Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Research Article
Authors: Castagna, Albertoa | Ferrara, Luciaa | Asnaghi, Emanuelaa | Rega, Vincenzoa; b | Fiorini, Gianfrancescoa; c; *
Affiliations: [a] Neurorehabilitation Unit, Istituti Clinici Zucchi, Gruppo San Donato, Carate, Italy | [b] School of Medicine, Università Statale di Milano Bicocca, Monza, Italy | [c] School of Medicine, Università Statale di Milano, Milan, Italy
Correspondence: [*] Address for correspondence: Gianfrancesco Fiorini, MD, Neuroriabilitazione 1, Istituti Clinici Zucchi, GSD, Piazza Madon-nina 1, 20841 Carate Brianza, Italy. Fax: +39 0362 986513; E-mail: [email protected].
Abstract: BACKGROUND:Dysphagia prevalence increases with age and a significant contribution is given by stroke survivors; its treatment is mainly based on rehabilitation, but outcome cannot be easily predicted. OBJECTIVE:The aim of this study is to detect possible predictors of the outcome of dysphagia in patients beginning rehabilitation after a major Central Nervous System injury. METHODS:Dysphagia severity was measured in 95 consecutive patients (71 with ischemic or hemorrhagic stroke) upon admission to our neurorehabilitation unit and at discharge, during the year 2017. The initial evaluation included also demographic data, functional and geriatric multidimensional assessment, laboratory test results and comorbidities. Their possible predictive value on the degree of recovery of the swallowing process at discharge has been analyzed. RESULTS:Poor functional conditions and the presence of cognitive impairment on admission appear to be associated with a worse outcome of dysphagia at discharge. A significant correlation exists between scores at functional scales at the beginning of rehabilitation and dysphagia score at discharge. Patients with cognitive impairment at the beginning (n = 60) showed a significantly lower degree of recovery of dysphagia at discharge. CONCLUSION:Other factors, beside the degree of dysphagia itself, are important to predict its outcome. Their knowledge not only allows an initial prognostic assessment; it can also be useful to decide which aspects should receive greater attention when treating patients with dysphagia.
Keywords: Dysphagia outcome, stroke, functional conditions, cognitive impairment
DOI: 10.3233/NRE-182635
Journal: NeuroRehabilitation, vol. 44, no. 3, pp. 413-418, 2019
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
[email protected]
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office [email protected]
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
如果您在出版方面需要帮助或有任何建, 件至: [email protected]