Involvement of swallowing therapy is associated with improved long-term survival in patients with post-stroke dysphagia
| Autor: | Chih-Chin Hsu, Carl P.C. Chen, Shinsheng Yuan, Yu-Kuan Lo, Tieh-Cheng Fu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Population Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine Internal medicine Humans Medicine education Survival rate Stroke Aged Retrospective Studies Aged 80 and over education.field_of_study business.industry Proportional hazards model Incidence (epidemiology) Rehabilitation Stroke Rehabilitation Retrospective cohort study Pneumonia Middle Aged medicine.disease Dysphagia Survival Rate Propensity score matching Female medicine.symptom Deglutition Disorders 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | European Journal of Physical and Rehabilitation Medicine. 55 |
| ISSN: | 1973-9095 1973-9087 |
| DOI: | 10.23736/s1973-9087.19.05893-3 |
| Popis: | BACKGROUND The effects of swallowing therapy (ST) on long-term clinical outcomes in patients with post-stroke dysphagia (PSD) remain unclear. AIM This study explores the effect of ST, initiated within 6 months of the stroke onset, on long-term pneumonia-free and overall survival rates in PSD patients. DESIGN Retrospective cohort study. SETTING Longitudinal Health Insurance Database. POPULATION The study included 2994 eligible PSD patients between 2005 and 2013. METHODS Among the scrutinized PSD patients, ST was initiated during the nasogastric intubation (NGI) period and was implemented by physician discretion. Therefore, subjects who underwent ST were classified into the ST-intervention (STI) group and those without ST were classified into the non-ST (NST) group. Propensity score matching (PSM) was used to match age, sex, pneumonia events during the NGI period, the Charlson comorbidity index, and the National Institutes of Health Stroke Scale between the two groups. We started to follow all selected PSD patients 6 months after the onset of stroke for four years. Multivariable adjusted Cox regression and Kaplan-Meier estimations were conducted to assess the effects of ST and the ST duration on pneumonia-free and overall survival. RESULTS Overall, 1497 PSD patients aged approximately 68 years in each group were selected in this study. The pneumonia-free survival rate in STI subjects was 57.4% and was significantly greater (P=0.003) than that (54.2%) in NST subjects during the follow-up (F/U). A significantly improved (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|