title: Dysphagia Following Putaminal Hemorrhage at a Rehabilitation Hospital.
abstract: BACKGROUND
  Dysphagia occurs frequently during the acute phase of cerebral hemorrhage; however, there are few reports of dysphagia associated with cerebral hemorrhage in the subacute and chronic phase. We focused on putaminal hemorrhage at a rehabilitation hospital and evaluated the relationships between the frequencies of dysphagia, focus, and hematoma volume and type.
  
  
  METHODS
  A hundred patients with putaminal hemorrhage referred to our rehabilitation hospital were evaluated. Bedside swallowing assessments (BSAs) were conducted and results were evaluated relative to the information obtained on computed tomography imaging, including hematoma type and volume, and oral intake at the time of admission/discharge from the hospital.
  
  
  RESULTS
  A regular diet was provided to 48 patients, dysphagia diet to 44 patients, and enteral feeding to 8 patients. There were significant feeding group differences in age, hematoma volume and type, existence of ventricle rupture, neurological manifestation, cognitive function, existence of unilateral neglect and aphasia, initial BSA, activities of daily living (ADL) score using the Functional Independence Measure at the time of admission/discharge from the hospital, and length of stay. At discharge, we provided a regular diet to 81 patients and dysphagia diet to 19 patients. Age and ADL score had the greatest influence on oral intake at the time of discharge from the hospital.
  
  
  CONCLUSIONS
  The prognosis of dysphagia caused by putaminal hemorrhage is good, with no patient requiring enteral feeding, although putaminal hemorrhage often causes dysphagia. Patient age and ADL score on admission are used to predict the residual factors of dysphagia.
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan. Electronic address: shinichiromaeshima@gmail.com.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Maeshima
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Hideto
authors.initials: H
authors.lastname: Okazaki
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Sayaka
authors.initials: S
authors.lastname: Okamoto
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Shiho
authors.initials: S
authors.lastname: Mizuno
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Asano
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tsunoda
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Masaki
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Tanaka
authors.affiliation: Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Japan.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Sonoda
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition / Q000502:physiology; D003680:Deglutition Disorders / Q000209:etiology*; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D011379:Prognosis; D020146:Putaminal Hemorrhage / Q000150:complications*; D012047:Rehabilitation Centers
keywords: Putaminal hemorrhage; bedside swallowing assessment; dysphagia; rehabilitation