Predictive factors of severity and persistence of oropharyngeal dysphagia in sub-acute stroke
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LARYNGOLOGY
Predictive factors of severity and persistence of oropharyngeal dysphagia in sub‑acute stroke Alessandro De Stefano1 · Francesco Dispenza2 · Gautham Kulamarva3 · Giuseppina Lamarca1 · Antonio Faita4 · Antonio Merico4 · Giuseppe Sardanelli4 · Salvatore Gabellone4 · Antonio Antonaci5 Received: 15 May 2020 / Accepted: 7 October 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose This study aims to understand the factors contributing to the severity of oropharyngeal dysphagia and its persistence in the sub-acute phase of stroke. Methods We retrospectively collected the data of all the patients suffering from a stroke in the last year. The severity of stroke was reported according to the NIHSS score. All the patients were evaluated with the Dysphagia Risk Score and with a FEES. We classified the Dysphagia Risk Score and FEES results using the PAS score and ASHA-NOMS levels. The data were analysed statistically with ANOVA test, Student’s t test and Pearson’s correlation coefficient. Results A series of 54 patients were evaluated. The ANOVA test did not find any difference in the mean score of Dysphagia Risk Score, PAS and ASHA-NOMS when compared with the brain area of stroke. An NIHSS at hospital admission (stroke unit) of more than 12 was predictive of ASHA-NOMS score 1–4 after 60 days (p
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