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Status Of Dysphagia After Ischemic Stroke: A Korean Nationwide Study
- Title
- Status Of Dysphagia After Ischemic Stroke: A Korean Nationwide Study
- Authors
- Ko, Nayeon; Lee, Hyun Haeng; Sohn, Min Kyun; Kim, Deog Young; Shin, Yong-Il; Oh, Gyung-Jae; Lee, Yang-Soo; Joo, Min Cheol; Lee, So Young; Song, Min-Keun; Han, Junhee; Ahn, Jeonghoon; Lee, Young-Hoon; Chang, Won Hyuk; Choi, Soo Mi; Lee, Seon Kui; Lee, Jongmin; Kim, Yun-Hee
- Ewha Authors
- 안정훈
- SCOPUS Author ID
- 안정훈
- Issue Date
- 2021
- Journal Title
- ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
- ISSN
- 0003-9993
1532-821X
- Citation
- ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION vol. 102, no. 12, pp. 2343 - +
- Keywords
- Deglutition disorders; Rehabilitation; Stroke
- Publisher
- W B SAUNDERS CO-ELSEVIER INC
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- 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.
- DOI
- 10.1016/j.apmr.2021.07.788
- Appears in Collections:
- 신산업융합대학 > 융합보건학과 > Journal papers
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