Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review

Yang, Cui; Pan, Yun

doi:10.1371/journal.pone.0270096

Cited by 28 publications

(33 citation statements)

References 49 publications

(48 reference statements)

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“…With age, decreased muscle tone in the elderly can lead to decreased chewing and swallowing function, and more prone to dysphagia (83). Several previous studies have also shown that age is significantly associated with dysphagia (84,85). BMI not only partially reflects the nutritional status of patients, but also correlates with dysphagia.…”

Section: Factors Associated With Dysphagia In Parkinson's Diseasementioning

confidence: 99%

The prevalence and associated factors of dysphagia in Parkinson's disease: A systematic review and meta-analysis

et al. 2022

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BackgroundThe prevalence and associated factors of dysphagia in Parkinson's disease (PD) are different in studies conducted in different countries. The purpose of our systematic review and meta-analysis was to evaluate the prevalence of dysphagia in PD and to clarify its associated factors.MethodsTwo researchers systematically searched PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang Database, SinoMed and VIP databases and manually searched references in the retrieved articles to identify potential research subjects. The last search was conducted on June 28, 2022. Finally, a total of 58 studies including 60 observations with 20,530 PD patients were included in our meta-analysis.ResultsThe meta-analysis estimated that the pooled prevalence rate of dysphagia in PD was 36.9% (95% CI: 30.7–43.6%) and instrumental examination showed a higher prevalence (57.3%, 95% CI: 44.3–69.1%). Oceania showed the highest prevalence of dysphagia in PD (56.3%) compared to Africa (39.5%), Asia (38.6%), Europe (36.1%) and America (28.9%). Dysphagia in PD was associated with older age, lower body mass index, longer disease duration, higher Hoehn and Yahr stage and levodopa equivalent daily dose, PIGD subtype, severe motor symptoms, drooling and higher levels of depression, and lower quality of life.ConclusionsIn conclusion, our meta-analysis showed that dysphagia occurs in more than one-third of PD patients and was associated with several demographic characteristics and PD-related characteristics, motor symptoms, non-motor symptoms, as well as decreased quality of life. It deserves early screening, diagnosis, and treatment in clinical practice to prevent serious complications from dysphagia.

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Section: Factors Associated With Dysphagia In Parkinson's Diseasementioning

confidence: 99%

The prevalence and associated factors of dysphagia in Parkinson's disease: A systematic review and meta-analysis

et al. 2022

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“…16 19 On presentation, a lower level of consciousness, higher stroke severity/deficits, and increased stroke volume elevate the dysphagia risk. 16 19…”

Section: Known Gastrointestinal Complications Secondary To Acute Isch...mentioning

confidence: 99%

Gastrointestinal Dysfunction in Stroke

2023

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Gastrointestinal (GI) complications are seen in over 50% of ischemic stroke survivors; the most common complications are dysphagia, constipation, and GI bleeding. The bidirectional relationship of the gut–brain axis and stroke has recently gained traction, wherein stroke contributes to gut dysbiosis (alterations in the normal host intestinal microbiome) and gut dysbiosis perpetuates poor functional neurologic outcomes in stroke. It is postulated that the propagation of proinflammatory cells and gut metabolites (including trimethylamine N-oxide and short-chain fatty acids) from the GI tract to the central nervous system play a central role in gut–brain axis dysfunction. In this review, we discuss the known GI complications in acute ischemic stroke, our current knowledge from experimental stroke models for gut–brain axis dysfunction in stroke, and emerging therapeutics that target the gut–brain axis.

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“…Los ACV del hemisferio derecho no compensan con deglución espontánea, el riesgo de aspiración es frecuente y 1 de cada 3 pacientes requieren nutrición enteral. En el ACV troncoencefálico existe un alto riesgo de presentar disfagia, razón por la que casi la totalidad de los pacientes requieren nutrición enteral (23)(24)(25).…”

Section: Accidenteunclassified

Cambios gastrointestinales en el envejecimiento: impacto sobre la alimentación y el estado nutricional.

López¹,

Álvarez²,

Lloreda³

2022

Med.

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Durante el envejecimiento se presentan una serie de cambios biológicos y psicológicos que tienen un impacto social y económico en la población a medida que avanza su edad. Uno de los sistemas con cambios fisiológicos que guarda una estrecha relación con el estado nutricional es el tracto gastrointestinal. Cada una de sus secciones presenta modificaciones que alteran, en una u otra medida, la motilidad, la digestión o la absorción de la energía y nutrientes, con efectos deletéreos como la pérdida de la masa musculoesquelética, la disminución en la funcionalidad y la alteración en la calidad de vida, que finalmente contribuye al aumento de la incidencia de desnutrición proteico calórica y sarcopenia. La vejez es una etapa en la que la presencia de enfermedades crónicas incrementa los problemas nutricionales debido al impacto propio de las patologías, sus efectos gastrointestinales, el uso de medicamentos y la inadecuada indicación de dietas restrictivas, que sin la apropiada orientación de un profesional en nutrición y dietética, pueden favorecer y exacerbar la desnutrición. Esta revisión describe los cambios en la función gastrointestinal que ocurren durante el envejecimiento y los efectos sobre el estado nutricional, y expone las consecuencias de las modificaciones en términos del perfil, contenido de nutrientes y consistencia de la alimentación del adulto mayor.

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Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review

Cited by 28 publications

References 49 publications

The prevalence and associated factors of dysphagia in Parkinson's disease: A systematic review and meta-analysis

The prevalence and associated factors of dysphagia in Parkinson's disease: A systematic review and meta-analysis

Gastrointestinal Dysfunction in Stroke

Cambios gastrointestinales en el envejecimiento: impacto sobre la alimentación y el estado nutricional.

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