Swallowing Disorders in Ischemic Stroke: A Retrospective Analysis of Dysphagia Severity Differences Based on Hemisphere Damage and Patient Age.

Background/

Objectives

Management of the acute phase of ischemic stroke requires intensive interdisciplinary collaboration among medical personnel. Dysphagia, or swallowing disorders, represents a serious complication of stroke. Accurate diagnosis and identification of the causes of dysphagia are essential for implementing effective treatment. The aim of the study was to investigate the impact of age, acute stroke treatment, localization, comorbidities, and early rehabilitation on the severity and progression of dysphagia in patients with acute ischemic stroke.

Methods

The study analyzed the severity and progression of dysphagia in patients with ischemic stroke, considering patient age, stroke localization, comorbidities, and the impact of thrombolytic therapy and early rehabilitation on swallowing outcomes.

Results

Severe dysphagia was more common among older patients and those with cardiovascular conditions. Early rehabilitation was particularly effective in improving swallowing in right hemisphere strokes, while thrombolytic therapy demonstrated benefits for patients under 65 years.

Conclusions

Therapy led to an improvement in the condition of all patients with dysphagia following ischemic stroke. Further prospective research is needed to better understand swallowing disorders and optimize treatment.