Understanding the Background of Acute Ischemic Stroke and Dysphagia

Oct 13, 2025 by miodeya.com 87 views

Relationship of Alberta Stroke Program Early CT Score (Aspects) to Dysphagia and Severity of Acute Ischemic Stroke at the Adam Malik Hajj Center General Hospital Medan Medan

Acute ischemic stroke is a medical condition that requires fast and precise treatment. One of the methods used to assess the development of this stroke is the Early CT Score (Aspects) stroke program, which is a quantitative assessment system to measure the degree of initial ischemic changes in hyperacute ischemic stroke, especially in anterior circulation. This study aims to explore the relationship between aspects scores with dysphagia (difficulty swallowing) and the severity of stroke in patients at H. Adam Malik Hospital Medan.

Understanding the Background of Acute Ischemic Stroke and Dysphagia

Dysphagia often occurs in stroke patients, and the risk of this condition can be influenced by aspects scores. Research shows that patients with lower aspects scores have a higher chance of experiencing dysphagia. In addition, aspects scores are also closely related to stroke severity, where low scores indicate a more serious stroke condition. The relationship between aspects scores and dysphagia is a crucial aspect of stroke management, as it can help healthcare professionals identify patients who are at risk of developing dysphagia and provide them with appropriate care.

Research Methodology: A Quantitative Approach

This study was conducted with an analytical design of latitude at H. Adam Malik Hospital from November 2022 to January 2023. The research subject consisted of patients with acute ischemic strokes who had been confirmed through the CT scan of the head without contrast. The data collected includes aspects scores, NIHSS (National Institutes of Health Stroke Scale) scores, and evaluation of dysphagia using Gugging Swallowing Screen. Data analysis was carried out with a Mann-Whitney test for the relationship between aspects and dysphagia scores, as well as the Spearman test to see the relationship between the Aspects score and the NIHSS score. The use of a quantitative approach in this study allows for the collection and analysis of data in a systematic and objective manner, providing a clear understanding of the relationship between aspects scores and dysphagia.

Research Result: A Significant Relationship Between Aspects and Dysphagia Scores

In this study, as many as 34 subjects were involved, with an average age of 58.4 ± 10.1 years. The results of the analysis showed a significant relationship between aspects and dysphagia scores (p <0.001). In addition, there is a very strong negative correlation between aspects scores and nihss scores (r = -0.82; p <0.001). This indicates that the lower the aspects score, the higher the severity of the stroke and the possibility of dysphagia. The results of this study provide valuable insights into the relationship between aspects scores and dysphagia, highlighting the importance of rapid monitoring and handling for stroke patients to minimize complications.

Conclusion: Implications for Stroke Management

This study shows that there is a significant relationship between aspects and dysphagia scores and the severity of stroke. Aspects scores can be a valuable indicator in assessing the risk of dysphagia and the severity of acute ischemic stroke. These results emphasize the importance of rapid monitoring and handling for stroke patients to minimize complications, such as dysphagia, which can affect their quality of life. Therefore, a good understanding of this relationship can help in developing more effective handling strategies for patients with ischemic stroke.

Limitations of the Study

While this study provides valuable insights into the relationship between aspects scores and dysphagia, there are several limitations that should be noted. Firstly, the sample size of this study was relatively small, which may limit the generalizability of the results. Secondly, the study was conducted in a single hospital setting, which may not be representative of other hospitals or healthcare settings. Finally, the study only examined the relationship between aspects scores and dysphagia, and did not explore other potential factors that may influence the development of dysphagia in stroke patients.

Future Directions for Research

Future studies should aim to replicate the findings of this study in larger and more diverse samples, and explore the relationship between aspects scores and dysphagia in different healthcare settings. Additionally, studies should examine the potential factors that may influence the development of dysphagia in stroke patients, such as age, sex, and comorbidities. By understanding the complex relationships between aspects scores, dysphagia, and stroke severity, healthcare professionals can develop more effective strategies for managing stroke patients and minimizing complications.

Clinical Implications

The results of this study have several clinical implications for the management of stroke patients. Firstly, healthcare professionals should be aware of the potential risk of dysphagia in stroke patients, and monitor them closely for signs of dysphagia. Secondly, aspects scores can be used as a valuable indicator in assessing the risk of dysphagia and the severity of acute ischemic stroke. Finally, healthcare professionals should develop more effective handling strategies for patients with ischemic stroke, including rapid monitoring and handling to minimize complications.

Conclusion

In conclusion, this study provides valuable insights into the relationship between aspects scores and dysphagia in stroke patients. The results of this study highlight the importance of rapid monitoring and handling for stroke patients to minimize complications, such as dysphagia, which can affect their quality of life. By understanding the complex relationships between aspects scores, dysphagia, and stroke severity, healthcare professionals can develop more effective strategies for managing stroke patients and minimizing complications.
Q&A: Relationship of Alberta Stroke Program Early CT Score (Aspects) to Dysphagia and Severity of Acute Ischemic Stroke

Q: What is the Alberta Stroke Program Early CT Score (Aspects)?

A: The Alberta Stroke Program Early CT Score (Aspects) is a quantitative assessment system used to measure the degree of initial ischemic changes in hyperacute ischemic stroke, especially in anterior circulation.

Q: What is the purpose of this study?

A: The purpose of this study is to explore the relationship between aspects scores with dysphagia (difficulty swallowing) and the severity of stroke in patients at H. Adam Malik Hospital Medan.

Q: What is dysphagia, and how is it related to stroke?

A: Dysphagia is a condition where a person has difficulty swallowing. Research shows that patients with lower aspects scores have a higher chance of experiencing dysphagia. In addition, aspects scores are also closely related to stroke severity, where low scores indicate a more serious stroke condition.

Q: What are the implications of this study for stroke management?

A: The results of this study emphasize the importance of rapid monitoring and handling for stroke patients to minimize complications, such as dysphagia, which can affect their quality of life. Aspects scores can be a valuable indicator in assessing the risk of dysphagia and the severity of acute ischemic stroke.

Q: What are the limitations of this study?

A: The sample size of this study was relatively small, which may limit the generalizability of the results. The study was also conducted in a single hospital setting, which may not be representative of other hospitals or healthcare settings.

Q: What are the future directions for research?

A: Future studies should aim to replicate the findings of this study in larger and more diverse samples, and explore the relationship between aspects scores and dysphagia in different healthcare settings. Additionally, studies should examine the potential factors that may influence the development of dysphagia in stroke patients, such as age, sex, and comorbidities.

Q: What are the clinical implications of this study?

A: The results of this study have several clinical implications for the management of stroke patients. Healthcare professionals should be aware of the potential risk of dysphagia in stroke patients, and monitor them closely for signs of dysphagia. Aspects scores can be used as a valuable indicator in assessing the risk of dysphagia and the severity of acute ischemic stroke.

Q: How can healthcare professionals use the results of this study in their practice?

A: Healthcare professionals can use the results of this study to develop more effective handling strategies for patients with ischemic stroke, including rapid monitoring and handling to minimize complications. They can also use aspects scores as a valuable indicator in assessing the risk of dysphagia and the severity of acute ischemic stroke.

Q: What are the potential benefits of this study for patients with stroke?

A: The results of this study can help healthcare professionals develop more effective strategies for managing stroke patients and minimizing complications, such as dysphagia, which can affect their quality of life. By understanding the complex relationships between aspects scores, dysphagia, and stroke severity, healthcare professionals can provide better care for patients with stroke.

Q: What are the potential limitations of this study for patients with stroke?

A: The results of this study may not be generalizable to all patients with stroke, and may not be representative of other hospitals or healthcare settings. Additionally, the study only examined the relationship between aspects scores and dysphagia, and did not explore other potential factors that may influence the development of dysphagia in stroke patients.

Q: What are the future directions for research in this area?