Risk factors for dysphagia after a cervical spinal cord injury
10.3760/cma.j.issn.0254-1424.2023.12.007
- VernacularTitle:颈髓损伤患者吞咽障碍危险因素分析
- Author:
Xuluan XU
1
;
Yongqi XIE
;
Qingsu ZHANG
;
Degang YANG
;
Feng GAO
;
Yongxue YUAN
;
Yu ZHANG
;
Jianjun LI
Author Information
1. 首都医科大学康复医学院，北京 100068
- Keywords:
Cervical spinal cord injury;
Dysphagia;
Risk factors;
Regression analysis
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(12):1099-1103
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the factors influencing dysphagia after an injury to the cervical spinal cord (CPCI) to provide a basis for clinical screening and intervention.Methods:A total of 110 CPCI patients with dysphagia were divided into a severe dysphagia group ( n=19), a mild dysphagia group ( n=35), and a control group ( n=56) according to their functional oral intake scale scores. Data on gender, age, level of injury, degree of damage, duration of injury, causes of injury, surgical mode, tracheotomy status, occurrence of pneumonia and pharynx swelling were collected. Univariate and multivariate logistic regressions were evaluated to identify factors affecting swallowing. Results:The regressions highlighted age, the severity of the spinal cord injury, tracheotomy status, and the occurrence of pneumonia and pharyngeal swelling during hospitalization as the best predictors of swallowing difficulties. Multifactoral logistic regression analysis revealed that undergoing tracheotomy and catching pneumonia during hospitalization were major risk factors for severe dysphagia.Conclusions:Tracheotomy and pneumonia during hospitalization are useful predictors of severe dysphagia after a cervical spinal cord injury.
