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26.02.2022 | Original Article

Predictive Factors for Oral Intake Recovery After Acute Stroke: Analysis of a Japanese Nationwide Inpatient Database

verfasst von: Yasuhiro Inooka, Hayato Yamana, Yusuke Shinoda, Haruhi Inokuchi, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Nobuhiko Haga

Erschienen in: Dysphagia | Ausgabe 6/2022

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Abstract

Objective

It remains unclear which factors contribute to dysphagia recovery after an acute stroke. This study aimed to identify factors associated with complete oral intake recovery in patients with post-stroke dysphagia.

Methods

Data were obtained from the Diagnosis Procedure Combination database, which is a nationwide database of administrative claims and discharge abstracts in Japan. We selected patients admitted within 3 days of stroke onset and conducted multivariable logistic regression analysis. Total oral intake within 30 days of admission was the primary outcome measure.

Results

A total of 151,302 patients were included, and total oral intake was observed in 48% of them within 30 days of admission. Total oral intake was significantly associated with age, sex, stroke subtype, consciousness disturbance, low body mass index, multiple comorbidities, and the modified Rankin Scale before stroke onset. In addition, males had worse outcomes than females (odds ratio, 0.75; 95% confidence interval, 0.73–0.77, p < 0.001), and intracerebral and subarachnoid hemorrhagic stroke subtypes were associated with non-recovery.

Conclusion

This study identified several prognostic factors for total oral intake in patients with acute stroke. These results may be useful for predicting a patient’s dysphagia prognosis at the time of admission and designing a nutritional management plan for patients with acute stroke.

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Titel: Predictive Factors for Oral Intake Recovery After Acute Stroke: Analysis of a Japanese Nationwide Inpatient Database
verfasst von: Yasuhiro Inooka
Hayato Yamana
Yusuke Shinoda
Haruhi Inokuchi
Hiroki Matsui
Kiyohide Fushimi
Hideo Yasunaga
Nobuhiko Haga
Publikationsdatum: 26.02.2022
Verlag: Springer US
Erschienen in: Dysphagia / Ausgabe 6/2022
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-022-10423-7

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Predictive Factors for Oral Intake Recovery After Acute Stroke: Analysis of a Japanese Nationwide Inpatient Database