PROFILE OF DYSPHAGIA IN ACUTE STROKE PATIENTS

Authors

  • Rodhiyan Rakhmatiar Department of Neurology, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar General Hospital, Malang, Indonesia.
  • Wahyu Dwirima Neurology Resident, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar Genaral Hospital, Malang, Indonesia.

DOI:

https://doi.org/10.21776/ub.mnj.2024.010.02.10

Keywords:

Stroke, dysphagia, GUSS (Gugging Swallowing Screen), stroke unit

Abstract

Background: Stroke has been a leading cause of mortality and disability since 2013, and its incidence continues to rise. Dysphagia is a common complication following stroke, contributing to increased rates of aspiration, pneumonia, and prolonged hospital stays for stroke patients.

Objective: This study aims to investigate the profile and distribution of acute stroke patients experiencing dysphagia who are admitted to RSUD dr. Saiful Anwar in East Java.

Methods: The assessment was conducted on acute stroke patients with compos mentis consciousness in the Stroke Unit from July to September 2023, using the GUSS (Gugging Swallowing Screen) questionnaire. The assessment categories included no dysphagia (20), mild dysphagia (15-19), moderate dysphagia (10-14), and severe dysphagia (0-9).

Results: Data collected during the period from July to September 2023 yielded a total of 35 samples. Based on gender, there were 22 male patients (62.9%) and 13 female patients (37.1%). Regarding age distribution, 15 patients fell into the productive age range (20 to 59 years), while 20 patients were over 60 years old. The majority of cases were ischemic strokes, with 25 patients, and 10 patients had hemorrhagic strokes. Dysphagia assessment using the GUSS method on the 35 samples revealed 2 samples with GUSS scores of 12 and 14 (moderate) and 1 sample with a score of 18 (mild).

Conclusion: The profile and distribution of acute stroke patients experiencing dysphagia were identified, including gender, age, type of stroke, and GUSS scores in acute stroke patients in the stroke unit with Compos Mentis consciousness.

Downloads

Download data is not yet available.

References

Yang C, Pan Y (2022) Risk factors of dysphagia in patients with ischemic stroke: A metaanalysis and systematic review. PLoS ONE 17(6): e0270096.

DOI: 10.1371/journal.pone.0270096

Warlow CP. (). Epidemiology of stroke. Lancet; 1998. 352(SUPPL.3):1–4. DOI: 10.1016/s0140-6736(98)90086-1

Aninditha Tiara, Harris Salim dan Wieatman Winnugroho. Buku Ajar Neurologi: Edisi Kedua. Jakarta; 2022. ISBN: 978-623-97353-3-3

Fernandez Marlis Gonzales, Ottenstein Lauren, Atenelov Levan, and Christian Asare. Dysphagia after stroke: An overview. New York : Curr Phys Med Rehabil Rep; 2013. 1:187–196 DOI: 10.1007/s40141-013-0017-y

Panebianco M, Marchese-Ragona R, Masiero S. et al. Dysphagia in neurological diseases: A literature review. Neurol Sci; 2020. 41:3067–3073.

DOI: 10.1007/s10072-020-04495-2

Trapl Michaela, Enderle Paul, Nomotny Monika; Teuschl, Yvonne; Matz, Karl; Dachenhausen, Alexandra; dan Brainin, Michael. 2007. Dysphagia Bedside Screening for Acute-Stroke Patient. The Gugging Swallowing Screen. Ahajournals,

Dahlan, M. Sopitudin. 2018. Besar Sampel dan Cara Pengambilan Sampel dalam Penelitian Kedokteran dan Kesehatan. Jakarta : Salemba Medika

Dahlan, M. Sopitudin. 2020. Statistika untuk Kedokteran dan Kesehatan. Jakarta : Salemba Medika

González-Fernández, M., Ottenstein, L., Atanelov, L. et al. Dysphagia after stroke: an overview. Curr Phys Med Rehabil Rep 1, 187–196 (2013). https://doi.org/10.1007/s40141-013-0017-y

Joundi RA, Martino R, Saposnik G, Giannakeas V, Fang J, Kapral MK. Predictors and Outcomes of Dysphagia Screening After Acute Ischemic Stroke. Stroke. 2017 Apr;48(4):900-906. doi: 10.1161/STROKEAHA.116.015332. Epub 2017 Mar 8. PMID: 28275200.

Raciti L, Raciti G, Pulejo G, Conti-Nibali V, Calabrò RS. Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an "Old" but Still Actual Clinical Problem. Medicines (Basel). 2022 Feb 21;9(2):16. doi: 10.3390/medicines9020016. PMID: 35200759; PMCID: PMC8874700.

Nilsson H, Ekberg O, Olsson R, Hindfelt B. Dysphagia in stroke: a prospective study of quantitative aspects of swallowing in dysphagic patients. Dysphagia. 1998 Winter;13(1):32-8. doi: 10.1007/PL00009547. PMID: 9391228.

Mulheren, R., Azola, A. & González-Fernández, M. Avoiding the Downward Spiral After Stroke: Early Identification and Treatment of Dysphagia. Curr Phys Med Rehabil Rep 8, 469–477 (2020). https://doi.org/10.1007/s40141-020-00290-4

Lapa S, Foerch C, Singer OC, Hattingen E, Luger S: Ischemic Lesion Location Based on the ASPECT Score for Risk Assessment of Neurogenic Dysphagia. Dysphagia 2021, 36(5):882–890. https://doi.org/ 10.1007/s00455-020-10204-0 PMID: 33159258

Gu HQ, Yang X, Wang CJ, Zhao XQ, Wang YL, Liu LP, et al: Clinical Characteristics, Management, and In-Hospital Outcomes in Patients With Stroke or Transient Ischemic Attack in China. JAMA Netw Open 2021, 4(8):e2120745. https://doi.org/10.1001/jamanetworkopen.2021.20745 PMID: 34387677

Banda, KJ, Chu, H., Kang, XL dkk. Prevalensi disfagia dan risiko pneumonia dan kematian pada pasien stroke akut: meta-analisis. BMC Geriatr 22 , 420 (2022). https://doi.org/10.1186/s12877-022-02960-5

Downloads

Published

2024-07-04

How to Cite

Rakhmatiar, R., & Dwirima, W. (2024). PROFILE OF DYSPHAGIA IN ACUTE STROKE PATIENTS. MNJ (Malang Neurology Journal), 10(2), 141–143. https://doi.org/10.21776/ub.mnj.2024.010.02.10

Issue

Section

Research Article