Prognosis of dysphagia in stroke patients being tube-fed at a convalescent rehabilitation ward

Takeda Yuki, Osawa Aiko, Maeshima Shinichiro, Nishio Daisuke, Kigawa Hiroshi

doi:10.3995/jstroke.33.17

Purpose: The aim of this study was to clarify the prognosis of dysphagia at discharge in a convalescent rehabilitation ward.<br>Subjects and Methods: The subjects were 47 patients, including 17 with intracerebral hemorrhage (ICH), 19 with cerebral infarction, and 11 with subarachnoid hemorrhage (SAH). All of the patients were fed with nasogastric tubes when they were transferred to our hospital. The mean age was 71.0 (SD 12.6). We divided them into two groups depending on the prognosis of feeding at discharge: oral intake and tube feeding. Then we compared the following factors between the groups: clinical features, physical function, cognitive function, swallowing function, and activities of daily living (ADL). In addition, we examined the differences among the etiologies.<br>Results: Those in the oral intake group were younger and had better physical function, cognitive function, swallowing function, and ADL. In addition, dysphagia in the patients with ICH improved more rapidly, and that improvement mostly started from about six weeks after onset. However, in the patients with SAH, the dysphagia started to improve about eight weeks after onset.<br>Conclusion: Our investigation showed that rehabilitation was necessary for not only swallowing function but also physical and cognitive function in patients with dysphagia in a convalescent rehabilitation ward. In addition, etiology might be important when considering the prognosis of dysphagia.

Prognosis of dysphagia in stroke patients being tube-fed at a convalescent rehabilitation ward

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