TY - JOUR
T1 - Status Of Dysphagia After Ischemic Stroke
T2 - A Korean Nationwide Study
AU - Ko, Nayeon
AU - Lee, Hyun Haeng
AU - Sohn, Min Kyun
AU - Kim, Deog Young
AU - Shin, Yong Il
AU - Oh, Gyung Jae
AU - Lee, Yang Soo
AU - Joo, Min Cheol
AU - Lee, So Young
AU - Song, Min Keun
AU - Han, Junhee
AU - Ahn, Jeonghoon
AU - Lee, Young Hoon
AU - Chang, Won Hyuk
AU - Choi, Soo Mi
AU - Lee, Seon kui
AU - Lee, Jongmin
AU - Kim, Yun Hee
N1 - Funding Information:
Supported by a research program funded by the Korea Centers for Disease Control and Prevention (grant no. 2019E320202) and by a grant of the MD-PhD/Medical Scientist Training Program through the Korea Health Industry Development Institute and funded by the Ministry of Health and Welfare, Republic of Korea.
Publisher Copyright:
© 2021 The American Congress of Rehabilitation Medicine
PY - 2021/12
Y1 - 2021/12
N2 - 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/m2), premorbid mRS, brainstem 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.
AB - 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/m2), premorbid mRS, brainstem 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.
KW - Deglutition disorders
KW - Rehabilitation
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=85114613730&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2021.07.788
DO - 10.1016/j.apmr.2021.07.788
M3 - Article
C2 - 34348122
AN - SCOPUS:85114613730
SN - 0003-9993
VL - 102
SP - 2343-2352.e3
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 12
ER -