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Related Experiment Videos

Long-term outcome after stroke: does dysphagia matter?

D G Smithard1, N C Smeeton, C D A Wolfe

  • 1Richard Stevens Ward, William Harvey Hospital, Ashford, Kent TN24 0LZ, UK. david.smithard@ekht.nhs.uk

Age and Ageing
|December 19, 2006
PubMed
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Swallowing problems (dysphagia) after acute stroke predict poor long-term outcomes, including increased mortality within three months and higher rates of institutionalization. Early detection of dysphagia is crucial for stroke patient management and prognosis.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Public Health

Background:

  • Dysphagia is a common complication following acute stroke.
  • It is an independent predictor of short-term outcomes.
  • The association between dysphagia and long-term stroke outcomes remains uncertain.

Purpose of the Study:

  • To determine if dysphagia, present within the first week of acute stroke, is associated with long-term patient outcomes.
  • To investigate the relationship between early dysphagia and survival and place of residence over five years.

Main Methods:

  • A population-based, long-term follow-up study of first-time stroke patients.
  • Dysphagia assessment within one week of stroke.
  • Follow-up at 3 months and annually for 5 years via face-to-face interviews.

Related Experiment Videos

  • Outcome measures included survival and place of residence, analyzed using multinomial logistic regression.

    • Main Results:

    • 567 patients had dysphagia; 621 had a safe swallow.
    • Dysphagia was significantly associated with nursing home residence at 3 months (RRR=1.73) and years 4 (RRR=3.35) and 5 (RRR=3.06).
    • Increased mortality was significantly associated with dysphagia only during the first three months (RRR=2.03).

    Conclusions:

    • The presence of dysphagia in the acute phase of stroke is linked to poor long-term outcomes.
    • Dysphagia is particularly associated with adverse outcomes at 3 months post-stroke.
    • Early dysphagia predicts increased long-term institutionalization rates in stroke survivors.