Oropharyngeal Dysphagia in Acute Stroke Patients

Abstract

Background:The objective of this study was to investigate the prevalence of different kinds of swallowing disorder and it's severity in patients after stroke. Patients and Methods: In this cross sectional study, 91 consecutive stroke patients were screened by the Northwestern Dysphagia Patient Check Sheet (NDPCS) and the Gugging Swallowing Screen (GUSS). Results: Forty seven percent of those assessed demonstrated signs of oropharyngeal dysphagia. Mild dysphagia was seen in (10.98%) patients, moderate dysphagia was present in 14.28% and 22% patients had severe dysphagia. Conclusions: Dysphagia is common after acute stroke and its presence can have serious consequences. These results emphasize the importance of assessment and management of swallowing function in stroke patients.

Factors Associated with Aspiration Risk among Geriatric Patients with Dysphagia

“…Other studies in Japan and European (2015) (17,42) revealed that geriatric patients with malignancy and hematological diseases were significantly higher in severity of dysphagia and aspiration risk. Although the dysphagia and aspiration risk is more common among geriatric patients suffering from stroke (43)(44)(45) , yet the contrary was observed in this study where only 3% of the geriatric patients with stroke suffered from dysphagia and aspiration risk (table 4). This difference between the result of the present study and other studies might be related to the small number of geriatric patients with stroke encountered among study subjects.…”

“…This may be related to abnormal tongue function and poor control of cheeks muscles. Contrary studies in USA (2007&2008) (27,55) and Germany (2014) (43) reported that patients with dysphagia swallow better semisolid texture than liquid and solid.…”

Subjective global assessment of malnutrition and dysphagia effect on the clinical and Para-clinical outcomes in elderly ischemic stroke patients: a community-based study

“…Dysphagia assessment was done within 12 to 24 h after admission. Due to impaired swallowing, dysphagia evaluation was done using the Northwestern Dysphagia Patient Check Sheet (NDPCS) [ 8 ]. The NDPCS included 28 items in 5 categories: medical history (4 items), behavioral variables (6 items), gross motor function (2 items), promotor test (9 items), and observations during swallowing (7 items).…”

Research on the Current Status and Problems of the Bilingual Education for Preschool Children in China

“…The positive effect of bilingual experiences on the bilinguals' cognitive ability is known as the bilingual cognitive advantage effect, which means that bilinguals perform better than monolinguals in a series of cognitive measurement tests [5]. The study about children's working memory ability conducted by Asadollahpour and his colleagues shows that, compared with monolingual children, bilingual children update their working memory faster and have higher response accuracy in working memory tasks [6]. Wimmer and his colleagues studying children aged 3-5 find out that bilingual children show better inhibitory control ability [7].…”