Temporal trends in oral intake ability 3 months after acute ischaemic stroke: analysis of a single-centre database from 2003 to 2011.
OBJECTIVE
To analyse the 9-year trend in oral intake ability 3 months after onset in acute stroke patients, with a view to indirect clarification of advances in acute stroke treatment and swallowing rehabilitation.


METHODS
A database of patients admitted to our hospital (Saiseikai Kumamoto Hospital, Kumamoto) with acute ischaemic stroke between 2003 and 2011 was analysed. Exclusion criteria were: patients with premorbid modified Rankin Scale score ≥ 1; those who died during hospital stay; and those whose outcomes after 3 months were not recorded. Mode of nutritional intake was investigated with a questionnaire posted to the patient 3 months after stroke onset. Patients were divided into 2 groups according to mode of nutritional intake: an oral intake group and a non-oral intake group. Whether the date or year of admission were related to the proportion of patients with oral intake, independent of other factors, was investigated using a logistic regression model.


RESULTS
Of a total of 2,913 patients, 2,677 (91.9%) were included in the oral intake group. The proportion of patients with oral intake 3 months after stroke increased significantly over the period of analysis (p = 0.034 by Cochran-Armitage test). On logistic regression analysis, the trend was significant after adjustment for age, sex, vascular risk factors, stroke subtype, and stroke severity on admission (odds ratio 1.098, 95% confidence interval 1.029-1.173; per 1 year).


CONCLUSIONS
The proportion of ischaemic stroke patients in the institution studied who were capable of oral intake at 3 months post-stroke increased significantly over the past decade, independent of other patient characteristics.
Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital, 861-4193 Kumamoto, Japan. nakazima04@gmail.com.
Makoto
M
Nakajima
Yuichiro
Y
Inatomi
Toshiro
T
Yonehara
Yoichiro
Y
Hashimoto
Teruyuki
T
Hirano
Yukio
Y
Ando
D000368:Aged; D000369:Aged, 80 and over; D015984:Causality; D015897:Comorbidity; D016208:Databases, Factual; D003679:Deglutition; D003680:Deglutition Disorders / Q000453:epidemiology* / Q000534:rehabilitation*; D004435:Eating; D005260:Female; D006760:Hospitalization; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D012307:Risk Factors; D020521:Stroke / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D015996:Survival Rate; D016896:Treatment Outcome