To quantify the incidence of swallowing deficits (dysphagia) and to identify factors that predict risk for dysphagia in the rehabilitation setting following acute traumatic spinal cord injury.
Retrospective case-control study.
Freestanding rehabilitation hospital.
Data were collected on 187 patients with acute traumatic spinal cord injury admitted for rehabilitation over a 4-year period who underwent a swallowing screen, in which 42 underwent a videofluoroscopic swallowing study (VFSS).
VFSS was performed on patients with suspected swallowing problems.
Possible antecedents of dysphagia were recorded from the medical record including previous history of spine surgery, surgical approach and technique, tracheostomy and ventilator status, neurologic level of injury, ASIA Impairment Classification, orthosis, etiology of injury, age, and gender.
On admission to rehabilitation 22.5% (n=42) of spinal cord injury patients had symptoms suggesting dysphagia.
In 73.8% (n=31) of these cases, testing confirmed dysphagia (aspiration or requiring a modified diet), while VFSS ruled out dysphagia in 26.2% (n=11) cases.
Logistic regression and other analyses revealed three significant predictors of risk for dysphagia : age (p<. 028), tracheostomy and mechanical ventilation (p<. 001), and spinal surgery via an anterior cervical approach (p<. 016). (...)
Mots-clés Pascal : Traumatisme, Moelle épinière, Facteur prédictif, Dysphagie, Facteur risque, Incidence, Epidémiologie, Rééducation, Traitement, Homme, Etude cas témoin, Aigu, Système nerveux pathologie, Système nerveux central pathologie, Moelle épinière pathologie, Appareil digestif pathologie, Oesophage pathologie
Mots-clés Pascal anglais : Trauma, Spinal cord, Predictive factor, Dysphagia, Risk factor, Incidence, Epidemiology, Reeducation, Treatment, Human, Case control study, Acute, Nervous system diseases, Central nervous system disease, Spinal cord disease, Digestive diseases, Esophageal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0486736
Code Inist : 002B16B. Création : 22/03/2000.