Dysphagia in patients in acute period of ischemicstroke: What is the relationship of dysphagia withinfarct localization, cognition, malnutrition, andindependence level?

[摘要] Background and Objective: Swallowing and nutritional disorders can occur for many different reasonsafter stroke. This study aimed to evaluate dysphagia, malnutrition, and independence in patients withan acute period of ischemic stroke, and to examine the relationship between dysphagia and lesionlocation, cognition, malnutrition, and dependence. Methods: Ischemic stroke patients (n: 109, mean age:72.91 ± 11.78 year) were evaluated within the first 5 days after stroke. Standardized Mini-Mental StateExamination (SMMSE), Combining pulse oximetry with a 10 milliliter (ml) Bedside Water DrinkingTest (CPOBWDT), Mini Nutritional Assessment (MNA), and Barthel Index (BI) were performed.Results: Dysphagia was detected in 57.8% of the patients; malnutrition was present in 19.27% and55.96% were at risk of malnutrition. In patients with dysphagia, it was observed that the most commonsite of infarct involved the superior cortical division of the middle cerebral artery. SMME (p<0.001)and BI (p=0.001) were significantly worse in patients with dysphagia than patients without dysphagia.Conclusion: This study showed that more than half of the ischemic stroke patients are at risk ofdysphagia and malnutrition in the acute period after stroke. The localization of the infarct and adecrease in the cognitive level are among the factors that are associated with dysphagia. Dysphagiais associated with increased dependence for functional activities. Therefore, in patients with ischemicstroke, swallowing and malnutrition should be evaluated during the acute phase.

[学科分类] 精神健康和精神病学

[关键词] Stroke;swallowing;dysphagia;cognition;malnutrition