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Influence of Dysphagia on Short-Term Outcome in Patients with Acute Stroke

Maeshima, Shinichiro MD, PhD; Osawa, Aiko MD; Miyazaki, Yasuhiro MA; Seki, Yasuko BA; Miura, Chiaki BA; Tazawa, Yuu BA; Tanahashi, Norio MD

American Journal of Physical Medicine & Rehabilitation: April 2011 - Volume 90 - Issue 4 - p 316-320
doi: 10.1097/PHM.0b013e31820b13b2
Original Research Articles: Stroke

Objective: The aim of this study was to determine whether dysphagia present at initial swallowing evaluation is associated with the type of diet eaten at the time of discharge and the location to which the patient is transferred after discharge.

Design: A total of 409 newly diagnosed acute stroke patients were studied.

Results: After hospital discharge, 140 patients returned home, 250 were transferred to another hospital for rehabilitation, and 7 were admitted to a nursing home. Twelve patients died. A total of 205 patients were on a regular diet, 96 were receiving a dysphagia diet, and 96 were on enteral feeding at discharge. A total of 90.7% (127/140) of patients who were discharged home were on a regular diet. Most of the patients on a dysphagia diet or enteral feeding could not return home. The scores of the functional independence measure were higher in the patients who returned to their homes than in other groups.

Conclusions: Although it is necessary to indicate other factors, such as the physical status to establish better rehabilitation networks, clinical assessment of swallowing in acute stroke is very important to determine whether the patients can go home directly.

From the Department of Rehabilitation Medicine (SM, AO), Division of Speech Pathology (YM, YS, CM, YT), and Department of Neurology (NT), Saitama Medical University International Medical Center, Hidaka, Japan.

All correspondence and requests for reprints should be addressed to: Shinichiro Maeshima, MD, PhD, Department of Rehabilitation Medicine, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2011 Lippincott Williams & Wilkins, Inc.