Risk factors of acquired swallowing dysfunction in patients undergoing brain tumor resection
10.3760/cma.j.cn115682-20201107-06114
- VernacularTitle:脑肿瘤切除术患者发生获得性吞咽功能障碍的危险因素分析
- Author:
Lu ZHANG
1
;
Lei YU
;
Li ZENG
;
Rongqing LI
;
Dandan CHEN
Author Information
1. 江苏省太仓市第一人民医院神经外科，苏州 215400
- Keywords:
Brain neoplasms;
Deglutition disorders;
Critical care;
Risk factors;
Neurosurgery
- From:
Chinese Journal of Modern Nursing
2021;27(20):2691-2696
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the incidence of acquired swallowing dysfunction in Intensive Care Unit (ICU) patients after brain tumor surgery, and analyze the risk factors of patients with acquired swallowing dysfunction.Methods:From May 2018 to December 2019, convenience sampling was used to select 147 patients who were admitted to the ICU after brain tumor surgery in a ClassⅢ Grade A hospital in Shanghai as the research object and clinical data were collected. Single factor analysis and multivariate Logistic regression analysis were used to analyze the risk factors of acquired swallowing dysfunction.Results:The incidence of acquired swallowing dysfunction in 147 patients admitted to ICU after brain tumor surgery was 21.1% (31/147) . Logistic regression analysis showed that the Glasgow Coma Scale (GCS) score [ OR=0.573, 95% CI (0.457, 0.719) ], gastrointestinal nutrition tube placement [ OR=15.381, 95% CI (2.698, 87.700) ] and tumor location [ OR=6.264, 95% CI (2.662, 14.739) ] were independent predictors of acquired swallowing dysfunction in ICU patients after brain tumor surgery ( P<0.05) . Conclusions:The incidence of acquired swallowing dysfunction in ICU patients after brain tumor surgery is high, and there are many risk factors, such as infratentorial tumors, placement of gastrointestinal feeding tubes, and low GCS scores. High-risk groups should be closely watched so that early measures can be taken to prevent the occurrence of acquired swallowing dysfunction.
