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. 2022 Dec;37(6):1623-1632.
doi: 10.1007/s00455-022-10423-7. Epub 2022 Feb 26.

Predictive Factors for Oral Intake Recovery After Acute Stroke: Analysis of a Japanese Nationwide Inpatient Database

Yasuhiro Inooka  1   2 , Hayato Yamana  3 , Yusuke Shinoda  4   5   6 , Haruhi Inokuchi  1 , Hiroki Matsui  7 , Kiyohide Fushimi  8 , Hideo Yasunaga  7 , Nobuhiko Haga  1
Affiliations

Predictive Factors for Oral Intake Recovery After Acute Stroke: Analysis of a Japanese Nationwide Inpatient Database

Yasuhiro Inooka et al. Dysphagia. 2022 Dec.

Abstract

Objective: It remains unclear which factors contribute to dysphagia recovery after an acute stroke. This study aimed to identify factors associated with complete oral intake recovery in patients with post-stroke dysphagia.

Methods: Data were obtained from the Diagnosis Procedure Combination database, which is a nationwide database of administrative claims and discharge abstracts in Japan. We selected patients admitted within 3 days of stroke onset and conducted multivariable logistic regression analysis. Total oral intake within 30 days of admission was the primary outcome measure.

Results: A total of 151,302 patients were included, and total oral intake was observed in 48% of them within 30 days of admission. Total oral intake was significantly associated with age, sex, stroke subtype, consciousness disturbance, low body mass index, multiple comorbidities, and the modified Rankin Scale before stroke onset. In addition, males had worse outcomes than females (odds ratio, 0.75; 95% confidence interval, 0.73-0.77, p < 0.001), and intracerebral and subarachnoid hemorrhagic stroke subtypes were associated with non-recovery.

Conclusion: This study identified several prognostic factors for total oral intake in patients with acute stroke. These results may be useful for predicting a patient's dysphagia prognosis at the time of admission and designing a nutritional management plan for patients with acute stroke.

Keywords: Acute stroke; Dysphagia; Oral intake; Predictive factors.

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References

    1. Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke—incidence, diagnosis, and pulmonary complications. Stroke. 2005;36:2756–63. https://doi.org/10.1161/01.STR.0000190056.76543.eb . - DOI - PubMed
    1. Joundi RA, Martino R, Saposnik G, Giannakeas V, Fang JM, Kapral MK. Predictors and outcomes of dysphagia screening after acute ischemic stroke. Stroke. 2017;48:900–6. https://doi.org/10.1161/strokeaha.116.015332 . - DOI - PubMed
    1. Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest. 2003;124:328–36. https://doi.org/10.1378/chest.124.1.328 . - DOI - PubMed
    1. Clarke J, Cranswick G, Dennis MS, Flaig R, Fraser A, Grant S, Gunkel A, Hunter J, Lewis S, Perry D, Soosay V, Williams C, Williamson A, Young A, Bulpitt CJ, Grant A, Murray G, Sandercock P, Anderson N, Bahar S, Hankey G, Ricci S, Bathgate G, Chalmers C, Farrell B, Forbes J, Ghosh S, Langhorne P, Levis S, MacIntyre J, McAteer CA, O’Neill P, Potter J, Roberts M, Warlow C, Lewis SC, Collaboration FT. Effect of timing and method of enteral tube feeding for dysphagic stroke patients (FOOD): a multicentre randomised controlled trial. Lancet. 2005;365:764–72. - DOI
    1. Crary MA, Humphrey JL, Carnaby-Mann G, Sambandam R, Miller L, Silliman S. Dysphagia, nutrition, and hydration in ischemic stroke patients at admission and discharge from acute care. Dysphagia. 2013;28:69–76. https://doi.org/10.1007/s00455-012-9414-0 . - DOI - PubMed

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