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Post-Stroke Swallowing And Communication Complications: Prevalence And Association With Comorbid Conditions And Risk
Fazaila Ehsaan1, Nazia Mumtaz2, Ghulam Saqulain3
1Riphah International University, Lahore, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|September 12, 2023
Summary
This study identified key risk factors for swallowing and communication problems after stroke. Diabetes, smoking, alcohol, age, and consciousness level significantly impact swallowing difficulties in stroke survivors.
Area of Science:
- Neurology
- Speech-Language Pathology
Background:
- Stroke frequently leads to secondary complications, including dysphagia (swallowing difficulties) and aphasia (communication impairments).
- Identifying co-morbidities and risk factors associated with these post-stroke complications is crucial for effective patient management and rehabilitation.
Purpose of the Study:
- To investigate the co-morbidities and risk factors associated with swallowing and communication complications in patients following a stroke.
- To establish the prevalence of these complications in a post-stroke population.
Main Methods:
- A cross-sectional study was conducted with 150 stroke patients diagnosed between January and June 2015.
- Data collection involved the Glasgow Coma Scale (GCS), Modified Massey Bedside Swallow Screener, speech-language pathologist (SLP) clinical assessment, and medical history.
- Statistical analysis was performed using SPSS version 23.
Main Results:
- Swallowing complications were observed in 68.7% of patients, while communication difficulties affected 66%.
- Significant associations for swallowing issues included age, history of stroke, smoking, alcohol intake, diabetes mellitus, and GCS score.
- Communication difficulties were significantly associated with hypertension and GCS score.
Conclusions:
- Stroke-related dysphagia is significantly linked to diabetes mellitus, level of consciousness, prior stroke history, smoking, alcohol consumption, and patient age.
- Communication impairments post-stroke are associated with hypertension and the patient's level of consciousness.
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