dysphagia in acute ischemic stroke
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Abstract:
Introduction: Swallowing dysfunction complicates acute strokes in 25-32% of cases and directly affects patientschr('39') prognosis and recovery. Dysphagia complicates the course of acute strokes through its potential of the development of chest infection, nutritional problems, and dehydration. Dysphagia is also an independent predictor of respiratory morbidity and mortality in acute stroke. In this study, we aimed to estimate the prevalence of dysphagia after ischemic stroke. Methods and material: in this retrospective cohort study, 137 patients with an acute ischemic stroke were evaluated for dysphagia. Results: 43 of 137 patients (31.4%) suffering from dysphagia of whom, 43.8% had left-sided lesions, 36.5% had right-side lesions and 2.2% had lesions in both sides of the brain. the most damaged artery was the middle cerebral artery (MCA) and we found a significant relationship between MCA damage and dysphagia (p value=0.017, OR=2.75). Also, there was a significant correlation between age and dysphagia. The older the patient, the higher the prevalence of dysphagia. Discussion: The prevalence of dysphagia was estimated at 31.4% in this study. According to previous studies, this prevalence is much more in other countries such as England or India. in this study, MCA damage in the left side of the brain and older age were the main factors responsible for dysphagia after stroke.
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Journal title
volume 29 issue 10
pages 0- 0
publication date 2022-12
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