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Date Published: 15/01/2024
Abstract Views: 154
Views PDF: 119
DOI: https://doi.org/10.51298/vmj.v534i1.8026
Issue
Vol. 534 No. 1 (2024)
Section
Các bài báo
How to Cite
Nguyễn, T. T. H. ., Lê, T. T. ., Trần, H. T. ., Ngô , Đức H. ., Đặng , T. D. ., & Phạm , X. T. . (2024). DYSPHAGIA BEDSIDE SCREENING FOR ACUTE STROKE PATIENTS USING THE GUGGING SWALLOWING SCREEN SCALE. Vietnam Medical Journal, 534(1). https://doi.org/10.51298/vmj.v534i1.8026

DYSPHAGIA BEDSIDE SCREENING FOR ACUTE STROKE PATIENTS USING THE GUGGING SWALLOWING SCREEN SCALE

Thị Thu Hiền Nguyễn, Thanh Tùng Lê, Hữu Thông Trần, Đức Hùng Ngô , Tuấn Dũng Đặng , Xuân Thắng Phạm

Main Article Content

Abstract

Purpose: To examine the rate of dysphagia according to the GUSS scale and identify some related factors in acute ischemic patients. Design: Descriptive correlational research. Methods: This study was conducted among 992 inpatients with acute ischemic at the Neurology Center, Bach Mai Hospital were screened for dysphagia using the GUSS scale. Factors associated with dysphagia were analyzed by univariate and multivariate logistic regression. Main findings: The rate of dysphagia accounted for 37.9%, severe and moderate dysphagia were 22.2% and 11.4%, respectively, of which 43.4% of patients needed tube feeding.  There were statistically significant associations between dysphagia and some factors such as age group ≥ 70 years old (p < 0.01), brainstem stroke (p < 0.01), communication disorders (OR = 1.5; 95% CI: 1.0 – 2 ,1) (p = 0.03), facial paralysis (OR = 17.0; 95% CI: 11.5 – 25.1) (p < 0.01), previous stroke (OR = 1.7; 95% CI: 1.1 – 2.8) (p = 0.02). Conclusion and recommendations: The rate of dysphagia was high in acute ischemic stroke patients. Intervention and management strategies should focus on prioritizing patients with elderly age, brainstem stroke, communication disorders, and facial paralysis.

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References

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