Volume 3, Issue 1, March 2019, Page: 16-23
Profile of Swallowing Disorders in Acute Stroke in Brazzaville
Ghislain Armel Mpandzou, Department of Neurology, University Hospital of Brazzaville, Brazzaville, Republic of Congo; Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo
Paul Macaire Ossou-Nguiet, Department of Neurology, University Hospital of Brazzaville, Brazzaville, Republic of Congo; Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo
Lopresty Luberde Ngouala, Department of Neurology, University Hospital of Brazzaville, Brazzaville, Republic of Congo
Annette Oball-Mond Mwankie, Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo; Stomatology and Maxillofacial Surgery Department, University Hospital of Brazzaville, Brazzaville, Republic of Congo
Prince Eliot Sounga Bandzouzi, Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo; Neurology Department, Loandjili General Hospital, Pointe Noire, Republic of Congo
Dinah Happhia Motoula Latou, Department of Neurology, University Hospital of Brazzaville, Brazzaville, Republic of Congo; Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo
Bébène Bandzouzi Ndamba, Department of Neurology, University Hospital of Brazzaville, Brazzaville, Republic of Congo; Marien NGOUABI University of Brazzaville, Faculty of Health Sciences, Brazzaville, Republic of Congo
Received: Mar. 14, 2019;       Accepted: May 8, 2019;       Published: May 30, 2019
DOI: 10.11648/j.cnn.20190301.14      View  24      Downloads  4
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.
Keywords
Stroke, Swallowing Disorders, Feeding Protocol
To cite this article
Ghislain Armel Mpandzou, Paul Macaire Ossou-Nguiet, Lopresty Luberde Ngouala, Annette Oball-Mond Mwankie, Prince Eliot Sounga Bandzouzi, Dinah Happhia Motoula Latou, Bébène Bandzouzi Ndamba, Profile of Swallowing Disorders in Acute Stroke in Brazzaville, Clinical Neurology and Neuroscience. Vol. 3, No. 1, 2019, pp. 16-23. doi: 10.11648/j.cnn.20190301.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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