Swallowing disorders are common in stroke and cause significant morbidity and mortality. The aim of this study was to determinate the frequency of swallowing disorders and its impact on the prognosis of stroke, as well as the contribution of the local feeding protocol at University Hospital of Brazzaville. An interventional study was carried out between March and August 2016 in the department of neurology, with a follow-up of three months. It included all patients hospitalized for stroke and swallowing disorders. If necessary, a nasogastric tube was placed and local feeding protocol was initiated. Among 219 patients admitted for stroke, 59 (26.9%) had swallowing disorders. The DePippo test was positive in 54 (91.5%) patients. The mean age of the patients was 69.1 ± 13.8 years with a sex ratio of 1.3. Cough during feeding (79.7%) and swallowing effort (81.4%) were the most common complaints. The majority (72.9%) of patients had bilateral pyramidal involvement, and 23 (39%) a history of stroke. The local feeding protocol was respected by only half of patients, without any impact on the occurrence of malnutrition and dehydration (respectively, p=0.58 and p=0.79). Death was observed in 32 (54.24%) patients primarily for bronchopneumopathy (n=5, 15.62%), false roads (n=4, 12.5%) and cerebral hematoma (n=4, 12.50%). Eleven (34.4%) patients died at home for an undetermined cause. Detection and appropriate management of swallowing disorders in acute stroke, must be systematic and included in management protocols of stroke.
| Published in | Clinical Neurology and Neuroscience (Volume 3, Issue 1) |
| DOI | 10.11648/j.cnn.20190301.14 |
| Page(s) | 16-23 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Stroke, Swallowing Disorders, Feeding Protocol
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APA Style
Ghislain Armel Mpandzou, Paul Macaire Ossou-Nguiet, Lopresty Luberde Ngouala, Annette Oball-Mond Mwankie, Prince Eliot Sounga Bandzouzi, et al. (2019). Profile of Swallowing Disorders in Acute Stroke in Brazzaville. Clinical Neurology and Neuroscience, 3(1), 16-23. https://doi.org/10.11648/j.cnn.20190301.14
ACS Style
Ghislain Armel Mpandzou; Paul Macaire Ossou-Nguiet; Lopresty Luberde Ngouala; Annette Oball-Mond Mwankie; Prince Eliot Sounga Bandzouzi, et al. Profile of Swallowing Disorders in Acute Stroke in Brazzaville. Clin. Neurol. Neurosci. 2019, 3(1), 16-23. doi: 10.11648/j.cnn.20190301.14
AMA Style
Ghislain Armel Mpandzou, Paul Macaire Ossou-Nguiet, Lopresty Luberde Ngouala, Annette Oball-Mond Mwankie, Prince Eliot Sounga Bandzouzi, et al. Profile of Swallowing Disorders in Acute Stroke in Brazzaville. Clin Neurol Neurosci. 2019;3(1):16-23. doi: 10.11648/j.cnn.20190301.14
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Download@article{10.11648/j.cnn.20190301.14,
author = {Ghislain Armel Mpandzou and Paul Macaire Ossou-Nguiet and Lopresty Luberde Ngouala and Annette Oball-Mond Mwankie and Prince Eliot Sounga Bandzouzi and Dinah Happhia Motoula Latou and Bébène Bandzouzi Ndamba},
title = {Profile of Swallowing Disorders in Acute Stroke in Brazzaville},
journal = {Clinical Neurology and Neuroscience},
volume = {3},
number = {1},
pages = {16-23},
doi = {10.11648/j.cnn.20190301.14},
url = {https://doi.org/10.11648/j.cnn.20190301.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190301.14},
abstract = {Swallowing disorders are common in stroke and cause significant morbidity and mortality. The aim of this study was to determinate the frequency of swallowing disorders and its impact on the prognosis of stroke, as well as the contribution of the local feeding protocol at University Hospital of Brazzaville. An interventional study was carried out between March and August 2016 in the department of neurology, with a follow-up of three months. It included all patients hospitalized for stroke and swallowing disorders. If necessary, a nasogastric tube was placed and local feeding protocol was initiated. Among 219 patients admitted for stroke, 59 (26.9%) had swallowing disorders. The DePippo test was positive in 54 (91.5%) patients. The mean age of the patients was 69.1 ± 13.8 years with a sex ratio of 1.3. Cough during feeding (79.7%) and swallowing effort (81.4%) were the most common complaints. The majority (72.9%) of patients had bilateral pyramidal involvement, and 23 (39%) a history of stroke. The local feeding protocol was respected by only half of patients, without any impact on the occurrence of malnutrition and dehydration (respectively, p=0.58 and p=0.79). Death was observed in 32 (54.24%) patients primarily for bronchopneumopathy (n=5, 15.62%), false roads (n=4, 12.5%) and cerebral hematoma (n=4, 12.50%). Eleven (34.4%) patients died at home for an undetermined cause. Detection and appropriate management of swallowing disorders in acute stroke, must be systematic and included in management protocols of stroke.},
year = {2019}
}
TY - JOUR T1 - Profile of Swallowing Disorders in Acute Stroke in Brazzaville AU - Ghislain Armel Mpandzou AU - Paul Macaire Ossou-Nguiet AU - Lopresty Luberde Ngouala AU - Annette Oball-Mond Mwankie AU - Prince Eliot Sounga Bandzouzi AU - Dinah Happhia Motoula Latou AU - Bébène Bandzouzi Ndamba Y1 - 2019/05/30 PY - 2019 N1 - https://doi.org/10.11648/j.cnn.20190301.14 DO - 10.11648/j.cnn.20190301.14 T2 - Clinical Neurology and Neuroscience JF - Clinical Neurology and Neuroscience JO - Clinical Neurology and Neuroscience SP - 16 EP - 23 PB - Science Publishing Group SN - 2578-8930 UR - https://doi.org/10.11648/j.cnn.20190301.14 AB - Swallowing disorders are common in stroke and cause significant morbidity and mortality. The aim of this study was to determinate the frequency of swallowing disorders and its impact on the prognosis of stroke, as well as the contribution of the local feeding protocol at University Hospital of Brazzaville. An interventional study was carried out between March and August 2016 in the department of neurology, with a follow-up of three months. It included all patients hospitalized for stroke and swallowing disorders. If necessary, a nasogastric tube was placed and local feeding protocol was initiated. Among 219 patients admitted for stroke, 59 (26.9%) had swallowing disorders. The DePippo test was positive in 54 (91.5%) patients. The mean age of the patients was 69.1 ± 13.8 years with a sex ratio of 1.3. Cough during feeding (79.7%) and swallowing effort (81.4%) were the most common complaints. The majority (72.9%) of patients had bilateral pyramidal involvement, and 23 (39%) a history of stroke. The local feeding protocol was respected by only half of patients, without any impact on the occurrence of malnutrition and dehydration (respectively, p=0.58 and p=0.79). Death was observed in 32 (54.24%) patients primarily for bronchopneumopathy (n=5, 15.62%), false roads (n=4, 12.5%) and cerebral hematoma (n=4, 12.50%). Eleven (34.4%) patients died at home for an undetermined cause. Detection and appropriate management of swallowing disorders in acute stroke, must be systematic and included in management protocols of stroke. VL - 3 IS - 1 ER -
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