Aspiration in acute stroke: a clinical study with videofluoroscopy
- PMID: 8108539
Aspiration in acute stroke: a clinical study with videofluoroscopy
Abstract
To assess the incidence of lung aspiration in acute stroke, and attempt to identify factors which render such patients at risk of aspiration, consecutive patients admitted to hospital within 24 h of their first symptomatic stroke were studied prospectively. Sixty patients who were conscious, and who did not have any preceding neurological or other cause of dysphagia, were assessed clinically and underwent a bedside water-swallowing test and videofluoroscopy within 72 h of stroke. Twenty-five patients (42%) were seen to aspirate at videofluoroscopy; of these 20% did not have overt dysphagia as detected by a simple water-swallowing test. Factors found to be significantly associated with aspiration were reduced pharyngeal sensation, dysphagia and stroke severity. Aspiration is common in the early period following acute stroke; disordered pharyngeal sensation is an important concomitant of this and should be carefully tested in each patient admitted with acute stroke.
Similar articles
-
The natural history and clinical consequences of aspiration in acute stroke.QJM. 1995 Jun;88(6):409-13. QJM. 1995. PMID: 7648232
-
Aspiration pneumonia in stroke.Arch Phys Med Rehabil. 1993 Sep;74(9):973-6. Arch Phys Med Rehabil. 1993. PMID: 8379846
-
Can bedside assessment reliably exclude aspiration following acute stroke?Age Ageing. 1998 Mar;27(2):99-106. doi: 10.1093/ageing/27.2.99. Age Ageing. 1998. PMID: 16296668 Clinical Trial.
-
Early assessments of dysphagia and aspiration risk in acute stroke patients.Stroke. 2003 May;34(5):1252-7. doi: 10.1161/01.STR.0000066309.06490.B8. Epub 2003 Apr 3. Stroke. 2003. PMID: 12677020 Review.
-
Screening for dysphagia and aspiration in acute stroke: a systematic review.Dysphagia. 2001 Winter;16(1):7-18. doi: 10.1007/pl00021290. Dysphagia. 2001. PMID: 11213249 Review.
Cited by
-
Radiographic evaluation of complex dysphagic patients: comparison with videoendoscopic technique.Curr Gastroenterol Rep. 2002 Jun;4(3):187-92. doi: 10.1007/s11894-002-0061-8. Curr Gastroenterol Rep. 2002. PMID: 12010617
-
Patients with gastro-oesophageal reflux disease and cough have impaired laryngopharyngeal mechanosensitivity.Thorax. 2005 Jun;60(6):488-91. doi: 10.1136/thx.2004.033894. Thorax. 2005. PMID: 15923249 Free PMC article.
-
Foramen magnum meningioma: Dysphagia of atypical etiology.J Gen Intern Med. 2008 Feb;23(2):206-9. doi: 10.1007/s11606-007-0474-z. Epub 2007 Dec 15. J Gen Intern Med. 2008. PMID: 18080720 Free PMC article.
-
Guideline clinical nutrition in patients with stroke.Exp Transl Stroke Med. 2013 Dec 1;5(1):14. doi: 10.1186/2040-7378-5-14. Exp Transl Stroke Med. 2013. PMID: 24289189 Free PMC article.
-
Dysphagia in old-old women: prevalence as determined according to self-report and the 3-ounce water swallowing test.J Am Geriatr Soc. 2014 Apr;62(4):716-20. doi: 10.1111/jgs.12745. Epub 2014 Mar 17. J Am Geriatr Soc. 2014. PMID: 24635053 Free PMC article. Clinical Trial.
Publication types
MeSH terms
LinkOut - more resources
Medical