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Cited by 734Dysphagia Assessment and ManagementStroke Rehabilitation and RecoveryAcute Ischemic Stroke Management

Complications and Outcome After Acute Stroke: Does Dysphagia Matter?

Smithard, D.G., O'Neill, P.A., Park, C., Morris, J., Wyatt, R., England, R., Martin, D.F.·1996·Stroke
DOI 10.1161/01.str.27.7.1200
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Abstract

Background and purpose The published data on the relationship between dysphagia and both outcome and complications after acute stroke have been inconclusive. We examined the relationship between these, using bedside assessment and videofluoroscopic examination. Methods We prospectively studied 121 consecutive patients admitted with acute stroke. A standardized bedside assessment was performed by a physician. We performed videofluoroscopy blinded to this assessment within 3 days of stroke onset and within a median time of 24 hours of the bedside evaluations. The presence of aspiration was recorded. Mortality, functional outcome, lengthy of stay, place of discharge, occurrence of chest infection, nutritional status, and hydration were the main outcome measures. Results Patients with an abnormal swallow (dysphagia) on bedside assessment had a higher risk of chest infection (P=.05) and a poor nutritional state (P=.001). The presence of dysphagia was associated with an increased risk of death (P=.001), disability (P=.02), length of hospital stay (P Conclusions Bedside assessment of swallowing is of use in identifying patients at risk of developing complications. The value of routine screening with videofluoroscopy to detect aspiration is questioned.

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Crossref · 10.1161/01.str.27.7.1200

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  • Dysphagia is associated with many negative clinical short- and long-term outcomes, such as pneumonia, malnutrition, dehydration, and reduced quality of life.

    “Dysphagia is associated with many negative clinical short- and long-term outcomes, such as”

    From ESPEN guideline on hospital nutrition (2021) · cites this paper as [187]

  • The overall incidence of dysphagia in traumatic and non-traumatic cervical spinal cord injury patients varies from 16% to 80%.

    “the overall incidence of dysphagia in traumatic and non-traumatic cervical”

    From ESPEN guideline on hospital nutrition (2021) · cites this paper as [187]

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Authors
Smithard, D. G., O'Neill, P. A., Park, C., Morris, J., Wyatt, R., England, R., & Martin, D. F.
Affiliations
the University Department of Geriatric Medicine (D.G.S., P.A.O'N.) and the Departments of Speech and Language Therapy (C.P., R.W.), Medical Statistics (J.M.), and Radiology (R.E., D.F.M.), South Manchester University Hospitals Trust (UK).
ORCID
Venue
Stroke
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1996-07
Volume
27
Issue
7
Pages
1200-1204
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
DOI
10.1161/01.str.27.7.1200
OpenAlex
W2123407104
Cited by
734
References
1
Citations by year
2026: 19 · 2025: 19 · 2024: 20 · 2023: 16 · 2022: 23 · 2021: 28 · 2020: 25 · 2019: 36 · 2018: 29 · 2017: 30 · 2016: 30 · 2015: 33 · 2014: 36 · 2013: 47 · 2012: 33
FWCI
61.25
Type
journal article
Language
en
Open access
closed
Locations
  • Stroke (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
Keywords
acute stroke, dysphagia, aspiration, videofluoroscopy, bedside swallowing assessment, stroke complications, mortality, functional outcome, chest infection, nutritional status, length of hospital stay, institutional care
MeSH terms
Acute Disease, Adult, Aged, Aged, 80 and over, Cerebrovascular Disorders, Cineradiography, Deglutition, Deglutition Disorders, Female, Fluoroscopy, Follow-Up Studies, Forecasting, Foreign Bodies, Humans, Institutionalization, Length of Stay, Lung, Male, Middle Aged, Nutritional Status, Patient Discharge, Patients' Rooms, Prospective Studies, Respiratory Tract Infections, Water-Electrolyte Balance, Single-Blind Method, Treatment Outcome

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