Dysphagia Following Non-Traumatic Subarachnoid Haemorrhage: A Prospective Pilot Study

Autor/inn/en	Dunn, Katrina; Rumbach, Anna; Finch, Emma
Titel	Dysphagia Following Non-Traumatic Subarachnoid Haemorrhage: A Prospective Pilot Study
Quelle	In: International Journal of Language & Communication Disorders, 55 (2020) 5, S.702-711 (10 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Dunn, Katrina) ORCID (Rumbach, Anna) ORCID (Finch, Emma)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1368-2822
DOI	10.1111/1460-6984.12554
Schlagwörter	Physical Disabilities; Eating Disorders; Human Body; Risk; Rehabilitation; Hospitals; Patients; Brain; Neurological Impairments + Suchen Sie Ihr Suchwort? Physical handicap; Körperbehinderung; Appetite disorder; Essstörung; Menschlicher Körper; Risiko; Krankengymnast; Krankenhaus; Patient; Gehirn; Neurodegenerative Erkrankung
Abstract	Background: Whilst dysphagia is a commonly reported complication of stroke, it has received relatively little attention in the literature for patients following non-traumatic subarachnoid haemorrhage (SAH). Aims: To investigate dysphagia incidence, risk factors, clinical progression and recovery in patients following non-traumatic SAH. Methods & Procedures: A prospective cohort study of 49 patients admitted to a tertiary neurosurgical referral unit with non-traumatic SAH over a 12-month period was conducted. Swallowing function was assessed by a speech-language pathologist within 72 h of medical stability and monitored throughout the acute inpatient admission. Outcomes & Results: Dysphagia incidence was 16.33% (n = 8/49). Risk factors associated with dysphagia included; Glasgow Coma Scale (GCS) score on admission, need for intensive care unit (ICU) admission, length of ICU stay, need for intubation and ventilation, and hydrocephalus. Participants with dysphagia were admitted to hospital 1.9 times longer than those without dysphagia (p < 0.05) and were more likely to be transferred to another inpatient facility for ongoing care (p < 0.05). Dysphagia remained present at hospital discharge for over half (62.5%) of participants who developed this complication. Conclusions & Implications: Care pathways for patients admitted to hospital with non-traumatic SAH should include early screening for dysphagia risk. Further research using a larger prospective cohort is required to validate dysphagia incidence and risk factors in this patient cohort. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01