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The impact of dysphagia on quality of life in stroke patients

Kim, Doo-Young ; Park, Hyo-Sik ; Park, Si-Woon ; Kim, Jae-Hyung

Medicine (Baltimore), 2020-08, Vol.99 (34), p.e21795-e21795 [Periódico revisado por pares]

United States: Lippincott Williams & Wilkins

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  • Título:
    The impact of dysphagia on quality of life in stroke patients
  • Autor: Kim, Doo-Young ; Park, Hyo-Sik ; Park, Si-Woon ; Kim, Jae-Hyung
  • Assuntos: Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Deglutition ; Deglutition Disorders - diagnostic imaging ; Deglutition Disorders - etiology ; Deglutition Disorders - physiopathology ; Enteral Nutrition ; Female ; Fluoroscopy ; Humans ; Male ; Middle Aged ; Observational Study ; Parenteral Nutrition ; Quality of Life ; Retrospective Studies ; Severity of Illness Index ; Stroke - complications ; Surveys and Questionnaires
  • É parte de: Medicine (Baltimore), 2020-08, Vol.99 (34), p.e21795-e21795
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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    ObjectType-Undefined-3
  • Descrição: The objective of this study was to investigate the quality of life in stroke patients using a swallowing quality of life (SWAL-QOL) questionnaire. The correlation between SWAL-QOL questionnaire outcome and videofluoroscopic dysphagia scale (VDS) scores in stroke patients was also determined.This cross-sectional study was retrospectively conducted with 75 stroke patients with dysphagia symptoms. Videofluoroscopic swallowing study (VFSS) and SWAL-QOL questionnaires were performed for all patients. These patients were divided into an oral feeding group and a tube feeding group. SWAL-QOL scores were compared between the 2 groups. The severity of dysphagia was estimated by VDS scores according to the videofluoroscopic swallowing study results. The relationships between SWAL-QOL scores and VDS scores were also investigated.The composite score was 48.82 ± 19.51 for the tube feeding group and 53.17 ± 25.42 for the oral feeding group. There were significant differences in burden and sleep subdomains of the SWAL-QOL between the 2 groups (P = .005 and P = .012, respectively). There was a significant negative correlation between the composite score of SWAL-QOL outcome and the total VDS score (r = -0.468, P = .012). The pharyngeal-phase score of the VDS had significant negative correlations with the SWAL-QOL subdomains of burden (r = -0.327, P = .013), mental health (r = -0.348, P = .008), and social functioning (r = -0.365, P = .029).To improve the quality of life of stroke patients, dysphagia rehabilitation should focus on the pharyngeal phase of dysphagia.
  • Editor: United States: Lippincott Williams & Wilkins
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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