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Minchell E, Rumbach A, Farrell A, Burns CL, Wong A, Finch E. Acute Dysphagia Following Reperfusion Therapies: A Prospective Pilot Cohort Study. Dysphagia 2024; 39:119-128. [PMID: 37380703 PMCID: PMC10781886 DOI: 10.1007/s00455-023-10599-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 06/04/2023] [Indexed: 06/30/2023]
Abstract
Dysphagia is a well-documented sequela of stroke. Recent advancements in medical treatments for stroke include reperfusion therapies (endovascular thrombectomy (EVT) and thrombolysis). As outcomes following reperfusion therapies are typically measured via general functional scales, the pattern and progression of acute dysphagia following reperfusion therapies is less known. To determine the progression of acute dysphagia (0-72 h) following reperfusion therapies and relationships between various stroke parameters and dysphagia, twenty-six patients were prospectively recruited across two EVT and thrombolysis centres in Brisbane, Australia. Dysphagia was screened via the Gugging Swallowing Screen (GUSS) at the bedside at three timepoints: 0-24 h, 24-48 h, and 48-72 h post-reperfusion therapies. Across three groups (EVT only, thrombolysis only, or both), the incidence of any dysphagia within the first 24 h of reperfusion therapy was 92.31% (n = 24/26), 91.30% (n = 21/23) by 48 h, and 90.91% (n = 20/22) by 72 h. Fifteen patients presented with severe dysphagia at 0-24 h, 10 at 24-48 h, and 10 at 48-72 h. Whilst dysphagia was not significantly correlated to infarct penumbra/core size, dysphagia severity was significantly related to the number of passes required during EVT (p = 0.009).Dysphagia continues to persist in the acute stroke population despite recent advancements in technology aimed to reduce morbidity and mortality post-stroke. Further research is required to establish protocols for management of dysphagia post-reperfusion therapies.
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Affiliation(s)
- Ellie Minchell
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
- Royal Brisbane and Women's Hospital, Metro North Health, Queensland Health, Brisbane, Australia.
- Centre for Functioning and Health Research, Metro South Health, Queensland Health, Brisbane, Australia.
| | - Anna Rumbach
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Anna Farrell
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- Princess Alexandra Hospital, Metro South Health, Queensland Health, Brisbane, Australia
| | - Clare L Burns
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- Royal Brisbane and Women's Hospital, Metro North Health, Queensland Health, Brisbane, Australia
| | - Andrew Wong
- Royal Brisbane and Women's Hospital, Metro North Health, Queensland Health, Brisbane, Australia
- School of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Emma Finch
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- Research and Innovation, West Moreton Health, Queensland Health, Ipswich, Australia
- Princess Alexandra Hospital, Metro South Health, Queensland Health, Brisbane, Australia
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Cardell E, Munro N. Growing our evidence: Development, direction, and dissemination. INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2023; 25:797-799. [PMID: 38143246 DOI: 10.1080/17549507.2023.2293407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2023]
Affiliation(s)
- Elizabeth Cardell
- School of Health and Medical Sciences, University of Southern Queensland, Toowoomba, Queensland, Australia
- School of Medicine and Dentistry, Griffith University, Nathan, Queensland, Australia
| | - Natalie Munro
- Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia
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