Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review.
<h4>Background</h4>Dysphagia is a common yet serious complication in stroke patients. We aimed to conduct a meta-analysis and systematic review to evaluate the risk factors of dysphagia in patients with ischemic stroke, to provide insights to the clinical treatment and nursing care of dy...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0270096 |
| _version_ | 1811217538345861120 |
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| author | Cui Yang Yun Pan |
| author_facet | Cui Yang Yun Pan |
| author_sort | Cui Yang |
| collection | DOAJ |
| description | <h4>Background</h4>Dysphagia is a common yet serious complication in stroke patients. We aimed to conduct a meta-analysis and systematic review to evaluate the risk factors of dysphagia in patients with ischemic stroke, to provide insights to the clinical treatment and nursing care of dysphagia.<h4>Methods</h4>We searched PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI) and Wanfang Database, China Biomedical Literature Database (CBM) for studies on dysphagia in patients with ischemic stroke up to January 31, 2022. The quality of the literature was evaluated using the Newcastle-Ottawa scale. Meta-analysis was performed using RevMan 5.3 software.<h4>Results</h4>A total of 10 studies involving 4637 ischemic stroke patients were included, 1183(25.51%) patients had dysphagia after stroke. The synthesized outcomes showed that elder age (SMD = 0.42, 95%CI:0.34-0.50), hypertension (OR = 1.96, 95%CI:1.48-2.61), diabetes (OR = 1.83, 95%CI:1.47-2.28), brainstem stroke (OR = 2.12, 95%CI:1.45-3.09) were associated with dysphagia in patients with ischemic stroke (all P<0.05). There was no significant difference in the gender between dysphagia and no dysphagia patients (OR = 1.07, 95%CI:0.91-1.27, P = 0.40). Egger regression tests indicated there were no significant publication biases in the synthesized outcomes (all P>0.05).<h4>Conclusions</h4>Elder age, hypertension, diabetes and brainstem stroke are associated with the development of dysphagia in patients with ischemic stroke. Attention should be paid to the assessment and early intervention of those risk factors for dysphagia to improve the prognosis of stroke patients. |
| first_indexed | 2024-04-12T06:55:22Z |
| format | Article |
| id | doaj.art-e1be2835ef31438fbdf28491781ac40e |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T06:55:22Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-e1be2835ef31438fbdf28491781ac40e2022-12-22T03:43:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176e027009610.1371/journal.pone.0270096Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review.Cui YangYun Pan<h4>Background</h4>Dysphagia is a common yet serious complication in stroke patients. We aimed to conduct a meta-analysis and systematic review to evaluate the risk factors of dysphagia in patients with ischemic stroke, to provide insights to the clinical treatment and nursing care of dysphagia.<h4>Methods</h4>We searched PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI) and Wanfang Database, China Biomedical Literature Database (CBM) for studies on dysphagia in patients with ischemic stroke up to January 31, 2022. The quality of the literature was evaluated using the Newcastle-Ottawa scale. Meta-analysis was performed using RevMan 5.3 software.<h4>Results</h4>A total of 10 studies involving 4637 ischemic stroke patients were included, 1183(25.51%) patients had dysphagia after stroke. The synthesized outcomes showed that elder age (SMD = 0.42, 95%CI:0.34-0.50), hypertension (OR = 1.96, 95%CI:1.48-2.61), diabetes (OR = 1.83, 95%CI:1.47-2.28), brainstem stroke (OR = 2.12, 95%CI:1.45-3.09) were associated with dysphagia in patients with ischemic stroke (all P<0.05). There was no significant difference in the gender between dysphagia and no dysphagia patients (OR = 1.07, 95%CI:0.91-1.27, P = 0.40). Egger regression tests indicated there were no significant publication biases in the synthesized outcomes (all P>0.05).<h4>Conclusions</h4>Elder age, hypertension, diabetes and brainstem stroke are associated with the development of dysphagia in patients with ischemic stroke. Attention should be paid to the assessment and early intervention of those risk factors for dysphagia to improve the prognosis of stroke patients.https://doi.org/10.1371/journal.pone.0270096 |
| spellingShingle | Cui Yang Yun Pan Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review. PLoS ONE |
| title | Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review. |
| title_full | Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review. |
| title_fullStr | Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review. |
| title_full_unstemmed | Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review. |
| title_short | Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review. |
| title_sort | risk factors of dysphagia in patients with ischemic stroke a meta analysis and systematic review |
| url | https://doi.org/10.1371/journal.pone.0270096 |
| work_keys_str_mv | AT cuiyang riskfactorsofdysphagiainpatientswithischemicstrokeametaanalysisandsystematicreview AT yunpan riskfactorsofdysphagiainpatientswithischemicstrokeametaanalysisandsystematicreview |