Risk Factors for Dysphagia and the Impact on Outcome After Spontaneous Subarachnoid Hemorrhage
| العنوان: | Risk Factors for Dysphagia and the Impact on Outcome After Spontaneous Subarachnoid Hemorrhage |
|---|---|
| المؤلفون: | Tobias Keser, Bettina Pfausler, Maxime Gaasch, Alois Josef Schiefecker, Mariella Katzmayr, Anna Lindner, Erich Schmutzhard, Bogdan A. Ianosi, Ronny Beer, Mario Kofler, Raimund Helbok, Paul Rhomberg, Verena Rass |
| المصدر: | Neurocritical Care |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Subarachnoid hemorrhage, Bacteremia, Aneurysm, Ruptured, Critical Care and Intensive Care Medicine, Severity of Illness Index, law.invention, 03 medical and health sciences, 0302 clinical medicine, Swallowing, Risk Factors, Modified Rankin Scale, Interquartile range, law, Internal medicine, Humans, Medicine, Prospective cohort study, Aged, Outcome, Hematoma, Rupture, Spontaneous, business.industry, Incidence, Intracranial Aneurysm, 030208 emergency & critical care medicine, Pneumonia, Dysphagia, Length of Stay, Middle Aged, medicine.disease, Respiration, Artificial, Intensive care unit, Intensive Care Units, Functional Status, Female, Neurology (clinical), medicine.symptom, Deglutition Disorders, Complication, business, Original Work, 030217 neurology & neurosurgery, Hydrocephalus |
| الوصف: | Background Despite the tremendous impact of swallowing disorders on outcome following ischemic stroke, little is known about the incidence of dysphagia after subarachnoid hemorrhage (SAH) and its contribution to hospital complications, length of intensive care unit stay, and functional outcome. Methods This is a retrospective analysis of an ongoing prospective cohort study. Swallowing ability was assessed in consecutive non-traumatic SAH patients admitted to our neurological intensive care unit using the Bogenhausen Dysphagia Score (BODS). A BODS > 2 points indicated dysphagia. Functional outcome was assessed 3 months after the SAH using the modified Rankin Scale with a score > 2 defined as poor functional outcome. Results Two-hundred and fifty consecutive SAH patients comprising all clinical severity grades with a median age of 57 years (interquartile range 47–67) were eligible for analysis. Dysphagia was diagnosed in 86 patients (34.4%). Factors independently associated with the development of dysphagia were poor clinical grade on admission (Hunt & Hess grades 4–5), SAH-associated parenchymal hematoma, hydrocephalus, detection of an aneurysm, and prolonged mechanical ventilation (> 48 h). Dysphagia was independently associated with a higher rate of pneumonia (OR = 4.32, 95% CI = 2.35–7.93), blood stream infection (OR = 4.3, 95% CI = 2.0–9.4), longer ICU stay [14 (8–21) days versus 29.5 (23–45) days, p Conclusions Dysphagia is a frequent complication of non-traumatic SAH and associated with poor functional outcome, infectious complications, and prolonged stay in the intensive care unit. Early identification of high-risk patients is needed to timely stratify individual patients for dysphagia treatment. |
| تدمد: | 1556-0961 1541-6933 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::313afb5b319c8d97bc6892c8b5a01e19Test https://doi.org/10.1007/s12028-019-00874-6Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....313afb5b319c8d97bc6892c8b5a01e19 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15560961 15416933 |
|---|