The Effectiveness of Multidisciplinary Team Approach in Post-stroke Dysphagia Rehabilitation: A Retrospective study
Keywords:
Dysphagia, Stroke, Multidisciplinary team rehabilitationAbstract
Background: Dysphagia is one of the most important and common conditions in stroke patients. Previous studies have found that guidelines for dysphagia rehabilitation by a multidisciplinary team improve the efficiency in the rehabilitation of patients with dysphagia. However, there are still some differences regarding clinical approach, as well as medical professionals who take part in the multidisciplinary team. Objective: To study the result of how the dysphagia rehabilitation by the multidisciplinary team of Sakon Nakhon Hospital affected the swallowing function, as well as the incidence of pneumonia in stroke patients. Method: We performed a retrospective descriptive study. Data were collected from medical records of stroke patients who had dysphagia and were admitted to the inpatient unit at Sakon Nakhon Hospital from January 1, 2020, to December 31, 2022. Results: There were 70 cases in total. 52.9% had an intracerebral hemorrhage diagnosis. The average age was 58.8 years old. The FOIS scores at the initial assessment, 1st, 3rd, and 6thmonths were 1.6, 4.9, 5.4, and 5.5, respectively, and statistical analysis revealed a statistically significant difference (p < .05). Additionally, this study revealed that 20% of post-stroke dysphagia patients developed pneumonia in the 1st, 3rd and 6th months were 0, 1.4 and 2.9% respectively. Conclusion: This study demonstrated that the multidisciplinary team approach in post-stroke dysphagia rehabilitation has significantly increased FOIS scores at the 1st, 3rdand 6th months after swallowing rehabilitation.
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