Zur Prognose von Schluckstörungen nach Schlaganfall

Prognose bei Schluckstörung – zu diesem Thema ließen sich vermutlich ganze Bücher verfassen. Ein Gebiet, das extrem weitläufig und nur schwer zu greifen ist. Denn „die“ Prognose gibt es nicht. Dennoch ist diese Thematik von hoher Relevanz, denn im klinischen Alltag gilt es die drängenden Fragen der Betroffenen nach dem „Wann“ zufriedenstellend beantworten zu können. Im Folgenden sollen klinisch relevante Studienergebnisse dargestellt und darauf aufbauend Implikationen für die Angehörigenberatung herausgearbeitet werden.

• Literatur

• 1 Barer DH. The natural history and functional consequences of dysphagia after hemispheric stroke. J Neurol Neurosurg Psychiatry 1989; 52 (02) 236-241
• 2 Broadley S, Croser D, Cottrell J. et al. Predictors of prolonged dysphagia following acute stroke. J Clin Neurosci 2003; 10 (03) 300-305
• 3 Broadley S, Cheek A, Salonikis S. et al. Predicting prolonged dysphagia in acute stroke: The Royal Adelaide Prognostic Index for Dysphagic Stroke (RAPIDS). Dysphagia 2005; 20 (04) 303-310
• 4 Carnaby G, Hankey GJ, Pizzi J. Behavioural intervention for dysphagia in acute stroke: A randomised controlled trial. Lancet Neurol 2006; 5 (01) 31-37
• 5 Crary MA, Carnaby GD, Sia I. Spontaneous swallow frequency compared with clinical screening in the identification of dysphagia in acute stroke. J Stroke Cerebrovasc Dis 2014; 23 (08) 2047-2053
• 6 Daniels SK, Brailey K, Priestly DH. et al. Aspiration in patients with acute stroke. Arch Phys Med Rehabil 1998; 79 (01) 14-19
• 7 Daniels SK, Foundas AL. Lesion localization in acute stroke patients with risk of aspiration. J Neuroimaging 1999; 9 (02) 91-98
• 8 Daniels SK, Ballo LA, Mahoney MC. et al. Clinical predictors of dysphagia and aspiration risk: Outcome measures in acute stroke patients. Arch Phys Med Rehabil 2000; 81 (08) 1030-1033
• 9 Dziewas R, Warnecke T. Hrsg. Neurogene Dysphagien. Stuttgart: Kohlhammer; 2013
• 10 Ekberg O, Hamdy S, Woisard V. et al. Social and psychological burden of dysphagia: Its impact on diagnosis and treatment. Dysphagia 2002; 17 (02) 139-146
• 11 Eslick GD, Talley NJ. Dysphagia: Epidemiology, risk factors and impact on quality of life – A population-based study. Aliment Pharmacol Ther 2008; 27 (10) 971-979
• 12 Gordon C, Hewer RL, Wade DT. Dysphagia in acute stroke. British Medical Journal 1987; 295 (6595) 411-414
• 13 Hackett ML, Yapa C, Parag V. et al. Frequency of depression after stroke: A systematic review of observational studies. Stroke 2005; 36: 1330-1340
• 14 Hamdy S, Aziz Q, Rothwell JC. et al. The cortical topography of human swallowing musculature in health and disease. Nature Medicine 1996; 2 (11) 1217-1224
• 15 Hamdy S, Aziz Q, Rothwell JC. et al. Recovery of swallowing after dysphagic stroke relates to functional reorganization in the intact motor cortex. Gastroenterology 1998; 115: 1104-1112
• 16 Han TR, Paik NJ, Park JW. et al. The prediction of persistent dysphagia beyond six months after stroke. Dysphagia 2008; 23 (01) 59-64
• 17 Horner J, Massey EW, Riski JE. et al. Aspiration following stroke: Clinical correlates and outcome. Neurology 1988; 38 (09) 1359-1362
• 18 Huckabee ML, Cannito MP. Outcomes of swallowing rehabilitation in chronic brainstem dysphagia: A retrospective evaluation. Dysphagia 1999; 14 (02) 93-109
• 19 Ickenstein GW, Kelly PJ, Furie KL. et al. Predictors of feeding gastrostomy tube removal in stroke patients with dysphagia. J Stroke Cerebrovasc Dis 2003; 12 (04) 169-174
• 20 Ickenstein GW, Höhlig C, Prosiegel M. et al. Prediction of outcome in neurogenic oropharyngeal dysphagia within 72 hours of acute stroke. J Stroke Cerebrovasc Dis 2012; 21 (07) 569-576
• 21 Kumar S, Doughty C, Doros G. et al. Recovery of swallowing after dysphagic stroke: An analysis of prognostic factors. J Stroke Cerebrovasc Dis 2014; 23 (01) 56-62
• 22 Mann G, Hankey GJ, Cameron D. Swallowing function after stroke: Prognosis and prognostic factors at 6 months. Stroke 1999; 30 (04) 744-748
• 23 McMicken BL, Muzzy CL. Prognostic indicators of functional outcomes in first time documented acute stroke patients following standard dysphagia treatment. Disabil Rehabil 2009; 31 (26) 2196-2203
• 24 Meng NH, Wang TG, Lien IN. Dysphagia in patients with brainstem stroke: Incidence and outcome. Am J Phys Med Rehabil 2000; 79 (02) 170-175
• 25 Neumann S, Bartolome G, Buchholz D. et al. Swallowing therapy of neurologic patients: Correlation of outcome with pretreatment variables and therapeutic methods. Dysphagia 1995; 10 (01) 1-5
• 26 Odderson IR, Keaton JC, McKenna BS. Swallow management in patients on an acute stroke pathway: Quality is cost effective. Arch Phys Med Rehabil 1995; 76 (12) 1130-1133
• 27 Parker C, Power M, Hamdy S. et al. Awareness of dysphagia by patients following stroke predicts swallowing performance. Dysphagia 2004; 19 (01) 28-35
• 28 Prosiegel M, Heintze M, Wagner-Sonntag E. et al. Schluckstörungen bei neurologischen Patienten: Eine prospektive Studie zu Diagnostik, Störungsmustern, Therapie und Outcome. Der Nervenarzt 2002; 73 (04) 364-370
• 29 Robbins J, Levine RL. Swallowing after unilateral stroke of the cerebral cortex: Preliminary experience. Dysphagia 1988; 3 (01) 11-17
• 30 Robbins J, Levine RL, Maser A. et al. Swallowing after unilateral stroke of the cerebral cortex. Arch Phys Med Rehabil 1993; 74 (12) 1295-1300
• 31 Schroeder MF, Daniels SK, McClain M. et al. Clinical and cognitive predictors of swallowing recovery in stroke. J Rehabil Res Dev 2006; 43 (03) 301-310
• 32 Smithard DG, O’Neill PA, Parks CL. et al. Complications and outcome after acute stroke. Does dysphagia matter?. Stroke 1996; 27 (07) 1200-1204
• 33 Smithard DG, O‘Neill PA, England RE. et al. The natural history of dysphagia following a stroke. Dysphagia 1997; (1); 12 (04) 188-193
• 34 Smithard DG, O’Neill PA, Martin DF. et al. Aspiration following stroke: Is it related to the side of the stroke?. Clin Rehabil 1997; (2); 11 (01) 73-76
• 35 Sonies BC. Patterns of care for dysphagic patients with degenerative neurological diseases. Semin Speech Lang 2000; 21 (04) 333-344
• 36 Suntrup S, Kemmling A, Warnecke T. et al. The impact of lesion location on dysphagia incidence, pattern and complications in acute stroke. Part 1: Dysphagia incidence, severity and aspiration. Eur J Neurol 2015; 22 (05) 832-838
• 37 Teasell R, Foley N, Martino R. et al. Dysphagia and aspiration following stroke. The Evidence-Based Review of Stroke Rehabilitation (EBRSR), Chapter 15. 2018: 1-71 Im Internet: www.ebrsr.com/sites/default/files/v18-SREBR-CH15-NET.pdf Stand: 28.03.2019
• 38 Verdonschot RJCG, Baijens LWJ, Vanbelle S. et al. Affective symptoms in patients with oropharyngeal dysphagia: A systematic review. J Psychosom Res 2017; 97: 102-110