Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study

• DOI: 10.1186/s12883-020-01733-0
• Publication Date: 2020-04-25T11:02:27Z
• Authors: Zhu-Yun Liu; Xiao-Pei Zhang; Miao-Miao Mo; Ri-Chun Ye; Cai-Xia Hu; Min-Qing Jiang; Man-Qiu Lin
• Keywords: Stroke; Neurochemistry; Aspiration Pneumonia; Ischaemic stroke

Dysphagia is common after stroke. Patients with dysphagia have a higher risk of stroke-associated pneumonia (SAP) and poor outcomes. Early detection necessary to identify manage patients at high aspiration. The aim the study was assess impact systematic administration volume-viscosity swallow test (V-VST) in acute ischaemic stroke.This retrospective observational that enrolled stroke two consecutive time periods: pre-V-VST, when 30-mL water-swallowing (WST) systematically administered, V-VST, all underwent WST V-VST administered if patient failed WST.Two hundred 42 were enrolled. mean age participants 68.8 ± 10.88 years, 61.2% male, median National Institutes Health Stroke Scale score 3 (IQR, 1-6). A total 147 during pre-V-VST period 95 period. There significant difference occurrence SAP (21.8% vs. 10.5%, p = 0.024) rate nasogastric tube feeding (25.9% 14.7%, 0.040) between groups, no differences found length hospital stay (p 0.277) or cost hospitalization 0.846).The better clinical screening tool, it can also provide detailed suggestions regarding dietary modifications prevent aspiration SAP.