Evidence map›Paper›PMID 39918632›Full record

ArticleDysphagia2025

Recovery of Swallowing Function and Prognostic Factors Associated with Exacerbation of Post-stroke Dysphagia.

Seung Jun Lee, So Young Lee, Min Kyun Sohn, Jongmin Lee, Deog Young Kim, Yong-Il Shin, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, Min-Keun Song and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Dysphagia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Seung Jun LeeDepartment of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju city, Republic of Korea.
So Young Lee *Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju city, Republic of Korea. bluelsy900@hanmail.net.ORCID http://orcid.org/0000-0002-0433-4548
Min Kyun SohnDepartment of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon, Republic of Korea.
Jongmin LeeDepartment of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, Republic of Korea.
Deog Young KimDepartment and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Yong-Il ShinDepartment of Rehabilitation Medicine, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Gyung-Jae OhDepartment of Preventive Medicine, Wonkwang University, School of Medicine, Iksan, Republic of Korea.
Yang-Soo LeeDepartment of Rehabilitation Medicine, School of Medicine, Kyungpook National University Hospital, Kyungpook National University, Daegu, Republic of Korea.
Min Cheol JooDepartment of Rehabilitation Medicine, Wonkwang University School of Medicine, Iksan, Republic of Korea.
Min-Keun SongDepartment of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Junhee HanDepartment of Statistics, Hallym University, Chuncheon, Republic of Korea.
Jeonghoon AhnDepartment of Health Convergence, Ewha Womans University, Seoul, Republic of Korea.
Young-Hoon LeeDepartment of Rehabilitation Medicine, School of Medicine, Kyungpook National University Hospital, Kyungpook National University, Daegu, Republic of Korea.
Yun-Hee KimDepartment of Physical and Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Suwon, Republic of Korea.
Won Hyuk Chang *Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. wh.chang@samsung.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-stroke dysphagia is a common and debilitating complication affecting millions of people worldwide, often leading to malnutrition, pneumonia, and reduced quality of life. This study, an interim analysis of the Korean Study Cohort for Functional and Rehabilitation, aimed to identify long-term changes and predictive factors associated with post-stroke dysphagia at 3 years after stroke. A total of 4735 patients with acute first-ever stroke, including both ischemic and hemorrhagic subgroups, were followed, and dysphagia was assessed using the ASHA-NOMS scale. All the patients were then followed up for up to 36 months. The results showed significant improvements in dysphagia up to 12 months after stroke in the total and hemorrhagic stroke group, and the decline in swallowing function after 24 months in the total stroke and ischemic stroke groups was a novel finding. The hemorrhagic stroke group showed worsening dysphagia after 30 months. It is unclear whether patients who experienced worsening of swallowing function had other conditions, including new strokes, that might have contributed to this decline. Male gender, age at stroke, K-FAST at 7 days, ASHA-NOMS scale, mRS score at 3 months, and early comprehensive rehabilitation were identified as predictors of a decrease in the ASHA-NOMS score after 24 months. Additionally, the K-MBI score at 3 months post-stroke was found to be a significant factor influencing long-term improvements in swallowing function. These findings suggest that patients should be closely monitored for dysphagia beyond 24 months after stroke onset, as swallowing function may decline over time. During follow-up, it is essential to carefully consider the multiple factors associated with this decline.

Indexed as

DeglutitionDeglutition DisordersRecovery of FunctionStrokeAgedDisease ProgressionFemaleHumansMaleMiddle AgedPrognosisRepublic of KoreaSeverity of Illness IndexStroke RehabilitationAmerican Speech-Language-Hearing Association National Outcomes Measurement SystemDysphagiaPrognosisStroke

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.