This retrospective study was conducted using the clinical data of 51 patients who were diagnosed with
dysphagia after medullary
infarction and hospitalized at our institution between January 2019 and January 2021. As per the water swallow test (WST) grade at 1 month after rehabilitation treatment, patients were classified into the good prognosis group and the poor prognosis group. Univariate analysis as well as univariate and multivariate logistic regression analysis were used to analyze factors that influence the prognosis of swallowing function rehabilitation
therapy in patients with
dysphagia after medullary
infarction. Receiver operating characteristic (ROC) curves were then used to test the predictive ability of the significant parameters to predict the prognosis of the rehabilitation
therapy in these patients.
RESULTS: Univariate analysis and univariate logistic regression analysis showed that previous
stroke (odds ratio [OR] = 1.361),
dysarthria (OR = 3.771), disease course (OR = 1.112), National Institutes of Health
Stroke Scale (NIHSS) score at admission (OR = 2.596), and
infarct site (OR = 11.071) were all significantly correlated with the prognosis of swallowing function rehabilitation
therapy in patients with
dysphagia after medullary
infarction (P < 0.05). Multivariate logistic regression analysis showed that
dysarthria (OR = 5.519, 95% confidence interval (CI) 1.413-21.566),
infarct site (OR = 18.634, 95% CI 1.696-204.73), and the NIHSS score (OR = 1.001, 95% CI 1.536-4.820) were independent influencing factors of the prognosis of swallowing function rehabilitation
therapy in these patients. The ROC curve showed that the area under the curve for the combined prediction of the three indicators was 0.943.
CONCLUSION: