Clinical characteristics of dysphagic stroke patients with salivary aspiration: A STROBE-compliant retrospective study.

Abstract:

:The aim of this study was to evaluate the correlation between radionuclide salivagram findings and clinical characteristics in stroke patient with swallowing difficulty.In this study, dysphagic stroke patients who had undergone both a radionuclide salivagram and videofluoroscopic swallowing study (VFSS) were included retrospectively. To evaluate the correlations between clinical parameters and salivary aspiration, clinical parameters, such as stroke lesion, the degree of paralysis, sex, age, onset duration of stroke, the score of the Mini-Mental State Examination (MMSE), the score of the Global Deterioration Scale (GDS), the total score of the Modified Barthel Index (MBI), and each sub-score of the MBI were collected and analyzed.In the results of this study, the MMSE score was the only significant parameter for predicting positive findings in a salivagram in a multivariate logistic regression analysis in patients with supratentorial stroke. In patients with infratentorial stroke, however, the transfer sub-score of MBI was the only significant parameter for predicting positive findings in a salivagram in a multivariate logistic regression analysis.In conclusion, care should be taken to prevent salivary aspiration when the MMSE score is less than eight in patients with supratentorial stroke, and the transfer sub-score of MBI score is less than three in patients with infratentorial stroke.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Yu KJ,Park D

doi

10.1097/MD.0000000000014977

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

e14977

issue

12

eissn

0025-7974

issn

1536-5964

pii

00005792-201903220-00059

journal_volume

98

pub_type

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