Predicting the development of aspiration pneumonia in patients with ischemic stroke and neurogenic dysphagia

Borzdyko A.A.; Ershov V.I.; Mezhebovsky V.R.

doi:https://doi.org/10.17116/jnevro202312306157

Borzdyko A.A.

Orenburg State Medical University;
University Research and Clinical Center of Neurology, Neuro-Resuscitation and Neurosurgery

ORCID: 0000-0003-0376-8632

Ershov V.I.

Orenburg State Medical University;
University Research and Clinical Center of Neurology, Neuro-Resuscitation and Neurosurgery

SPIN RSCI: 2400-1759
ORCID: 0000-0001-9150-0382

Mezhebovsky V.R.

Orenburg State Medical University

ORCID: 0000-0002-0416-0832

Predicting the development of aspiration pneumonia in patients with ischemic stroke and neurogenic dysphagia

Authors:

Borzdyko A.A., Ershov V.I., Mezhebovsky V.R.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(6): 57‑62

DOI: 10.17116/jnevro202312306157

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To cite this article:

Borzdyko AA, Ershov VI, Mezhebovsky VR. Predicting the development of aspiration pneumonia in patients with ischemic stroke and neurogenic dysphagia. S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(6):57‑62. (In Russ.)
https://doi.org/10.17116/jnevro202312306157

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)

Использование инфографики авторами научных работ

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OBJECTIVE

To determine the prognostic aspects of the development of pneumonia in patients with ischemic stroke of various pathogenetic subtypes.

MATERIAL AND METHODS

The study enrolled 110 patients (64 men and 46 women), aged 44—95 years, with dysphagia during the acute period of ischemic stroke (IS). The TOAST criteria were used to diagnose the pathogenetic subtype, and the MASA scale was used to determine the presence and severity of dysphagia. To predict the probability of switching to self-feeding from the severity of dysphagia, a non-linear regression method was used using the least squares method.

RESULTS

In patients with swallowing disorders in the acute period of IS, pneumonia often developed after 5 days from the onset of clinical manifestations of stroke. In the cardioembolic subtype of IS, the probability of pneumonia in groups with dysphagia severity from 90 to 120 points on the MASA was higher than in the atherothrombotic subtype of IS (p<0.05).

CONCLUSION

Patients with cardioembolic stroke subtype are characterized by a worse prognosis for the developing pneumonia compared to patients with atherothrombotic stroke subtype.

Keywords:

ischemic stroke

neurogenic dysphagia

aspiration pneumonia

Authors:

Borzdyko A.A.

Orenburg State Medical University;
University Research and Clinical Center of Neurology, Neuro-Resuscitation and Neurosurgery

ORCID: 0000-0003-0376-8632

Ershov V.I.

Orenburg State Medical University;
University Research and Clinical Center of Neurology, Neuro-Resuscitation and Neurosurgery

SPIN RSCI: 2400-1759
ORCID: 0000-0001-9150-0382

Mezhebovsky V.R.

Orenburg State Medical University

ORCID: 0000-0002-0416-0832

Received:

14.01.2023

Accepted:

01.03.2023

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References:

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