The diagnostic value of silent aspiration predictors in patients with moderate degree of dysphagia in acute period of ischemic stroke
https://doi.org/10.34215/1609-1175-2021-2-47-51
Abstract
Objective: Defining diagnostic value of “silent aspirations” predictors using fibrolaryngoscopy among patients having mild degree of the disphagia during the acute phase of the ischemic stroke.
Methods: 50 patients were examined during severe stroke period: 28 women and 22 men, average age was 68.3 years. The presence and the severity of disphagia were defined using three-pharyngeal sample with the following examination and estimate of the swallowing disorder by the MASA scale. Fibrolaryngoscopy was performed on the 2nd or 3rd day after brain damage.
Results: Aspiration was diagnosed among 24 patients using endoscopic examination results. The most frequent “silent aspiration” predictors turned out to be: rough oral apraxia (58 %), inadequate (abnormal) random cough (54 %) and aphonia (45 %).
Conclusions: Timely detection of “silent aspiration” predictors among patients having ischemic stroke allows diagnosing severe disphagia phase and preventing serious respiratory complications.
About the Authors
A. S. Fadeeva
Vladivostok Clinical Hospital No. 1
Russian Federation
Russian Federation
MD, head of the Intensive Care Department for Patients with Acute Cerebrovascular Accident
22 Sadovaya St., Vladivostok, 690078, Russian Federation
A. S. Paleha
Vladivostok Clinical Hospital No. 1
Russian Federation
Russian Federation
MD, neurological department
22 Sadovaya St., Vladivostok, 690078, Russian Federation
E. Y. Shestopalov
Vladivostok Clinical Hospital No. 1
Russian Federation
Russian Federation
MD, PhD, chief physician
22 Sadovaya St., Vladivostok, 690078, Russian Federation
Y. A. Kokorina
Vladivostok Clinical Hospital No. 1
Russian Federation
Russian Federation
MD, neurological department
22 Sadovaya St., Vladivostok, 690078, Russian Federation
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Review
For citations:
Fadeeva A.S., Paleha A.S., Shestopalov E.Y., Kokorina Y.A. The diagnostic value of silent aspiration predictors in patients with moderate degree of dysphagia in acute period of ischemic stroke. Pacific Medical Journal. 2021;(2):47-51. (In Russ.) https://doi.org/10.34215/1609-1175-2021-2-47-51
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