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Published on: December 28, 2014
Swallowing Disorders in Ischemic Stroke: A Retrospective Analysis of Dysphagia Severity Differences Based on
Anna Żdanowicz1,2, Hanna Sobkowiak2, Maciej Gawrysiak1,3
1Department of Nursing, University of Applied Sciences, 64-920 Piła, Poland.
Abstract:
Background/Objectives: Management of the acute phase of ischemic stroke requires intensive interdisciplinary collaboration among medical personnel. Dysphagia, or swallowing disorders, represents a serious complication of stroke. Accurate diagnosis and identification of the causes of dysphagia are essential for implementing effective treatment. The aim of the study was to investigate the impact of age, acute stroke treatment, localization, comorbidities, and early rehabilitation on the severity and progression of dysphagia in patients with acute ischemic stroke. Methods: The study analyzed the severity and progression of dysphagia in patients with ischemic stroke, considering patient age, stroke localization, comorbidities, and the impact of thrombolytic therapy and early rehabilitation on swallowing outcomes. Results: Severe dysphagia was more common among older patients and those with cardiovascular conditions. Early rehabilitation was particularly effective in improving swallowing in right hemisphere strokes, while thrombolytic therapy demonstrated benefits for patients under 65 years. Conclusions: Therapy led to an improvement in the condition of all patients with dysphagia following ischemic stroke. Further prospective research is needed to better understand swallowing disorders and optimize treatment.
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