The time course of dysphagia following traumatic cervical spinal cord injury: a prospective cohort study

Prospective cohort study. To elucidate serial changes in dysphagia and elucidate the critical period for dysphagia following acute traumatic cervical spinal cord injury (CSCI). Spinal Injuries Center, Fukuoka, Japan. We prospectively examined individuals with acute traumatic CSCI admitted within 2 w...

Full description

Saved in:
Bibliographic Details
Published in:Spinal cord 2020-01, Vol.58 (1), p.53-57
Main Authors: Hayashi, Tetsuo, Fujiwara, Yuichi, Sakai, Hiroaki, Kubota, Kensuke, Kawano, Osamu, Mori, Eiji, Takao, Tsuneaki, Masuda, Muneaki, Morishita, Yuichiro, Maeda, Takeshi
Format: Article
Language:English
Subjects:
Aged
Cervical Cord - injuries
Cohort analysis
Deglutition Disorders - etiology
Deglutition Disorders - physiopathology
Disease Progression
Dysphagia
Evaluation
Female
Health risk assessment
Humans
Injuries
Male
Middle Aged
Paralysis
Paralysis - etiology
Paralysis - physiopathology
Paresis
Prospective Studies
Quality
Severity of Illness Index
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - physiopathology
Swallowing
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Prospective cohort study. To elucidate serial changes in dysphagia and elucidate the critical period for dysphagia following acute traumatic cervical spinal cord injury (CSCI). Spinal Injuries Center, Fukuoka, Japan. We prospectively examined individuals with acute traumatic CSCI admitted within 2 weeks after injury. Severity of dysphagia was evaluated using both the dysphagia severity scale (DSS) and functional oral intake scale (FOIS) at 2 weeks, 1 month, 2 months, and 3 months after injury. Condition of oral intake before injury was assessed by history taking. American Spinal Injury Association (ASIA) impairment scale grade and motor scores were also assessed at the same timepoints, and the correlation between dysphagia and paresis was analyzed. Sixty-five individuals with CSCI were assessed consecutively for 3 months after injury. Swallowing function, evaluated using both the DSS and FOIS, was significantly decreased at 2 weeks after injury, but significantly improved thereafter. Significant correlations between severity of dysphagia (DSS and FOIS scores) and motor scores were found at 2 weeks after injury (r  = 0.66 and 0.61; p 
ISSN:1362-4393
1476-5624
DOI:10.1038/s41393-019-0347-4