Background
The high prevalence of dysphagia after stroke leads to increased mortality, and cerebral
reperfusion therapy has been effective in reducing neurologic deficits. The aim of
this study was to investigate the severity and evolution of dysphagia and the occurrence
of pneumonia in patients submitted to cerebral reperfusion therapy.
Methods
Seventy ischemic stroke patients were evaluated. Of these, 35 patients (group 1) were
submitted to cerebral reperfusion therapy and 35 (group 2) did not receive thrombolytic
treatment. The following were evaluated: severity of dysphagia by means of videofluoroscopy,
evolution of oral intake rate by means of the Functional Oral Intake Scale, and the
occurrence of pneumonia by international protocol. The relation between the severity
of dysphagia and the occurrence of pneumonia with the treatment was evaluated through
the chi-square test; the daily oral intake rate and its relation to the treatment
were assessed by the Mann–Whitney test and considered significant if P is less than .05.
Results
The moderate and severe degrees of dysphagia were more frequent (P = .013) among the patients who were not submitted to cerebral reperfusion therapy.
The daily oral intake evolved independently of the treatment type, without statistical
significance when compared between the groups, whereas pneumonia occurred more frequently
in group 2 (28%) in relation to group 1 (11%) and was associated with the worst degrees
of dysphagia (P = .045).
Conclusions
We can conclude that there is improvement in the oral intake rate in both groups,
with lower severity of dysphagia and occurrence of pneumonia in ischemic stroke patients
submitted to cerebral reperfusion therapy.
Key Words
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Article info
Publication history
Published online: March 03, 2014
Accepted:
December 19,
2013
Received:
November 13,
2013
Footnotes
Grant support: None.
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.12.033
Copyright
© 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.
