Effect of Dysphasia and Dysphagia on Inpatient Mortality and Hospital Length of Stay: A Database Study
Effect of Dysphasia and Dysphagia on Inpatient Mortality and Hospital Length of Stay: A Database Study
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DOI：
10.1111/j.1532-5415.2009.02526.x
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发表时间：
2009-11-01
影响因子：
6.3
通讯作者：
Myint, Phyo K.
中科院分区：
文献类型：
--
作者：
Guyomard, Veronique;Fulcher, Robert A.;Myint, Phyo K.
目的：研究言语障碍和吞咽困难对卒中预后的影响。方法：回顾性数据库研究。地点：英国诺福克。参与者：1997年至2001年间入院的2983例卒中男性和女性。测量：住院患者死亡率和较长住院时间的可能性，较长住院时间定义为长于平均住院时间（LOS）。吞咽困难定义为难以吞咽任何液体（包括唾液）或固体物质。言语障碍被定义为言语障碍，其中言语、书写或手势表达能力受损，或口头或书面语言理解能力受损。一个经验丰富的小组使用明确的标准评估吞咽困难和言语困难。纳入了2983例患者（1,330例（44.6%）男性），中位年龄78岁（范围17-105），其中77.7%患有缺血性，10.5%患有出血性，11.8%患有未确定的卒中类型。41.2%（1，230例）存在言语困难，50.5%（1，506例）存在吞咽困难，27.7%（827例）同时存在两种情况。同时患有其中一种或两种疾病与更高的死亡率和更长的LOS相关（P
OBJECTIVESTo examine the effect of dysphasia and dysphagia on stroke outcome.DESIGNRetrospective database study.SETTINGNorfolk, United Kingdom.PARTICIPANTSTwo thousand nine hundred eighty-three men and women with stroke admitted to the hospital between 1997 and 2001.MEASUREMENTSInpatient mortality and likelihood of longer length of hospital stay, defined as longer than median length of stay (LOS). Dysphagia was defined as difficulty swallowing any liquid (including saliva) or solid material. Dysphasia was defined as speech disorders in which there was impairment of the power of expression by speech, writing, or signs or impairment of the power of comprehension of spoken or written language. An experienced team assessed dysphagia and dysphasia using explicit criteria.RESULTSTwo thousand nine hundred eighty-three patients (1,330 (44.6%) male), median age 78 (range 17-105), were included, of whom 77.7% had ischemic, 10.5% had hemorrhagic, and 11.8% had undetermined stroke types. Dysphasia was present in 41.2% (1,230) and dysphagia in 50.5% (1,506), and 27.7% (827) had both conditions. Having either or both conditions was associated with greater mortality and longer LOS (P