Literature DB >> 22042182

Swallowing disorders after ischemic stroke.

Gabriela Camargo Remesso1, Márcia Maiumi Fukujima, Ana Lúcia de Magalhães Leal Chiappetta, Adriana Leico Oda, Alexandre Santos Aguiar, Acary de Souza Bulle Oliveira, Gilmar Fernandes do Prado.   

Abstract

OBJECTIVE: To investigate occurrences of swallowing disorders after ischemic stroke.
METHOD: This was a retrospective study on 596 medical files. The inclusion criterion was that the patients needed to have been hospitalized with a diagnosis of ischemic stroke; the exclusion criteria were the presence of associated cardiac problems and hospital stay already more than 14 days.
RESULTS: 50.5% were men and 49.5% women; mean age 65.3 years (SD= ± 11.7) (p ≤ 0.001). Among the risk factors, 79.4% had hypertension, 36.7% had diabetes (p ≤ 0.001) and 42.7% were smokers. 13.3% of the patients died. Swallowing disorders occurred in 19.6%, among whom 91.5% had mild difficulty and 8.5% had severe difficulty. 87.1% had spontaneous recovery after a mean of 2.4 months. A lesion in the brainstem region occurred in 6.8% (p ≤ 0.001).
CONCLUSION: Swallowing disorders occurred in almost 20% of the population and most of the difficulty in swallowing found was mild. The predictors for swallowing disorders were older age, diabetes mellitus and lesions in the brainstem region.

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Mesh:

Year:  2011        PMID: 22042182     DOI: 10.1590/s0004-282x2011000600012

Source DB:  PubMed          Journal:  Arq Neuropsiquiatr        ISSN: 0004-282X            Impact factor:   1.420


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