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TITLE:

STUDY TO KNOW THE INCIDENCE OF DYSPHAGIA AFTER STROKE AND FACTORS ASSOCIATED WITH IT.

AUTHORS:

Dr Iqra Shamim Ahmed, Dr Muhammad Arsalan Raza, Dr Ghufran Zafar

ABSTRACT:

Objective: The study aimed at determining the frequency of dysphagia after stoke and to see the factors like gender, type of stroke, history of smoking and alertness level of individuals associated with this condition. Study Design: This is a Cross-sectional study, conducted in the department of neurology of Mayo Hospital Lahore for six months, from June 2019 to December 2019. Methods: The study including the patients pre-diagnosed as stroke on the basis of CT scan or MRI findings. Study was conducted in three hospitals of Lahore within six months. Sample size of 150 patients of any age and both gender was taken by using convenient sampling technique. To assess the conscious level, Glasgow coma scale was administered and those who scored mild or moderate on GCS were included in the study. Modified Massey Bedside Swallow Screener was used to screen out the patients for dysphagia. Results: Out of 150 individuals with stroke 53% of patients had dysphagia. Females were 38% while males were 62%. Individuals who were older were more likely to have dysphagia. Among dysphagic individuals 65% had ischemic stroke while 35% were with haemorrhagic. There were 87% of dysphagic individuals who presented with history of smoking and 13% were without any. These factors demonstrate significant relationship by showing p-value <0.05. While no significant difference was seen between levels of alertness and risk of dysphagia by showing p-value 0.2. Conclusion: after stroke, Dysphagia occurs frequently that should be actively assessed and factors like type of stroke and history of smoking are significantly related to this condition. Keywords: Stroke, Deglutition Disorders, Epidemiology, Complications.

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