View in EDS

Prevalence and predictors of dysphagia in cardiac patients during intensive rehabilitation: a cross-sectional study.

Saved in:
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]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 197009450
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Prevalence and predictors of dysphagia in cardiac patients during intensive rehabilitation: a cross-sectional study.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Stilo%2C+Leone%22">Stilo, Leone</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Antolini%2C+Laura%22">Antolini, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Volpato%2C+Eleonora%22">Volpato, Eleonora</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Patrignani%2C+Andrea%22">Patrignani, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gualandris%2C+Elisa%22">Gualandris, Elisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bordoni%2C+Bruno%22">Bordoni, Bruno</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Toccafondi%2C+Anastasia%22">Toccafondi, Anastasia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barbone%2C+Alessandro%22">Barbone, Alessandro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Torracca%2C+Lucia%22">Torracca, Lucia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Novembre%2C+Giulia%22">Novembre, Giulia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morici%2C+Nuccia%22">Morici, Nuccia</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Sep2026, Vol. 48 Issue 19, p6215-6223. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Transesophageal+echocardiography%22">Transesophageal echocardiography</searchLink><br /><searchLink fieldCode="DE" term="%22Pearson+correlation+%28Statistics%29%22">Pearson correlation (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Scientific+observation%22">Scientific observation</searchLink><br /><searchLink fieldCode="DE" term="%22Fisher+exact+test%22">Fisher exact test</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+centers%22">Rehabilitation centers</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiovascular+surgery%22">Cardiovascular surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Barthel+Index%22">Barthel Index</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Deglutition+disorders%22">Deglutition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiac+rehabilitation%22">Cardiac rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Italy%22">Italy</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=197009450
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09638288.2026.2633263
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 6215
    Subjects:
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Transesophageal echocardiography
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Scientific observation
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Rehabilitation centers
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Cardiovascular surgery
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Sociodemographic factors
        Type: general
      – SubjectFull: Barthel Index
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Deglutition disorders
        Type: general
      – SubjectFull: Cardiac rehabilitation
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Health care teams
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Italy
        Type: general
    Titles:
      – TitleFull: Prevalence and predictors of dysphagia in cardiac patients during intensive rehabilitation: a cross-sectional study.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Stilo, Leone
      – PersonEntity:
          Name:
            NameFull: Antolini, Laura
      – PersonEntity:
          Name:
            NameFull: Volpato, Eleonora
      – PersonEntity:
          Name:
            NameFull: Patrignani, Andrea
      – PersonEntity:
          Name:
            NameFull: Gualandris, Elisa
      – PersonEntity:
          Name:
            NameFull: Bordoni, Bruno
      – PersonEntity:
          Name:
            NameFull: Toccafondi, Anastasia
      – PersonEntity:
          Name:
            NameFull: Barbone, Alessandro
      – PersonEntity:
          Name:
            NameFull: Torracca, Lucia
      – PersonEntity:
          Name:
            NameFull: Novembre, Giulia
      – PersonEntity:
          Name:
            NameFull: Morici, Nuccia
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 15
              M: 09
              Text: Sep2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 09638288
          Numbering:
            – Type: volume
              Value: 48
            – Type: issue
              Value: 19
          Titles:
            – TitleFull: Disability & Rehabilitation
              Type: main
ResultId 1