| Objective: To evaluate the rate of unsuccessful dysphagia screening in patients with hemorrhagic stroke, and find the relative predictors and prognosis. Methods: A retrospective analysis was done on patients with hemorrhagic stroke admitted to our department from July 2016 to July 2018, and screening for swallowing was performed using the Toronto Bedside Swallow Screening Test (TOR BSST). The relevant clinical parameters such as age, gender, body mass index (BMI), comorbidities, acute physiology and chronic health assessment (APACHE II) and Glasgow Coma Scale (GSC) were collected. The modified Rankin scale was used to assess the recovery of physical function in stroke patients. The severity of clinical symptoms was assessed according to the Canadian Neurological Function Rating Scale (CNS) and the National Institutes of Health Stroke Scale (NIHSS). The risk factors for dysphagia screening failure and the associated prognosis after screening failure were assessed. All data were analyzed using statistical software. Results: There were 49 cases of hemorrhagic stroke that met the inclusion and exclusion criteria, 37 cases in the success group and 57 cases in the un success group. The univariate analysis showed that there were significant differences between the two groups in age, language barrier, and GCS score (P<0.01, 0.05). In addition, the failure rate of screening for dysphagia was significantly higher in patients with mild and severe stroke, palliative care (P<0.05). The multivariate analysis revealed that the risk factors associated with the success of dysphagia included: age, language disorder, GCS score, stroke severity, palliative treatment regimen (P<0.05, 0.01). Conclusion: Old age, language barrier, GCS score, stroke severity and palliative care were risk factors for failure of dysphagia screening in patients with hemorrhagic stroke and were closely associated with poor prognosis. Further screening and improvement of dysphagia screening in patients with hemorrhagic stroke are needed. |
