Influencing factors of swallowing disorders rehabilitation in ischemic stroke patients receiving nasogastric feeding:an analysis based on Lasso regression
Objective:To investigate the influencing factors of swallowing disorders rehabilitation in ischemic stroke patients receiving nasogastric feeding.Methods:Using convenience sampling method,the clinical data of patients admitted to the First Affiliated Hospital of Chengdu Medical College after ischemic stroke who received nasogastric tube feeding for swallowing disorder from May 2018 to April 2022 were retrospectively analyzed and divided into a poor prognosis group(n=111)and a good prognosis group(n=176)based on the results of the Water Swallowing Test at the time of discharge.LASSO regression and multivariate Logistic regression analysis were explored to identify factors influencing the rehabilitation of swallowing disorders in post-stroke patients undergoing nasogastric feeding.Results:A total of 287 patients were included,with 111(38.68%)patients experiencing poor prognosis of swallowing disorders.The mean length of stay of the patients was(18.71±11.49)days,and the mean in-hospital nasogastric tube feeding time was(13.36±9.71)days.Multivariate Logistic regression analysis results showed that:age＞70 years[OR(95%CI)=4.86(2.32-10.17),P＜0.001],number of strokes＞2[OR(95%CI)=5.65(1.63-19.50),P=0.006],previous hypertension[OR(95%CI)=11.65(5.23-25.95),P＜0.001],electrolyte disturbance[OR(95%CI)=7.20(3.53-14.67),P＜0.001],tracheal intubation[OR(95%CI)=2.88(1.15-7.23),P=0.024],NIHSS score at admission[OR(95%CI)=6.24(1.11-34.99),P=0.038],and Barthel index at admission[OR(95%CI)=0.06(0.01-0.47),P=0.007]were independent influencing factors of poor prognosis in ischemic stroke patients with swallowing disorders undergoing nasogastric feeding.Conclusions:Comprehensive assessment should be conducted among ischemic stroke patients receiving nasogastric feeding,focusing on age,stroke frequency,previous hypertension,electrolyte disturbances,tracheal intubation,NIHSS score at admission,and Barthel index at admission,is crucial for identifying high-risk patients with poor prognosis.Individualized treatment plans should be formulated for these patients to facilitate precise interventions and ultimately improve their disease outcomes related to swallowing disorders rehabilitation.
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