Dysphagia is a strong predictor of death and functional dependence at three months post-stroke

Abstract: Background: Few Brazilian studies investigated risk factors for dysphagia and associated complications in a large cohort. Objective: To investigate frequency, predictors, and associated outcomes of dysphagia in patients up to three months post-stroke. Methods: Prospective cohort study of consecutively admitted patients in a specialized center for acute stroke. Patients with a transient ischemic attack, subarachnoid hemorrhage, cerebral venous thrombosis, hemorrhagic stroke with secondary cause, non-acute stroke, or those who did not consent to participate were excluded. Swallowing was evaluated by speech language pathologists using Volume-Viscosity Swallow Test. General function at three months post-stroke was assessed using the following instruments: Modified Rankin scale, Barthel Index and Functional Independence Measure. Results: A total of 831 patients were admitted and 305 patients were included according to the inclusion and exclusion criteria. The mean age of patients was 63.6±13.3 years, mean time from stroke to swallowing assessment was 4.2±4.1 days, and 45.2% of the patients had dysphagia. Age (OR=1.02; 95%CI 1.00-1.04; p=0.017), known medical history of obstructive sleep apnea (OR=5.13; 95%CI 1.74-15.15; p=0.003), and stroke severity at hospital admission (OR=1.10; 95%CI 1.06-1.15; p<0.001) were independently associated with dysphagia. Dysphagia (OR=3.78; 95%CI 2.16-6.61; p<0.001) and stroke severity (OR=1.05; 95%CI 1.00-1.09; p=0.024) were independently associated with death or functional dependence at three months. Conclusions: Dysphagia was present in almost half of stroke patients. Age, obstructive sleep apnea, and stroke severity were predictors of dysphagia, which was independently associated with death or functional dependence at three months.

Angaben zum Objekt

• Weitere Titel: Disfagia é um forte preditor de morte e dependência funcional três meses após acidente vascular cerebral
• Standort: Deutsche Nationalbibliothek Frankfurt am Main
• Umfang: Online-Ressource
• Sprache: Englisch

Verweise und Beziehungen

• Erschienen in: Dysphagia is a strong predictor of death and functional dependence at three months post-stroke ; volume:80 ; number:05 ; year:2022 ; pages:462-468 ; Arquivos de neuro-psiquiatria ; 80, Heft 05 (2022), 462-468

Beteiligte, Orts- und Zeitangaben

• Beteiligte Personen und Organisationen: PACHECO-CASTILHO, Aline Cristina ; MIRANDA, Rubia Poliana Crisóstomo ; NORBERTO, Ana Maria Queirós ; FAVORETTO, Diandra Bosi ; RIMOLI, Brunna Pileggi ; ALVES, Luciana Bezerra de Mello ; WEBER, Karina Tavares ; SANTOS, Taiza Elaine Grespan ; MORIGUTI, Julio Cesar ; LEITE, João Pereira ; DANTAS, Roberto Oliveira ; MARTINO, Rosemary ; PONTES-NETO, Octávio Marques

Weitere Informationen

• DOI: 10.1590/0004-282X-ANP-2021-0127
• URN: urn:nbn:de:101:1-2023032311215935608264
• Rechteinformation: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Letzte Aktualisierung: 14.08.2025, 10:44 MESZ