title: Clinical factors predicting risk for aspiration and respiratory aspiration among patients with Stroke.
abstract: OBJECTIVE
  to investigate the association of risk factors with the Risk for aspiration nursing diagnosis and respiratory aspiration.
  
  
  METHODS
  cross-sectional study assessing 105 patients with stroke. The instrument used to collect data addressing sociodemographic information, clinical variables and risk factors for Risk for aspiration. The clinical judgments of three expert RNs were used to establish the diagnosis. The relationship between variables and strength of association using Odds Ratio (OR) was verified both in regard to Risk for aspiration and respiratory aspiration.
  
  
  RESULTS
  risk for aspiration was present in 34.3% of the patients and aspiration in 30.5%. The following stood out among the risk factors: Dysphagia, Impaired or absent gag reflex, Neurological disorders, and Impaired physical mobility, all of which were statistically associated with Risk for aspiration. Note that patients who develop such a diagnosis were seven times more likely to develop respiratory aspiration.
  
  
  CONCLUSIONS
  dysphagia, Impaired or absent gag reflex were the best predictors both for Risk for aspiration and respiratory aspiration.
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Ana Railka de Souza
authors.initials: AR
authors.lastname: Oliveira
authors.affiliation: Faculdade Integrada da Grande Fortaleza, Fortaleza, CE, Brazil.
authors.forename: Alice Gabrielle de Sousa
authors.initials: AG
authors.lastname: Costa
authors.affiliation: Universidade Federal do Ceará, Fortaleza, CE, Brazil.
authors.forename: Huana Carolina Cândido
authors.initials: HC
authors.lastname: Morais
authors.affiliation: Departamento de Enfermagem, Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Redenção, CE, Brazil.
authors.forename: Tahissa Frota
authors.initials: TF
authors.lastname: Cavalcante
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brazil.
authors.forename: Marcos Venícios de Oliveira
authors.initials: MV
authors.lastname: Lopes
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brazil.
authors.forename: Thelma Leite de
authors.initials: TL
authors.lastname: Araujo
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis; D011379:Prognosis; D053120:Respiratory Aspiration / Q000175:diagnosis / Q000209:etiology*; D018570:Risk Assessment; D012307:Risk Factors; D020521:Stroke / Q000150:complications*