Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study
Abstract Background Dysphagia is common after stroke. Patients with dysphagia have a higher risk of stroke-associated pneumonia (SAP) and poor outcomes. Early detection of dysphagia is necessary to identify and manage patients at high risk of aspiration. The aim of the study was to assess the impact...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | BMC Neurology |
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| Online Access: | http://link.springer.com/article/10.1186/s12883-020-01733-0 |
| _version_ | 1819139817226633216 |
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| author | Zhu-Yun Liu Xiao-Pei Zhang Miao-Miao Mo Ri-Chun Ye Cai-Xia Hu Min-Qing Jiang Man-Qiu Lin |
| author_facet | Zhu-Yun Liu Xiao-Pei Zhang Miao-Miao Mo Ri-Chun Ye Cai-Xia Hu Min-Qing Jiang Man-Qiu Lin |
| author_sort | Zhu-Yun Liu |
| collection | DOAJ |
| description | Abstract Background Dysphagia is common after stroke. Patients with dysphagia have a higher risk of stroke-associated pneumonia (SAP) and poor outcomes. Early detection of dysphagia is necessary to identify and manage patients at high risk of aspiration. The aim of the study was to assess the impact of the systematic administration of the volume-viscosity swallow test (V-VST) in patients with acute ischaemic stroke. Methods This was a retrospective observational study that enrolled patients with acute ischaemic stroke in two consecutive time periods: pre-V-VST, when the 30-mL water-swallowing test (WST) was systematically administered, and V-VST, when all patients underwent the WST and the V-VST test was systematically administered if the patient failed the WST. Results Two hundred and 42 patients were enrolled. The mean age of the participants was 68.8 ± 10.88 years, 61.2% were male, and the median National Institutes of Health Stroke Scale score was 3 (IQR, 1–6). A total of 147 patients were enrolled during the pre-V-VST period and 95 were enrolled during the V-VST period. There was a significant difference in the occurrence of SAP (21.8% vs. 10.5%, p = 0.024) and the rate of nasogastric tube feeding (25.9% vs. 14.7%, p = 0.040) between the two groups, and no differences were found in the length of hospital stay (p = 0.277) or the total cost of hospitalization (p = 0.846). Conclusions The V-VST was a better clinical screening tool, and it can also provide detailed suggestions regarding dietary modifications to prevent aspiration and SAP. |
| first_indexed | 2024-12-22T11:28:41Z |
| format | Article |
| id | doaj.art-cce860bbdf9042caaacef07724bbcf88 |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-12-22T11:28:41Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-cce860bbdf9042caaacef07724bbcf882022-12-21T18:27:41ZengBMCBMC Neurology1471-23772020-04-0120111110.1186/s12883-020-01733-0Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective studyZhu-Yun Liu0Xiao-Pei Zhang1Miao-Miao Mo2Ri-Chun Ye3Cai-Xia Hu4Min-Qing Jiang5Man-Qiu Lin6Department of neurology, The Second Affiliated Hospital of Guangzhou University of Chinese MedicineDepartment of neurology, The Second Affiliated Hospital of Guangzhou University of Chinese MedicineDepartment of neurology, The Second Affiliated Hospital of Guangzhou University of Chinese MedicineDepartment of neurology, The Second Affiliated Hospital of Guangzhou University of Chinese MedicineThird Department of neurology, The Second Affiliated Hospital of Guangzhou, University of Chinese MedicineThird Department of neurology, The Second Affiliated Hospital of Guangzhou, University of Chinese MedicineDepartment of neurology, The Second Affiliated Hospital of Guangzhou University of Chinese MedicineAbstract Background Dysphagia is common after stroke. Patients with dysphagia have a higher risk of stroke-associated pneumonia (SAP) and poor outcomes. Early detection of dysphagia is necessary to identify and manage patients at high risk of aspiration. The aim of the study was to assess the impact of the systematic administration of the volume-viscosity swallow test (V-VST) in patients with acute ischaemic stroke. Methods This was a retrospective observational study that enrolled patients with acute ischaemic stroke in two consecutive time periods: pre-V-VST, when the 30-mL water-swallowing test (WST) was systematically administered, and V-VST, when all patients underwent the WST and the V-VST test was systematically administered if the patient failed the WST. Results Two hundred and 42 patients were enrolled. The mean age of the participants was 68.8 ± 10.88 years, 61.2% were male, and the median National Institutes of Health Stroke Scale score was 3 (IQR, 1–6). A total of 147 patients were enrolled during the pre-V-VST period and 95 were enrolled during the V-VST period. There was a significant difference in the occurrence of SAP (21.8% vs. 10.5%, p = 0.024) and the rate of nasogastric tube feeding (25.9% vs. 14.7%, p = 0.040) between the two groups, and no differences were found in the length of hospital stay (p = 0.277) or the total cost of hospitalization (p = 0.846). Conclusions The V-VST was a better clinical screening tool, and it can also provide detailed suggestions regarding dietary modifications to prevent aspiration and SAP.http://link.springer.com/article/10.1186/s12883-020-01733-0DysphagiaIschaemic strokeSwallow screening |
| spellingShingle | Zhu-Yun Liu Xiao-Pei Zhang Miao-Miao Mo Ri-Chun Ye Cai-Xia Hu Min-Qing Jiang Man-Qiu Lin Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study BMC Neurology Dysphagia Ischaemic stroke Swallow screening |
| title | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
| title_full | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
| title_fullStr | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
| title_full_unstemmed | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
| title_short | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
| title_sort | impact of the systematic use of the volume viscosity swallow test in patients with acute ischaemic stroke a retrospective study |
| topic | Dysphagia Ischaemic stroke Swallow screening |
| url | http://link.springer.com/article/10.1186/s12883-020-01733-0 |
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