Article

OBJECTIVE: To clarify the relationship between malnutrition and dysphagia
following stroke. DESIGN: Systematic review. METHODS: All published trials that
had examined both the swallowing ability and nutritional status of subjects
following stroke were identified. Pooled analyses were performed to establish
whether the odds of being malnourished were increased given the presence of
dysphagia. RESULTS: Eight studies were identified. The presence of malnutrition
and dysphagia ranged from 8.2% to 49.0% and 24.3% to 52.6%, respectively. Five of
the included trials were conducted within the first 7 days following stroke,
while 3 were conducted during the rehabilitation phase. The overall odds of being
malnourished were higher among subjects who were dysphagic compared with subjects
with intact swallowing (odds ratio: 2.425; 95% confidence interval: 1.264-4.649,
p < 0.008). In subgroup analysis, the odds of malnutrition were significantly
increased during the rehabilitation stage (odds ratio: 2.445; 95% confidence
interval: 1.009-5.925, p < 0.048), but not during the first 7 days of hospital
admission (odds ratio: 2.401; 95% confidence interval: 0.918-6.277, p < 0.074).
CONCLUSION: In a systematic review including the results from 8 studies, the odds
of being malnourished were increased given the presence of dysphagia following
stroke.

Langue : ANGLAIS