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dc.contributor.author안정훈*
dc.date.accessioned2021-12-28T16:30:55Z-
dc.date.available2021-12-28T16:30:55Z-
dc.date.issued2021*
dc.identifier.issn0003-9993*
dc.identifier.issn1532-821X*
dc.identifier.otherOAK-30598*
dc.identifier.urihttps://dspace.ewha.ac.kr/handle/2015.oak/259701-
dc.description.abstractObjective: 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.*
dc.languageEnglish*
dc.publisherW B SAUNDERS CO-ELSEVIER INC*
dc.subjectDeglutition disorders*
dc.subjectRehabilitation*
dc.subjectStroke*
dc.titleStatus Of Dysphagia After Ischemic Stroke: A Korean Nationwide Study*
dc.typeArticle*
dc.relation.issue12*
dc.relation.volume102*
dc.relation.indexSCIE*
dc.relation.indexSCOPUS*
dc.relation.startpage2343*
dc.relation.lastpage+*
dc.relation.journaltitleARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION*
dc.identifier.doi10.1016/j.apmr.2021.07.788*
dc.identifier.wosidWOS:000726577100008*
dc.identifier.scopusid2-s2.0-85114613730*
dc.author.googleKo, Nayeon*
dc.author.googleLee, Hyun Haeng*
dc.author.googleSohn, Min Kyun*
dc.author.googleKim, Deog Young*
dc.author.googleShin, Yong-Il*
dc.author.googleOh, Gyung-Jae*
dc.author.googleLee, Yang-Soo*
dc.author.googleJoo, Min Cheol*
dc.author.googleLee, So Young*
dc.author.googleSong, Min-Keun*
dc.author.googleHan, Junhee*
dc.author.googleAhn, Jeonghoon*
dc.author.googleLee, Young-Hoon*
dc.author.googleChang, Won Hyuk*
dc.author.googleChoi, Soo Mi*
dc.author.googleLee, Seon Kui*
dc.author.googleLee, Jongmin*
dc.author.googleKim, Yun-Hee*
dc.contributor.scopusid안정훈(8855402200)*
dc.date.modifydate20240429134500*
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신산업융합대학 > 융합보건학과 > Journal papers
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