NDLI: The incidence of dysphagia in patients receiving cerebral reperfusion therapy poststroke.

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The incidence of dysphagia in patients receiving cerebral reperfusion therapy poststroke.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ribeiro, Priscila W. Cola, Paula C. Gatto, Ana R. da Silva, Roberta G. Luvizutto, Gustavo J. Braga, Gabriel P. Schelp, Arthur O. de Arruda Henry, Maria A. C. Bazan, Rodrigo
Description	Country affiliation: Brazil Author Affiliation: Ribeiro PW ( Neurology Service, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho, São Paulo, Brazil.); Cola PC ( Department of Phonoaudiology, School of Pholosophy and Sciences, Marília, Brazil.); Gatto AR ( Department of Phonoaudiology, School of Pholosophy and Sciences, Marília, Brazil.); da Silva RG ( Department of Phonoaudiology, School of Pholosophy and Sciences, Marília, Brazil.); Luvizutto GJ ( Neurology Service, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho, São Paulo, Brazil. Electronic address: gluvizutto@fmb.unesp.br.); Braga GP ( Neurology Service, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho, São Paulo, Brazil.); Schelp AO ( Neurology Service, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho, São Paulo, Brazil.); de Arruda Henry MA ( Department of Surgery, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho, São Paulo, Brazil.); Bazan R ( Neurology Service, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho, São Paulo, Brazil.)
Abstract	BACKGROUND: The high prevalence of dysphagia after stroke leads to increased mortality, and cerebral reperfusion therapy has been effective in reducing neurologic deficits. The aim of this study was to investigate the severity and evolution of dysphagia and the occurrence of pneumonia in patients submitted to cerebral reperfusion therapy. METHODS: Seventy ischemic stroke patients were evaluated. Of these, 35 patients (group 1) were submitted to cerebral reperfusion therapy and 35 (group 2) did not receive thrombolytic treatment. The following were evaluated: severity of dysphagia by means of videofluoroscopy, evolution of oral intake rate by means of the Functional Oral Intake Scale, and the occurrence of pneumonia by international protocol. The relation between the severity of dysphagia and the occurrence of pneumonia with the treatment was evaluated through the chi-square test; the daily oral intake rate and its relation to the treatment were assessed by the Mann-Whitney test and considered significant if P is less than .05. RESULTS: The moderate and severe degrees of dysphagia were more frequent (P=.013) among the patients who were not submitted to cerebral reperfusion therapy. The daily oral intake evolved independently of the treatment type, without statistical significance when compared between the groups, whereas pneumonia occurred more frequently in group 2 (28%) in relation to group 1 (11%) and was associated with the worst degrees of dysphagia (P=.045). CONCLUSIONS: We can conclude that there is improvement in the oral intake rate in both groups, with lower severity of dysphagia and occurrence of pneumonia in ischemic stroke patients submitted to cerebral reperfusion therapy.
File Format	HTM / HTML
ISSN	10523057
Issue Number	6
Volume Number	23
e-ISSN	15328511
Journal	Journal of Stroke and Cerebrovascular Diseases
Language	English
Publisher	Elsevier
Publisher Date	2014-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Therapy Brain Ischemia Pneumonia Stroke Prospective Studies Complications Humans Male Epidemiology Journal Article Incidence Deglutition Disorders Reperfusion Etiology Discipline Cardiology Female Aged Diagnosis Severity Of Illness Index
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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