Bibliographic Details
| Title: |
Prevalence and predictors of dysphagia in cardiac patients during intensive rehabilitation: a cross-sectional study. |
| Authors: |
Stilo, Leone (AUTHOR), Antolini, Laura (AUTHOR), Volpato, Eleonora (AUTHOR), Patrignani, Andrea (AUTHOR), Gualandris, Elisa (AUTHOR), Bordoni, Bruno (AUTHOR), Toccafondi, Anastasia (AUTHOR), Barbone, Alessandro (AUTHOR), Torracca, Lucia (AUTHOR), Novembre, Giulia (AUTHOR), Morici, Nuccia (AUTHOR) |
| Source: |
Disability & Rehabilitation. Sep2026, Vol. 48 Issue 19, p6215-6223. 9p. |
| Subjects: |
Risk assessment, Cross-sectional method, Transesophageal echocardiography, Pearson correlation (Statistics), Data analysis, Research funding, Scientific observation, Fisher exact test, Logistic regression analysis, Retrospective studies, Mann Whitney U Test, Chi-squared test, Rehabilitation centers, Odds ratio, Cardiovascular surgery, Statistics, Sociodemographic factors, Barthel Index, Data analysis software, Confidence intervals, Deglutition disorders, Cardiac rehabilitation, Regression analysis, Health care teams, Disease risk factors |
| Geographic Terms: |
Italy |
| Abstract: |
Purpose: This study aimed to investigate the prevalence of dysphagia in cardiac patients admitted to intensive rehabilitation following cardiac surgery or interventional procedures and to identify associated clinical and demographic risk factors. Materials and methods: A retrospective observational study was conducted on 93 patients consecutively admitted to a cardiac intensive rehabilitation unit between March and April 2023. Swallowing function was assessed using the Gugging Swallowing Screen (GUSS), Mealtime Assessment Scale (MAS), and the Italian Dysphagia Handicap Index (I-DHI). The impact of these scales on the American Speech-Language-Hearing Association National Outcome Measurement System (ASHA-NOMS) scale was assessed. Logistic regression identified predictors of dysphagia. Results: Dysphagia (ASHA-NOMS ≤6) was identified in 33.3% of patients. Dysphagic patients were older (median 73 vs. 67.5 years, p = 0.001) and had a higher prevalence of prior intubation (93.6% vs. 75.8%, p = 0.037). Intubation (OR = 6.33, p = 0.033) and age (OR = 1.08, p = 0.012) were independent predictors of dysphagia. The MAS safety subscale showed the highest correlation with dysphagia severity (r=-0.93). Conclusions: Dysphagia is common in patients with cardiovascular disease admitted to the intensive cardiac rehabilitation, regardless of surgical history. Early identification of dysphagia and timely intervention within a multidisciplinary rehabilitation framework are essential to prevent complications and optimize functional recovery in cardiac patients. IMPLICATIONS FOR REHABILITATION: Dysphagia is a frequent and often underrecognized condition in patients admitted to cardiac intensive rehabilitation, including those who have not undergone surgery. The systematic use of standardized clinical assessment tools can help identify at-risk patients early and guide targeted interventions. Early identification and speech-language therapy intervention may prevent complications such as malnutrition, aspiration pneumonia, and delays in functional recovery. Endotracheal intubation and older age are independent predictors of dysphagia in cardiac patients. [ABSTRACT FROM AUTHOR] |
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| Database: |
Psychology and Behavioral Sciences Collection |
