Influential factors of dysphagia after acute stroke
10.3760/cma.j.cn341190-20240327-00309
- VernacularTitle:急性脑卒中后吞咽功能障碍的影响因素分析
- Author:
Zegen YE
1
;
Chunhua LIU
1
Author Information
1. 丽水市中医院康复医学科，丽水 323000
- Publication Type:Journal Article
- Keywords:
Stroke;
Deglutition disorders;
Models,biological;
Root cause analysis;
Facial paralysis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2025;32(8):1121-1126
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the influential factors of dysphagia after acute stroke.Methods:A cross-sectional study was conducted involving 98 patients with acute stroke who received treatment at Lishui Hospital of Traditional Chinese Medicine from November 2022 to November 2023. Data was collected on patients' gender, age, body mass index, site of onset, history of diabetes, and history of hypertension. In accordance with established literature and clinical practice, patient assessments included the presence of limb mobility impairment, adverse drug reactions, inadequate caregiving support, neurological deficits, muscle strength grading, decline in daily living activities, central facial paralysis, and pharyngeal reflexes. Dysphagia was assessed for its first occurrence within 180 days post-onset. Binary logistic regression within generalized estimating equations was conducted to analyze the factors associated with dysphagia in patients with stroke.Results:In the univariate analysis, there was a statistically significant difference in the presence of dysphagia in patients with central facial paralysis ( χ2 = 10.52, P < 0.05). In the multivariate regression analysis, hypertension ( OR = 1.276, P < 0.001), stroke location [brainstem involvement ( OR = 1.989, P < 0.001), anterior circulation stroke ( OR = 0.447, P < 0.001)], female gender ( OR = 3.585, P < 0.001), limb mobility impairment ( OR = 3.992, P < 0.001), inadequate caregiving support ( OR = 0.508, P < 0.001), neurological dysfunction ( OR = 0.163, P < 0.001), muscle strength grading ( OR = 1.412, P = 0.05), central facial palsy ( OR = 11.121, P < 0.001), body mass index ( OR = 0.960, P < 0.001), and observation time ( OR = 1.005, P = 0.003) were the influential factors of dysphagia in patients with stroke. Conclusions:Dysphagia after acute stroke is associated with hypertension, stroke location, inadequate caregiving support, nutrition, family care, and central facial paralysis, with central facial paralysis being the most significant factor.
