The Association Between ASPECTS Score and Dysphagia in Acute Ischemic Stroke Patients

Diko Hamonangan Saragih; Cut Aria Arina; Iskandar Nasution

doi:10.47353/jsocmed.v2i7.68

The Association Between ASPECTS Score and Dysphagia in Acute Ischemic Stroke Patients

Diko Hamonangan Saragih
Resident in Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
Cut Aria Arina
Lecturer in the Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
Iskandar Nasution
Lecturer in the Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia

Abstract

Introduction: The Alberta Stroke Program Early CT Score (ASPECTS) is a scoring system assessed from CT scans to investigate the involvement of brain regions experiencing early ischemic changes. Lower scores are known to be associated with worse conditions and the occurrence of complications such as dysphagia. This study aimed to assess the relationship between ASPECTS scores and the occurrence of dysphagia in patients with acute ischemic stroke.

Method: This cross-sectional analytical study was conducted at RSUP H. Adam Malik Medan from November 2022 to January 2023. ASPECTS scores were assessed based on CT scan results, while dysphagia was evaluated using the GUSS score. The Mann-Whitney U test was performed to assess the relationship between the two variables.

Results: : A total of 34 subjects were included in this study. Among them, 11 (32.4%) subjects experienced dysphagia. The median ASPECTS score was 8 (range 3-9). The Mann-Whitney U test showed a significant association between ASPECTS scores and the occurrence of dysphagia (p<0.001).

Conclusion: There is a significant relationship between ASPECTS scores and the occurrence of dysphagia.

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Published at

31. July 2023
https://doi.org/10.47353/jsocmed.v2i7.68
Issue:

Vol. 2 No. 7 (2023): July
Section:

Articles
Keywords:

Acute Ischemic Stroke ASPECT Score Dysphagia
References:

Campbell BCV, Khatri P. Stroke. The Lancet. 2020 Jul;396(10244):129– 42.Chugh C. Acute Ischemic Stroke: Management Approach. Indian J Crit Care Med. 2019 Jun;23(Suppl 2):S140–6.

Ermine CM, Bivard A, Parsons MW, Baron JC. The ischemic penumbra: From concept to reality. International Journal of Stroke. 2021 Jul 1;16(5):497– 509.

Khedr EM, Abbass MA, Soliman RK, Zaki AF, Gamea A. Post-stroke dysphagia: frequency, risk factors, and topographic representation: hospital-based study. Egypt J Neurol Psychiatry Neurosurg. 2021 Dec;57(1):23.

Cohen DL, Roffe C, Beavan J, Blackett B, Fairfield CA, Hamdy S, et al. Post-stroke dysphagia: A review and design considerations for future trials. International Journal of Stroke. 2016 Jun 1;11(4):399–411.

Lapa S, Foerch C, Singer OC, Hattingen E, Luger S. Ischemic Lesion Location Based on the ASPECT Score for Risk Assessment of Neurogenic Dysphagia. Dysphagia. 2021 Oct;36(5):882–90.

Suntrup S, Kemmling A, Warnecke T, Hamacher C, Oelenberg S, Niederstadt 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 May;22(5):832–8.

Mourão AM, Vicente LCC, Abreu MNS, Sant’anna RV, DE Meira FCA, Xavier RM de B, et al. Clinical and molecular correlates of the ASPECTS in the acute phase of stroke. Arq Neuropsiquiatr. 2020 May;78(5):262–8.

Esmael A, Elsherief M, Eltoukhy K. Predictive Value of the Alberta Stroke Program Early CT Score (ASPECTS) in the Outcome of the Acute Ischemic Stroke and Its Correlation with Stroke Subtypes, NIHSS, and Cognitive Impairment. Stroke Res Treat. 2021;2021:5935170.

Zanzmera P, Srivastava P, Garg A, Bhatia R, Singh M, Tripathi M, et al. Prediction of stroke outcome in relation to Alberta Stroke Program Early CT Score (ASPECTS) atadmission in acute ischemic stroke: A prospective study from tertiary care hospital in north India. Neurology Asia. 2012;101–7.

Esmael A, Elsherief M, Razek AAKA, El-Sayed NTM, Elsalam MA, Flifel ME, et al. Relationship of Alberta Stroke Program Early CT Score (ASPECTS) with the outcome of ischemic stroke and the neurocognitive stroke biomarkers. Egypt J Neurol Psychiatry Neurosurg. 2021 Dec;57(1):141.

Amalia L, Marda AF, Parwati I, Rizal A, Panigoro R. Correlation between Alberta Stroke Program Early Computed Tomography Score (ASPECTS) and National Institute of Health Stroke Score (NIHSS) in Ischemic Stroke. JSM. 2020 May 31;49(5):1115–20.

Yang C, Pan Y. Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review. PLoS ONE [Internet]. 2022 [cited 2023 May 11];17(6). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9202855/

Banda KJ, Chu H, Kang XL, Liu D, Pien LC, Jen HJ, et al. Prevalence of dysphagia and risk of pneumonia and mortality in acute stroke patients: a meta- analysis. BMC Geriatrics. 2022 May 13;22(1):420.
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Saragih, D. H., Cut Aria Arina, & Nasution, I. (2023). The Association Between ASPECTS Score and Dysphagia in Acute Ischemic Stroke Patients. Journal of Society Medicine, 2(7), 227–231. https://doi.org/10.47353/jsocmed.v2i7.68