2016
DOI: 10.5535/arm.2016.40.6.1024
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Characteristics of Patients With Aneurysmal Subarachnoid Hemorrhage and Risk Factors Related to Dysphagia

Abstract: ObjectiveTo investigate the characteristics and risk factors of dysphagia with the Videofluoroscopic Dysphagia Scale (VDS) using a videofluoroscopic swallowing study (VFSS) in patients with ruptured aneurysmal subarachnoid hemorrhage (aSAH).MethodsData of 64 patients presenting with first-ever ruptured aSAH were analyzed. Characteristics of dysphagia were evaluated using VFSS and all subjects were divided into a high (>47) and low risk group (≤47) by the VDS score. Clinical and functional parameters were asses… Show more

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Cited by 13 publications
(19 citation statements)
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“…The main findings were that (1) dysphagia was diagnosed in every third SAH patient, including patients admitted in good clinical grade, that (2) dysphagia was associated with radiographic and clinical disease severity on admission, and (3) that dysphagia was strongly associated with hospital complications, prolonged ICU stay, and poor functional outcome. Although it is well known that the high incidence of swallowing disorders after ischemic stroke contributes to impaired quality of life and poor functional outcome, only few studies report the incidence of dysphagia following SAH [9,10]. In a retrospective cohort study including predominantly good-grade SAH patients, the incidence was 31.6%, which is comparable to our findings [9].…”
Section: Discussionsupporting
confidence: 84%
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“…The main findings were that (1) dysphagia was diagnosed in every third SAH patient, including patients admitted in good clinical grade, that (2) dysphagia was associated with radiographic and clinical disease severity on admission, and (3) that dysphagia was strongly associated with hospital complications, prolonged ICU stay, and poor functional outcome. Although it is well known that the high incidence of swallowing disorders after ischemic stroke contributes to impaired quality of life and poor functional outcome, only few studies report the incidence of dysphagia following SAH [9,10]. In a retrospective cohort study including predominantly good-grade SAH patients, the incidence was 31.6%, which is comparable to our findings [9].…”
Section: Discussionsupporting
confidence: 84%
“…Known risk factors for the development of dysphagia after SAH include older age, initial disease severity, the amount of cisternal and intraventricular blood, detection of an aneurysm, rebleeding, hydrocephalus, vasospasm, cerebral ischemia, and mechanical ventilation [9,10]. We additionally identified parenchymal hematoma as being independently associated with the development of dysphagia.…”
Section: Discussionmentioning
confidence: 99%
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“…The risk factors identified for the SCI population are different than those in other neurological populations. For example, among individuals with stroke, the development of dysphagia has been correlated with Glasgow Coma Scale score, hemorrhagic volume, presence of intraventricular hemorrhage, and Mini Mental State Examination score [31], as well as National Institutes of Health Stroke Scale score, pontine infarction, and white matter hyperintensities [32]. Our findings may also assist with appropriate treatment planning for the medical management of tetraplegia, specifically regarding interventions which contribute to the risk of developing dysphagia [33,34].…”
Section: Discussionmentioning
confidence: 87%
“…2010, Rhie et al . 2016, Yap and Chua 2002). The wide variance in incidence and characteristics likely reflects the significant variation in study populations, methodology, timing to assessment and dysphagia identification practices (Dunn et al .…”
Section: Introductionmentioning
confidence: 99%