Characteristics of post‐stroke dysphagia: A retrospective study based on FEES

Abstract

Abstract Objective This study aims to examine the characteristics of dysphagia in stroke patients with different lesion sites and explore the factors that impact the duration of nasogastric tube after post‐stroke dysphagia (PSD). Methods Patients with PSD were screened for analysis. Stroke types and lesion sites were confirmed using MRI or CT scans. Included patients were categorized into two groups: supratentorial stroke group (including lobar and deep intracerebral stroke subgroups) and infratentorial stroke group (including brainstem and cerebellar stroke subgroups). Fiberoptic endoscopic evaluation of swallowing (FEES), Penetration‐aspiration scale (PAS), Yale pharyngeal residue (PR) severity rating scale, Functional oral intake scale (FOIS), Murray secretion severity rating scale (MSS), laryngopharyngeal sensation, and vocal fold mobility were investigated to assess the swallowing function. Results A total of 94 patients were included in the final analysis. Significant differences were found in PR scores (p 5, PR ≥ 3 versus PR 5, PR ≥ 3, or vocal fold motion impairment may contribute to a longer duration of nasogastric tube placement.

Keywords

• fiberoptic endoscopic evaluation of swallowing (FEES)
• post‐stroke dysphagia (PSD)
• retrospective study
• stroke lesion sites
• tube feeding