Chang, Min Cheol; Choo, Yoo Jin; Seo, Kyung Cheon; Yang, Seoyon
Frontiers in neurology
2022NA ; 13 ( 1 ) :834240.
PMID : 35370927
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Chang, Min Cheol - Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, South Korea.
Choo, Yoo Jin - Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, South Korea.
Seo, Kyung Cheon - Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Ulsan, South Korea.
Yang, Seoyon - Department of Rehabilitation Medicine, Ewha Womans University Seoul Hospital, School of Medicine, Ewha Womans University, Seoul, South Korea.
ABSTRACT
BACKGROUND: Dysphagia is a common complication after stroke and is associated with the development of pneumonia. This study aimed to summarize the relationship between dysphagia and pneumonia in post-stroke patients. MATERIALS AND
METHODS: Articles published up to November 2021 were searched in the PubMed, Embase, Cochrane library, and Scopus databases. Studies that investigated the development of pneumonia in acute stroke patients with and without dysphagia were included. The methodological quality of individual studies was evaluated using the Risk Of Bias In Non-randomized Studies-of Interventions tool, and publication bias was evaluated using a funnel plot and Egger's test.
RESULTS: Of 5,314 studies, five studies were included in the meta-analysis. The results revealed that the incidence of pneumonia was significantly higher in the dysphagia group than in the non-dysphagia group (OR 9.60; 95% CI 5.75-16.04; p < 0.0001; I (2) = 78%). There was no significant difference in the mortality rate between the two groups (OR 5.64; 95% CI 0.83-38.18; p = 0.08; I (2) = 99%). CONCLUSION: Dysphagia is a significant risk factor for pneumonia after stroke. The early diagnosis and treatment of dysphagia in stroke patients are important to prevent stroke-associated pneumonia. CI - Copyright ??2022 Chang, Choo, Seo and Yang.
keyword
dysphagia; meta-analysis; mortality; pneumonia; stroke
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