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뇌졸중 후 삼킴장애의 역학, 자연경과, 장기예후

Epidemiology, Natural Recovery, Long-term Outcome of Post Stroke Dysphagia

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주제분류재활의학

초록

Post-stroke dysphagia is frequent following acute stroke. It is estimated that between 1/3 to 1/2 of patients show dysphagia in the acute stroke phase. Dysphagia is independently associated with short-term and long-term outcome of stroke. The incidence of aspiration and silent aspiration is high in the stroke survivors. Dysphagia and aspiration are high risk factors of aspiration pneumonia in the stroke patients. Many post-stroke dysphagia resolves rapidly in the early stage of the disease. Small portion (about 10%) of post-stroke dysphagia patients continues to show dysphagia in the chronic stage. The severity of dysphagia also decreases in time.

Abstract

Post-stroke dysphagia is frequent following acute stroke. It is estimated that between 1/3 to 1/2 of patients show dysphagia in the acute stroke phase. Dysphagia is independently associated with short-term and long-term outcome of stroke. The incidence of aspiration and silent aspiration is high in the stroke survivors. Dysphagia and aspiration are high risk factors of aspiration pneumonia in the stroke patients. Many post-stroke dysphagia resolves rapidly in the early stage of the disease. Small portion (about 10%) of post-stroke dysphagia patients continues to show dysphagia in the chronic stage. The severity of dysphagia also decreases in time.

참고문헌 (27)

  1. Kuhlemeier KV, "Epidemiology and dysphagia", Dysphagia, 9, pp.209~217 (1994)
  2. Smithard DG, "Complications and outcome after acute stroke. does dysphagia matter?", Stroke, 27, pp.1200~1204 (1996)
  3. Barer DH, "The natural history and functional consequences of dysphagia after hemispheric stroke", J Neurol Neurosurg Psychiatry, 52, pp.236~241 (1989)
  4. Kidd D, "The natural history and clinical consequences of aspiration in acute stroke", QJM, 88, pp.409~413 (1995)
  5. Gordon C, "Dysphagia in acute stroke", Br Med J(Clin Res Ed), 295, pp.411~414 (1987)
  6. Mosselman MJ, "Malnutrition and risk of malnutrition in patients with stroke : prevalence during hospital stay", J Neurosci Nurs, 45, pp.194~204 (2013)
  7. Smithard DG, "Long-term outcome after stroke : does dysphagia matter?", Age Aging, 36, pp.90~94 (2007)
  8. Nilsson H, "Dysphagia in stroke : a prospective study of quantitative aspects of swallowing in dysphagic patients", Dysphagia, 13, pp.32~38 (1998)
  9. Daniels SK, "Aspiration in patients with acute stroke", Arch Phys Med Rehabil, 79, pp.14~19 (1998)
  10. Baroni AF, "Risk factors for swallowing dysfunction in stroke patients", Arq Gastroenterol, 49, pp.118~124 (2012)
  11. Mann G, "Swallowing function after stroke : prognosis and prognostic factors at 6 months", Stroke, 30, pp.744~748 (1999)
  12. Horner J, "Aspiration following stroke : clinical correlates and outcome", Neurology, 38, pp.1359~1362 (1988)
  13. Ramsey D, "Silent aspiration: what do we know?", Dysphagia, 20, pp.218~225 (2005)
  14. Smithard D, "The Natural History of Dysphagia following a Stroke", Dysphagia, 12, pp.188~193 (1997)
  15. Holas MA, "Aspiration and relative risk of medical complications following stroke", Arch Neurol, 51, pp.1051~1053 (1994)
  16. DePippo KL, "The Burke dysphagia screening test : validation of its use in patients with stroke", Arch Phys Med Rehabil, 75, pp.1284~1286 (1994)
  17. Gottlieb D, "Validation of the 50 ml3 drinking test for evaluation of poststroke dysphagia", Disabil Rehabil, 18, pp.529~532 (1996)
  18. Falsetti P, "Oropharyngeal dysphagia after stroke : incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit", J Stroke Cerebrovasc Dis, 18, pp.329~335 (2009)
  19. Terré R, "Oropharyngeal dysphagia after the acute phase of stroke : predictors of aspiration", Neurogastroenterol Motil, 18, pp.200~205 (2006)
  20. Chua KS, "Functional outcome in brain stem stroke patients after rehabilitation", Arch Phys Med Rehabil, 77, pp.194~197 (1996)
  21. Meng NH, "Dysphagia in patients with brainstem stroke : incidence and outcome", Am J Phys Med Rehabil, 79, pp.170~175 (2000)
  22. Westendorp WF, "Post-stroke infection : a systematic review and meta-analyis", BMC Neurology, 11, pp.110~ (2011)
  23. Logemann JA, "Evaluation and treatment of swallowing disorders" (1983), College-Hill Press
  24. Sellars C, "Risk factors for chest infection in acute stroke : a prospective cohort study", Stroke, 38, pp.2284~2291 (2007)
  25. Martino R, "Dysphagia after stroke : incidence, diagnosis, and pulmonary complications", Stroke, 36, pp.2756~2763 (2005)
  26. Finegold SM., "Aspiration pneumonia", Reviews of Infectious Diseases, 13(Suppl 9), pp.S737~S742 (1991)

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