Stroke is the foremost cause of severe neurologic disability in adults and is associated with a variety of complications. Dysphagia complicates acute ischemic strokes (AIS) in 42% cases and is more evident during the first week after ischemic stroke. Chest infection complicates AIS in 32% of the cases and 89% of these cases are due to dysphagia. Videofluoroscopy is the gold standard for swallowing assessment but due to non availability, bedside swallowing assessment is a more handytool. Methods: From August 2013 to February 2014151 patients were enrolled according to the set criteria.Each patient was assessed for dysphagia according to the set protocol and monitored for the development of chest infection up to 1 week. Demographics and clinical features were recorded. Results: The mean age of patients was 59.09 ± 13.38 years with no sex predilection.Dysphagia was seen in 57 (37.7%) patients of AIS. Chest infection was seen in 38 (25.2%) of the patients. 32 (84.21%) patients with chest infection had dysphagia while 6 (15.78%) patients with chest infection did not have dysphagia. Conclusion: Chest infection is more common in patients of AIS with dysphagia.
Suhail, Rao; Ahmed, Shahzad; Nabi, Sumaira; and Iqbal, Mansoor
"The burden of dysphagia and chest infection in acute ischemic stroke in a tertiary care hospital of islamabad capital territory,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 9
, Article 4.
Available at: http://ecommons.aku.edu/pjns/vol9/iss4/4