Main Article Content
Background: Dysphagia is a common condition in stroke and associated with increased mortality and morbidity. This study aimed to estimate the prevalence of dysphagia in hospitalized stroke patients in Sisaket Hospital and to investigate the association between dysphagia and pneumonia.
Subjective: Hospitalized stroke patients in Sisaket Hospital
Duration of study: 1st January 2018 to 30th April 2018
Methods: This study design wascross sectional descriptive study. All subject completed thequestionnaire, which include demographic data and Bathel index. Dysphagia was evaluated by using the Modified Water Swallowing Test (MWST). The data of stroke type, location of stroke and pneumonia during hospitalized were collected by chart review.
Results: Sixty-six stroke patients entered the study (39 men, 27 women, mean age 65 years). Sixty patient were ischemic stroke and six patients were hemorrhagic stroke. The prevalence of dysphagia among those stroke patients was 30 percent. In addition there was a statistically significant association between dysphagia and pneumonia in stroke patients.
Conclusion: The prevalence of dysphagia in hospitalized stroke patients in Sisaket hospital was relatively high (30 percent). Furthermore, dysphagia was significantly associated with pneumonia in stroke patients.
Keywords: Dysphagia, Stroke, Pneumonia
2. Arnold M, Liesirova K, Broeg-Morvay A, Meisterernst J, Schlager M, Mono ML, [et al.] Dysphagia in Acute Stroke: Incidence, Burden and Impact on Clinical Outcome. PLoS One. 2016;11(2 ):e0148424.
3. Ebihara S, Sekiya H, Miyagi M, Ebihara T, Okazaki T. Dysphagia, dystussia, and aspiration pneumonia in elderly people. J Thorac Dis. 2016;8(3):632-9.
4. Johnson ER, McKenzie SW, Sievers A. Aspiration pneumonia in stroke. Arch Phys Med Rehabil. 1993;74(9):973-6.
5. Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest. 2003;124(1):328-36.
6. Sharma JC, Fletcher S, Vassallo M, Ross I. What influences outcome of stroke-pyrexia or dysphagia? Int J ClinPract. 2001;55(1):17-20.
7. Martino R, Pron G, Diamant N. Screening for oropharyngeal dysphagia in stroke : insufficient evidence for guidelines. Dysphagia. 2000;15(1):19-30.
8. Ehihara S, Sekiya H, Miyaki M, Ehihara T, Okazaki T. Dysphagia, dystussia, and aspiration pneumonia in elderly people. J Thorac Dis. 2016;8(3):632-9.
9. Almirall J, Rofes L, Serra-Prat M, Icart R, Palomera E, Arreola V, [et.al]. Oropharyngealdysphagia is a risk factor for community-acquired pneumonia in the elderly. Eur Respir J. 2013;41(4):923-8.
10. Heart and Stroke Foundation of Ontario . Management of Dysphagia in Acute Stroke; An Educational Manual for the Dysphagia Screening Professional. Toronto: Heart and Stroke Foundation of Ontario; 2006.
11. Osawa A, Maeshima S, Tanahashi N. Water- swallowing test: screening for aspiration In Stroke patients. Cerebrovasc Dis. 2013;35(3):276-81.
12. Sala R, [et.al]. Swallowing changes in cerebrovascular accidents: incidence, natural history, And repercussions on the nutritional status, morbidity, and mortality. Rev Neurol. 1998;27:759-66.
13. Barer DH. The natural history and functional consequences of dysphagia after hemispheric stroke. J Neurol Neurosurg Psychiatry. 1989;52(2):236-41.
14. Smithard DG, O’Neill PA, Park C, Morris J. Complications and outcome after stroke: does dysphagia matter? Stroke. 1996;27(7):1200-4.
15. Teasell R, Foley N, Fisher J, Finestone H. The incidence, management, and complications of dysphagia in patients with medullary strokes admitted to a rehabilitation unit. Dysphagia. 2002;17(2):115-20.
16. Veis SL, Logemann JA. Swallowing disorders in persons with cerebrovascular accident. Arch PhysMed Rehabil. 1985;66(6):372-5.
17. Lin LC, Wu SC, Chen HS, Wang TG, Chen MY. Prevalence of impaired swallowing in institutionalized older people in taiwan. J Am Geriatr Soc. 2002;50(6):1118-23.
18. Gordon C, Hewer RL, Wade DT. Dysphagia in acute stroke. Br Med J (Clin Res Ed). 1987;295(6595):411-4.
19. Rofes L, [et al.] Pathophysiology of oropharyngeal dysphagia in the frail elderly. Neurogastroenterol Motil. 2010;22(8):851-8.
20. Sura L, Madhavan A, Carnaby G, Crary M. Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging. 2012;7:287-98.
21. Cabré M, Serra-Prat M, Force L, Almirall J, Palomera E, Clavé P. Oropharyngeal dysphagia is a risk factor for readmission for pneumonia in the very elderly persons: observationalprospective study. J Gerontol A Biol Sci Med Sci. 2014;69(3):330-7.
22. John RA, Benjamin DM. Aspiration pneumonia after stroke: Intervention and prevention. The Neurohospitalist. 2011;1(2):85-93.
23. Ramsey DJ, Smithard DG, Kalra L. Early Assessments of Dysphagia and Aspiration Risk in Acute Stroke Patients. Stroke. 2003;34(5):1252-7.