Clinical factors predicting risk for aspiration and respiratory aspiration among patients with Stroke

Authors

  • Ana Railka de Souza Oliveira Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto; Universidade de São Paulo
  • Alice Gabrielle de Sousa Costa Faculdade Integrada da Grande Fortaleza; Faculdade Integrada da Grande Fortaleza
  • Huana Carolina Cândido Morais Universidade Federal do Ceará; Universidade Federal do Ceará
  • Tahissa Frota Cavalcante Universidade da Integração Internacional da Lusofonia Afro-Brasileira; Departamento de Enfermagem; Universidade da Integração Internacional da Lusofonia Afro-Brasileira
  • Marcos Venícios de Oliveira Lopes Universidade Federal do Ceará; Departamento de Enfermagem; Universidade Federal do Ceará
  • Thelma Leite de Araujo Universidade Federal do Ceará; Departamento de Enfermagem; Universidade Federal do Ceará

DOI:

https://doi.org/10.1590/0104-1169.0197.2545

Abstract

Objective: to investigate the association of risk factors with the Risk for aspiration nursing diagnosis and respiratory aspiration. Method: cross-sectional study assessing 105 patients with stroke. The instrument used to collect data addressing sociodemographic information, clinical variables and risk factors for Risk for aspiration. The clinical judgments of three expert RNs were used to establish the diagnosis. The relationship between variables and strength of association using Odds Ratio (OR) was verified both in regard to Risk for aspiration and respiratory aspiration. Results: risk for aspiration was present in 34.3% of the patients and aspiration in 30.5%. The following stood out among the risk factors: Dysphagia, Impaired or absent gag reflex, Neurological disorders, and Impaired physical mobility, all of which were statistically associated with Risk for aspiration. Note that patients who develop such a diagnosis were seven times more likely to develop respiratory aspiration. Conclusion: dysphagia, Impaired or absent gag reflex were the best predictors both for Risk for aspiration and respiratory aspiration.

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Published

2015-04-01

Issue

Vol. 23 No. 2 (2015)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Clinical factors predicting risk for aspiration and respiratory aspiration among patients with Stroke . (2015). Revista Latino-Americana De Enfermagem, 23(2), 216-224. https://doi.org/10.1590/0104-1169.0197.2545