ĐÁNH GIÁ CÁC YẾU TỐ TIÊN LƯỢNG RỐI LOẠN CHỨC NĂNG NUỐT Ở BỆNH NHÂN ĐỘT QUỴ THIẾU MÁU NÃO CẤP

Abstract

Objective: Identifying prognostic factors related to swallowing dysfunction in patients with acute ischemic stroke at the cerebrovascular disease department, 115 People's Hospital. Subject andmethod: Descriptive, prospective cross-sectional study. Sampling method: Convenience sampling. Patients were diagnosed with acute ischemic stroke within 72 hours of onset. Result: From November 2022 to August 2023, we surveyed 278 patients with acute ischemic stroke at the Department of Cerebrovascular Diseases, 115 People's Hospital. The rate of swallowing dysfunction was 38.8%. The study population had an average age of 63.6 ± 12.8 years old, 53.2% were male. The average NIHSS score was 12.7, the rate of anterior circulation ischemic stroke was 91.7%. Regarding risk factors: The rate of hypertension accounted for 64.7%, history of stroke accounted for 22.3%, diabetes accounted for 36.3%, dyslipidemia accounted for 55.4%, smoking accounted for 37.8%, alcoholism accounted for 25.9%, overweight/obesity accounted for 34.9%/19.1%, atrial fibrillation accounted for 7.6%.Prognostic factors for swallowing dysfunction in patients with acute ischemic stroke include: Age over 80, Glasgow coma scale ≤ 13, frontal lobe lesion, TOAST classification of large vessel disease, NIHSS score above 11, ASPECT score ≤ 7. No complications related to swallow test were recorded in the study. Conclusion: Swallowing dysfunction in patients with acute ischemic stroke is very common. Factors: Older age over 80, Glasgow score ≤ 13, frontal lobe lesion, TOAST classification of large vessel disease, NIHSS score over 11, ASPECT score ≤ 7 increase the risk of swallowing dysfunction in AIS patient.