الفهرس 
StrokeOnly 14 pages are availabe for public view
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Abstract
Dysphagia is a common complication after stroke, Dysphagia affects
more than 50% of stroke survivors and can persist for 6 months. Dysphagia
is usually associated with aspiration pneumonia, prolonged hospitalization,
and increased mortality.
Dysphagia associated with increase of 17% in the incidence of
pulmonary infection compared to those that were not dysphagic (33% vs.
16% respectively).
Dysphagia is also associated with malnutrition and dehydration; thus,
early identification of stroke survivors with dysphagia help to reduce
morbidity and mortality.
Bedside exercise program showed an improvement of swallowing
function and exhibited a positive secondary effect, such as mood state and
quality of life, on subacute stroke patients with dysphagia. For
improvement of rehabilitation results on subacute stroke patients with
dysphagia.
Multiple texture-modified diets arrangements in different facilities
were associated with improvement in swallowing ability and nutritional
status.
Our study was carried out in Menoufia university hospital on 68
patients (32 dysphagic and 36 non dysphagic) from September 2022 to
March 2023(24weeks).
And it was approved by the ethical committee of faculty of medicine
Menoufia university that was held in September 2022 coded by (9/2022NEURO33).
All patients in this study subjected to the following:
1. Detailed history and examination (general and neurological):
2. Clinical assessment using NIHSS,MRS, ASSIST and Pneumonia
scales:
3. FEES.
4. Swallowing exercises
5. Diet modification.
The study showed that:
High NIHSS on admission, hypertension, white matter lesions, and
brain atrophy were more prevalent in post-stroke dysphagia and may
be considered risk factors.
Patients who suffer a stroke need to be screened for swallowing
disorders and received treatment as soon as they are in the intensive
care unit.
The sooner the intervention, the better the prognosis of patients
recovering from dysphagia.
Combination between swallowing exercises and modified diet
improves post stroke dysphagia.
Patients would recover during the first 2 months after a stroke.