Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic Stroke

Detalhes bibliográficos
Autor(a) principal: Ribeiro, Priscila W. [UNESP]
Data de Publicação: 2015
Outros Autores: Cola, Paula C., Gatto, Ana R., Silva, Roberta G. da, Luvizutto, Gustavo J. [UNESP], Braga, Gabriel P. [UNESP], Schelp, Arthur O. [UNESP], Arruda Henry, Maria A. C. de [UNESP], Bazan, Rodrigo [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.05.009
http://hdl.handle.net/11449/160773
Resumo: Background: The present study aimed to evaluate the relation between the National Institutes of Health Stroke Scale (NIHSS) score and the presence of laryngeal penetration and/or laryngotracheal aspiration in ischemic stroke patients and to verify what factors are predictors of the occurrence of pneumonia in the evaluated patients. Methods: This was an observational study of ischemic stroke in the acute or subacute phases. Neurologic examination included anamnesis, Bamford classification, and application of the NIHSS. Speech therapy evaluation was carried out after clinical stabilization of the patient, and all individuals who were considered dysphagic were sent for examination by means of videofluoroscopic recordings. The parameters observed in the objective examination were the presence of laryngeal penetration and/or laryngotracheal aspiration. The pneumonia data were obtained in accordance with local protocols, which were based on international guidelines. The relation of laryngeal penetration and laryngotracheal aspiration with the NIHSS score was assessed by the Mann-Whitney U test, and predictors for the occurrence of pneumonia were analyzed by multiple logistic regression using semiautomatic backward selection. Significance was set at P less than .05. Results: The relations between laryngeal penetration and the NIHSS score and between laryngotracheal aspiration and the NIHSS score were not statistically significant. The predictors for pneumonia occurrence in the ischemic stroke patients with a clinical diagnosis of dysphagia were age (P = .002; odds ratio [OR], 1.12) and NIHSS score (P = .04; OR, 1.17), whereas laryngeal penetration of liquid (P = .065; OR, 3.70) tended to correlate with pneumonia but not significantly. Conclusions: There was no relation between the NIHSS score and laryngeal penetration or laryngotracheal aspiration, and the principal predictors of pneumonia in dysphagic patients after ischemic stroke were advanced age and neurologic severity. (C) 2015 by National Stroke Association
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spelling Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic StrokeStrokedeglutitiondeglutition disordersdysphagianeurologic impairmentpneumonia predictorsBackground: The present study aimed to evaluate the relation between the National Institutes of Health Stroke Scale (NIHSS) score and the presence of laryngeal penetration and/or laryngotracheal aspiration in ischemic stroke patients and to verify what factors are predictors of the occurrence of pneumonia in the evaluated patients. Methods: This was an observational study of ischemic stroke in the acute or subacute phases. Neurologic examination included anamnesis, Bamford classification, and application of the NIHSS. Speech therapy evaluation was carried out after clinical stabilization of the patient, and all individuals who were considered dysphagic were sent for examination by means of videofluoroscopic recordings. The parameters observed in the objective examination were the presence of laryngeal penetration and/or laryngotracheal aspiration. The pneumonia data were obtained in accordance with local protocols, which were based on international guidelines. The relation of laryngeal penetration and laryngotracheal aspiration with the NIHSS score was assessed by the Mann-Whitney U test, and predictors for the occurrence of pneumonia were analyzed by multiple logistic regression using semiautomatic backward selection. Significance was set at P less than .05. Results: The relations between laryngeal penetration and the NIHSS score and between laryngotracheal aspiration and the NIHSS score were not statistically significant. The predictors for pneumonia occurrence in the ischemic stroke patients with a clinical diagnosis of dysphagia were age (P = .002; odds ratio [OR], 1.12) and NIHSS score (P = .04; OR, 1.17), whereas laryngeal penetration of liquid (P = .065; OR, 3.70) tended to correlate with pneumonia but not significantly. Conclusions: There was no relation between the NIHSS score and laryngeal penetration or laryngotracheal aspiration, and the principal predictors of pneumonia in dysphagic patients after ischemic stroke were advanced age and neurologic severity. (C) 2015 by National Stroke AssociationUniv Estadual Paulista, Botucatu Sch Med, Neurol Serv, BR-18618970 Botucatu, SP, BrazilSch Philosophy & Sci, Dept Phonoaudiol, Marilia, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Surg, BR-18618970 Botucatu, SP, BrazilUniv Estadual Paulista, Botucatu Sch Med, Neurol Serv, BR-18618970 Botucatu, SP, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Surg, BR-18618970 Botucatu, SP, BrazilElsevier B.V.Universidade Estadual Paulista (Unesp)Sch Philosophy & SciRibeiro, Priscila W. [UNESP]Cola, Paula C.Gatto, Ana R.Silva, Roberta G. daLuvizutto, Gustavo J. [UNESP]Braga, Gabriel P. [UNESP]Schelp, Arthur O. [UNESP]Arruda Henry, Maria A. C. de [UNESP]Bazan, Rodrigo [UNESP]2018-11-26T16:16:41Z2018-11-26T16:16:41Z2015-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2088-2094application/pdfhttp://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.05.009Journal Of Stroke & Cerebrovascular Diseases. Amsterdam: Elsevier Science Bv, v. 24, n. 9, p. 2088-2094, 2015.1052-3057http://hdl.handle.net/11449/16077310.1016/j.jstrokecerebrovasdis.2015.05.009WOS:000360649000030WOS000360649000030.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal Of Stroke & Cerebrovascular Diseases0,732info:eu-repo/semantics/openAccess2024-08-16T15:45:13Zoai:repositorio.unesp.br:11449/160773Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T15:45:13Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic Stroke
title Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic Stroke
spellingShingle Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic Stroke
Ribeiro, Priscila W. [UNESP]
Stroke
deglutition
deglutition disorders
dysphagia
neurologic impairment
pneumonia predictors
title_short Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic Stroke
title_full Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic Stroke
title_fullStr Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic Stroke
title_full_unstemmed Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic Stroke
title_sort Relationship between Dysphagia, National Institutes of Health Stroke Scale Score, and Predictors of Pneumonia after Ischemic Stroke
author Ribeiro, Priscila W. [UNESP]
author_facet Ribeiro, Priscila W. [UNESP]
Cola, Paula C.
Gatto, Ana R.
Silva, Roberta G. da
Luvizutto, Gustavo J. [UNESP]
Braga, Gabriel P. [UNESP]
Schelp, Arthur O. [UNESP]
Arruda Henry, Maria A. C. de [UNESP]
Bazan, Rodrigo [UNESP]
author_role author
author2 Cola, Paula C.
Gatto, Ana R.
Silva, Roberta G. da
Luvizutto, Gustavo J. [UNESP]
Braga, Gabriel P. [UNESP]
Schelp, Arthur O. [UNESP]
Arruda Henry, Maria A. C. de [UNESP]
Bazan, Rodrigo [UNESP]
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
Sch Philosophy & Sci
dc.contributor.author.fl_str_mv Ribeiro, Priscila W. [UNESP]
Cola, Paula C.
Gatto, Ana R.
Silva, Roberta G. da
Luvizutto, Gustavo J. [UNESP]
Braga, Gabriel P. [UNESP]
Schelp, Arthur O. [UNESP]
Arruda Henry, Maria A. C. de [UNESP]
Bazan, Rodrigo [UNESP]
dc.subject.por.fl_str_mv Stroke
deglutition
deglutition disorders
dysphagia
neurologic impairment
pneumonia predictors
topic Stroke
deglutition
deglutition disorders
dysphagia
neurologic impairment
pneumonia predictors
description Background: The present study aimed to evaluate the relation between the National Institutes of Health Stroke Scale (NIHSS) score and the presence of laryngeal penetration and/or laryngotracheal aspiration in ischemic stroke patients and to verify what factors are predictors of the occurrence of pneumonia in the evaluated patients. Methods: This was an observational study of ischemic stroke in the acute or subacute phases. Neurologic examination included anamnesis, Bamford classification, and application of the NIHSS. Speech therapy evaluation was carried out after clinical stabilization of the patient, and all individuals who were considered dysphagic were sent for examination by means of videofluoroscopic recordings. The parameters observed in the objective examination were the presence of laryngeal penetration and/or laryngotracheal aspiration. The pneumonia data were obtained in accordance with local protocols, which were based on international guidelines. The relation of laryngeal penetration and laryngotracheal aspiration with the NIHSS score was assessed by the Mann-Whitney U test, and predictors for the occurrence of pneumonia were analyzed by multiple logistic regression using semiautomatic backward selection. Significance was set at P less than .05. Results: The relations between laryngeal penetration and the NIHSS score and between laryngotracheal aspiration and the NIHSS score were not statistically significant. The predictors for pneumonia occurrence in the ischemic stroke patients with a clinical diagnosis of dysphagia were age (P = .002; odds ratio [OR], 1.12) and NIHSS score (P = .04; OR, 1.17), whereas laryngeal penetration of liquid (P = .065; OR, 3.70) tended to correlate with pneumonia but not significantly. Conclusions: There was no relation between the NIHSS score and laryngeal penetration or laryngotracheal aspiration, and the principal predictors of pneumonia in dysphagic patients after ischemic stroke were advanced age and neurologic severity. (C) 2015 by National Stroke Association
publishDate 2015
dc.date.none.fl_str_mv 2015-09-01
2018-11-26T16:16:41Z
2018-11-26T16:16:41Z
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://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.05.009
Journal Of Stroke & Cerebrovascular Diseases. Amsterdam: Elsevier Science Bv, v. 24, n. 9, p. 2088-2094, 2015.
1052-3057
http://hdl.handle.net/11449/160773
10.1016/j.jstrokecerebrovasdis.2015.05.009
WOS:000360649000030
WOS000360649000030.pdf
url http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.05.009
http://hdl.handle.net/11449/160773
identifier_str_mv Journal Of Stroke & Cerebrovascular Diseases. Amsterdam: Elsevier Science Bv, v. 24, n. 9, p. 2088-2094, 2015.
1052-3057
10.1016/j.jstrokecerebrovasdis.2015.05.009
WOS:000360649000030
WOS000360649000030.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Journal Of Stroke & Cerebrovascular Diseases
0,732
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 2088-2094
application/pdf
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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