Dysphagia Related Health Consequences among Patients with Acute Stroke in Cairo, Egypt

Ebrahim, Asmaa; Mohamed, Doaa; Allah, D.N.Sc. Fouad Abd; Al-Salam, D.N.Sc. Youssria Abd

doi:10.21608/mjcu.2018.62799

The Medical Journal of Cairo University

2018

DOI: 10.21608/mjcu.2018.62799

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Dysphagia Related Health Consequences among Patients with Acute Stroke in Cairo, Egypt

Asmaa Ebrahim¹,

Doaa Mohamed

D.N.Sc. Fouad Abd Allah³

et al.

Abstract: Background: Dysphagia is a common complication of stroke; it places the patient with acute stroke at risk for poor nutrition and dehydration. In addition to other dangerous complications as post stroke pneumonia. Aim of Study:To explore dysphagia related health consequences (post stroke pneumonia, length of ICU stay and death) among patients with acute stroke in Cairo, Egypt.

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Cited by 2 publications

References 17 publications

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Effect of Shaker Exercise on Dysphagia Level among Patients with Cerebral Vascular Stroke

Sayed

Ewees

2021

Egyptian Journal of Health Care

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Background: Dysphagia is one of the major post-stroke complications that can severely damage patient's quality of life and even endangers patients' lives. Shaker exercise is one of the indirect methods, behavioral swallowing techniques, may increase the swallowing speed and sensitivity. The aim of the study was to evaluate the effect of Shaker exercise on dysphagia level among patients with cerebral vascular stroke. Study design: A quasi-experimental design was utilized to achieve this aim. Setting: This study was conducted at Neurology Ward, Stroke

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Effect of Shaker Exercise on Dysphagia Level among Patients with Cerebral Vascular Stroke

Sayed

Ewees

2021

Egyptian Journal of Health Care

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Prevalence, severity, and predictors of dysphagia among patients with acute stroke in Oman

Al-Mamari,

Lazarus,

Al-Harrasi

et al. 2024

Journal of Education and Health Promotion

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BACKGROUND: Up to 80% of stroke patients suffer from dysphagia. It is associated with increased morbidity, mortality, and healthcare costs due to aspiration, pneumonia, and malnutrition, which represent a significant burden to stroke survivors, their relatives, and the healthcare system. Early recognition and management of post-stroke dysphagia is key to reducing its complications and enhancing patients’ quality of life. Despite the importance of dysphagia following a stroke and its adverse consequences, no study has investigated dysphagia after stroke in Oman. This study was conducted to estimate the prevalence of post-stroke dysphagia and its severity among acute stroke patients, assess the association between the selected factors and dysphagia, and identify dysphagia predictors. MATERIALS AND METHOD: A cross-sectional descriptive study design was utilized to identify the prevalence and risk factors for post-stroke dysphagia among acute stroke patients (n = 274) admitted to two Omani tertiary hospitals over 6 months. Dysphagia was assessed using the Gugging swallowing screen. Descriptive analysis, correlations, and regression analysis were computed. RESULTS: The prevalence of dysphagia following stroke was 70.1%. Among those who had dysphagia, 37.5% had severe, 31.25% moderate, and 31.25% mild dysphagia. Aging, obesity, having a medical co-morbidity, hypertension, stroke location, low Glasgow Coma Scale (GCS) score, and the use of thrombectomy or thrombolysis therapy were contributing factors and were found to be correlated with post-stroke dysphagia. This study revealed that old age [odds ratio (OR) = 0.961, 95% confidence interval (CI): 0.933–0.989, P = 0.007)], obesity (OR = 0.387, 95% CI: 0.157–0.952, P = 0.039), and low GCS score (OR = 0.027, 95% CI: 0.009–0.077, p=<0.001) were predictors of dysphagia after stroke. CONCLUSION: Post-stroke dysphagia is more common among acute stroke patients. There are various risk factors correlated with dysphagia following a stroke. Therefore, dysphagia predictors should be considered when designing dysphagia prevention strategies to reduce its adverse consequences. Recognition of such predictors may help with the early detection and treatment of dysphagic patients and the implementation of preventive approaches.

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Dysphagia Related Health Consequences among Patients with Acute Stroke in Cairo, Egypt

Cited by 2 publications

References 17 publications

Effect of Shaker Exercise on Dysphagia Level among Patients with Cerebral Vascular Stroke

Effect of Shaker Exercise on Dysphagia Level among Patients with Cerebral Vascular Stroke

Prevalence, severity, and predictors of dysphagia among patients with acute stroke in Oman

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