title: Swallowing disorders after ischemic stroke.
abstract: OBJECTIVE
  To investigate occurrences of swallowing disorders after ischemic stroke.
  
  
  METHODS
  This was a retrospective study on 596 medical files. The inclusion criterion was that the patients needed to have been hospitalized with a diagnosis of ischemic stroke; the exclusion criteria were the presence of associated cardiac problems and hospital stay already more than 14 days.
  
  
  RESULTS
  50.5% were men and 49.5% women; mean age 65.3 years (SD= ± 11.7) (p ≤ 0.001). Among the risk factors, 79.4% had hypertension, 36.7% had diabetes (p ≤ 0.001) and 42.7% were smokers. 13.3% of the patients died. Swallowing disorders occurred in 19.6%, among whom 91.5% had mild difficulty and 8.5% had severe difficulty. 87.1% had spontaneous recovery after a mean of 2.4 months. A lesion in the brainstem region occurred in 6.8% (p ≤ 0.001).
  
  
  CONCLUSIONS
  Swallowing disorders occurred in almost 20% of the population and most of the difficulty in swallowing found was mild. The predictors for swallowing disorders were older age, diabetes mellitus and lesions in the brainstem region.
authors: Department of Emergency Medicine and Evidence-Based Medicine, Federal University of São Paulo (UNIFESP), São Paulo SP, Brazil. gabrielaremesso@uol.com.br
authors: Gabriela Camargo
authors: GC
authors: Remesso
authors: Márcia Maiumi
authors: MM
authors: Fukujima
authors: Ana Lúcia de Magalhães Leal
authors: AL
authors: Chiappetta
authors: Adriana Leico
authors: AL
authors: Oda
authors: Alexandre Santos
authors: AS
authors: Aguiar
authors: Acary de Souza Bulle
authors: Ade S
authors: Oliveira
authors: Gilmar Fernandes
authors: GF
authors: do Prado
mesh_terms: D000328:Adult; D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D020521:Stroke / Q000150:complications / Q000503:physiopathology*