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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...
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| Published in: | Spinal cord 2020-01, Vol.58 (1), p.53-57 |
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| container_title | Spinal cord |
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| creator | Hayashi, Tetsuo Fujiwara, Yuichi Sakai, Hiroaki Kubota, Kensuke Kawano, Osamu Mori, Eiji Takao, Tsuneaki Masuda, Muneaki Morishita, Yuichiro Maeda, Takeshi |
| description | 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 |
| doi_str_mv | 10.1038/s41393-019-0347-4 |
| format | article |
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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 < 0.001 and p < 0.001, respectively), indicating that individuals with lower motor scores had more severe swallowing dysfunction.
Dysphagia occurred immediately after injury, but gradually improved over time. Individuals with more severe paralysis had significantly more severe dysphagia. Special attention for dysphagia should be paid to individuals with severe paralysis in acute phase.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/s41393-019-0347-4</identifier><identifier>PMID: 31462759</identifier><language>eng</language><publisher>England: Nature Publishing Group</publisher><subject>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</subject><ispartof>Spinal cord, 2020-01, Vol.58 (1), p.53-57</ispartof><rights>2019© The Author(s), under exclusive licence to International Spinal Cord Society 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-65a5dda164738ecad0994a142337f43dd6d2cf6a3579ef4c0b4e146ce552d70c3</citedby><cites>FETCH-LOGICAL-c438t-65a5dda164738ecad0994a142337f43dd6d2cf6a3579ef4c0b4e146ce552d70c3</cites><orcidid>0000-0003-1992-4409</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31462759$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayashi, Tetsuo</creatorcontrib><creatorcontrib>Fujiwara, Yuichi</creatorcontrib><creatorcontrib>Sakai, Hiroaki</creatorcontrib><creatorcontrib>Kubota, Kensuke</creatorcontrib><creatorcontrib>Kawano, Osamu</creatorcontrib><creatorcontrib>Mori, Eiji</creatorcontrib><creatorcontrib>Takao, Tsuneaki</creatorcontrib><creatorcontrib>Masuda, Muneaki</creatorcontrib><creatorcontrib>Morishita, Yuichiro</creatorcontrib><creatorcontrib>Maeda, Takeshi</creatorcontrib><title>The time course of dysphagia following traumatic cervical spinal cord injury: a prospective cohort study</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><description>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 < 0.001 and p < 0.001, respectively), indicating that individuals with lower motor scores had more severe swallowing dysfunction.
Dysphagia occurred immediately after injury, but gradually improved over time. Individuals with more severe paralysis had significantly more severe dysphagia. Special attention for dysphagia should be paid to individuals with severe paralysis in acute phase.</description><subject>Aged</subject><subject>Cervical Cord - injuries</subject><subject>Cohort analysis</subject><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - physiopathology</subject><subject>Disease Progression</subject><subject>Dysphagia</subject><subject>Evaluation</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Injuries</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Paralysis</subject><subject>Paralysis - etiology</subject><subject>Paralysis - physiopathology</subject><subject>Paresis</subject><subject>Prospective Studies</subject><subject>Quality</subject><subject>Severity of Illness Index</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Swallowing</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpdkT1PwzAQhi0EoqXwA1iQJRaWgD8uTsyGKr6kSixltlzbaV0lTbCTov57XLUwMN0Nz713770IXVNyTwkvHyJQLnlGqMwIhyKDEzSmUIgsFwxOU88FyyAhI3QR45oQIqksz9GIUxCsyOUYreYrh3vfOGzaIUSH2wrbXexWeuk1rtq6br_9Zon7oIdG995g48LWG13j2PlNKqYNFvvNegi7R6xxF9rYOdP77V5y1YYex36wu0t0Vuk6uqtjnaDPl-f59C2bfby-T59mmQFe9pnIdW6tpgIKXjqjLZESNAXGeVEBt1ZYZiqheV5IV4EhC3DJjHF5zmxBDJ-gu4NuOuRrcLFXjY_G1bXeuHaIirGSgaRC8ITe_kPX6QfJU6J42lgKCiRR9ECZ5CwGV6ku-EaHnaJE7WNQhxhUikHtY1CQZm6OysOicfZv4vfv_AeeZIPF</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Hayashi, Tetsuo</creator><creator>Fujiwara, Yuichi</creator><creator>Sakai, Hiroaki</creator><creator>Kubota, Kensuke</creator><creator>Kawano, Osamu</creator><creator>Mori, Eiji</creator><creator>Takao, Tsuneaki</creator><creator>Masuda, Muneaki</creator><creator>Morishita, Yuichiro</creator><creator>Maeda, Takeshi</creator><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1992-4409</orcidid></search><sort><creationdate>20200101</creationdate><title>The time course of dysphagia following traumatic cervical spinal cord injury: a prospective cohort study</title><author>Hayashi, Tetsuo ; Fujiwara, Yuichi ; Sakai, Hiroaki ; Kubota, Kensuke ; Kawano, Osamu ; Mori, Eiji ; Takao, Tsuneaki ; Masuda, Muneaki ; Morishita, Yuichiro ; Maeda, Takeshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-65a5dda164738ecad0994a142337f43dd6d2cf6a3579ef4c0b4e146ce552d70c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Cervical Cord - injuries</topic><topic>Cohort analysis</topic><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - physiopathology</topic><topic>Disease Progression</topic><topic>Dysphagia</topic><topic>Evaluation</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Injuries</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Paralysis</topic><topic>Paralysis - etiology</topic><topic>Paralysis - physiopathology</topic><topic>Paresis</topic><topic>Prospective Studies</topic><topic>Quality</topic><topic>Severity of Illness Index</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Swallowing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayashi, Tetsuo</creatorcontrib><creatorcontrib>Fujiwara, Yuichi</creatorcontrib><creatorcontrib>Sakai, Hiroaki</creatorcontrib><creatorcontrib>Kubota, Kensuke</creatorcontrib><creatorcontrib>Kawano, Osamu</creatorcontrib><creatorcontrib>Mori, Eiji</creatorcontrib><creatorcontrib>Takao, Tsuneaki</creatorcontrib><creatorcontrib>Masuda, Muneaki</creatorcontrib><creatorcontrib>Morishita, Yuichiro</creatorcontrib><creatorcontrib>Maeda, Takeshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayashi, Tetsuo</au><au>Fujiwara, Yuichi</au><au>Sakai, Hiroaki</au><au>Kubota, Kensuke</au><au>Kawano, Osamu</au><au>Mori, Eiji</au><au>Takao, Tsuneaki</au><au>Masuda, Muneaki</au><au>Morishita, Yuichiro</au><au>Maeda, Takeshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The time course of dysphagia following traumatic cervical spinal cord injury: a prospective cohort study</atitle><jtitle>Spinal cord</jtitle><addtitle>Spinal Cord</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>58</volume><issue>1</issue><spage>53</spage><epage>57</epage><pages>53-57</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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 < 0.001 and p < 0.001, respectively), indicating that individuals with lower motor scores had more severe swallowing dysfunction.
Dysphagia occurred immediately after injury, but gradually improved over time. Individuals with more severe paralysis had significantly more severe dysphagia. Special attention for dysphagia should be paid to individuals with severe paralysis in acute phase.</abstract><cop>England</cop><pub>Nature Publishing Group</pub><pmid>31462759</pmid><doi>10.1038/s41393-019-0347-4</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-1992-4409</orcidid><oa>free_for_read</oa></addata></record> |
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| 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 |
| title | The time course of dysphagia following traumatic cervical spinal cord injury: a prospective cohort study |
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