with an average length of 11.0 days of hospitalization, being statistically significant (p < 0.01) in the aspiration pneumonia group (40.4% and 13.8 days, respectively). Discussion/Conclusion: Aspiration pneumonia is related to the severity of stroke, functional status, and grade of dys-phagia, being related to higher mortality rates and longest length of stay.Sociedade Portuguesa de Medicina Interna2021-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000300009Medicina Interna v.28 n.3 2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000300009Moutinho,AdelaideVilabril,FilipaJesus,RafaelCunha,Rita GamboaKochJamal,SheilaLisboa,Marta MeleiroTavares,SandraVeiga,Andreiainfo:eu-repo/semantics/openAccess2024-02-06T17:08:33Zoai:scielo:S0872-671X2021000300009Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:20:54.552018Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit Experience |
title |
Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit Experience |
spellingShingle |
Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit Experience Moutinho,Adelaide Deglutition Disorders/mortality Pneumonia, Aspiration/mortality Stroke/mortality |
title_short |
Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit Experience |
title_full |
Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit Experience |
title_fullStr |
Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit Experience |
title_full_unstemmed |
Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit Experience |
title_sort |
Relationship Between Type of Ischemic Stroke with Degree of Dysphagia, Aspiration Pneumonia, and Mortality: A Three-Year Portuguese Stroke Unit Experience |
author |
Moutinho,Adelaide |
author_facet |
Moutinho,Adelaide Vilabril,Filipa Jesus,Rafael Cunha,Rita Gamboa KochJamal,Sheila Lisboa,Marta Meleiro Tavares,Sandra Veiga,Andreia |
author_role |
author |
author2 |
Vilabril,Filipa Jesus,Rafael Cunha,Rita Gamboa KochJamal,Sheila Lisboa,Marta Meleiro Tavares,Sandra Veiga,Andreia |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Moutinho,Adelaide Vilabril,Filipa Jesus,Rafael Cunha,Rita Gamboa KochJamal,Sheila Lisboa,Marta Meleiro Tavares,Sandra Veiga,Andreia |
dc.subject.por.fl_str_mv |
Deglutition Disorders/mortality Pneumonia, Aspiration/mortality Stroke/mortality |
topic |
Deglutition Disorders/mortality Pneumonia, Aspiration/mortality Stroke/mortality |
description |
Abstract Introduction: Aspiration pneumonia is a severe complication of stroke, related to higher stroke severity, functional impairment and dysphagia grade, increasing mortality rate, length of hospitalization and health costs. The study aims to analyse the relationship between aspiration pneumonia, the clinical type and severity of ischemic stroke and its consequences and outcomes. Material and Methods: A retrospective study aanalysed 1116 patients admitted to a Portuguese stroke unit between 2017 and 2019, selecting and characterizing ischemic strokes according to Bamford Stroke Classification. The functional status was quantified with the modified-Rankin and Barthel scales, the severity of stroke was evaluated with the National Institutes of Health Stroke Scale, and the dysphagia status was accessed with the Gugging Swallowing Screen. These scales were evaluated at admission and discharge. Aspiration pneumonia was identified based on clinical, laboratory and radiologic findings. Results: A population of 937 individuals (51.5%), and ave-rage age 75.6 years old. Prevalence of aspiration pneumonia of 19.5%. Total anterior circulation infarction with higher rate of aspiration pneumonia (74.3%). The functional status, severity of stroke, and grade of dysphagia were worse in the aspiration pneumonia group. The overall mortality rate was 11.6%, with an average length of 11.0 days of hospitalization, being statistically significant (p < 0.01) in the aspiration pneumonia group (40.4% and 13.8 days, respectively). Discussion/Conclusion: Aspiration pneumonia is related to the severity of stroke, functional status, and grade of dys-phagia, being related to higher mortality rates and longest length of stay. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000300009 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000300009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000300009 |
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 |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Medicina Interna v.28 n.3 2021 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137296057892864 |