Paper Information

Journal:   MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI)   2017 , Volume 31 , Number 1; Page(s) 0 To 0.
 
Paper: 

Prevalence and predictors of dysphagia in Iranian patients with multiple sclerosis

 
DOI: 

10.14196/mjiri.31.133

 
Author(s):  Tarameshlu Maryam, AZIMI AMIRREZA, GHELICHI LEILA*, NAKHOSTIN ANSARI NOUREDDIN
 
* Department of Speech and Language Pathology, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
 
Abstract: 
Background: Dysphagia is frequently observed in patients with multiple sclerosis (MS). Dysphagia and its complications are common causes of morbidity and mortality in final stages of MS disease. This study aimed at determining the prevalence of dysphagia in Iranian patients with MS and identifying predictors associated with dysphagia. Methods: A total of 230 MS patients were enrolled in this cross-sectional study. Dysphagia was evaluated using Mann Assessment of Swallowing Ability (MASA). Demographic characteristics (age and gender), duration of the disease, disease course, and Expanded Disability Status Scale (EDSS) were recorded for all participants. Results: In total, dysphagia was found in 85 participants (37%) with mild to severe dysphagia (mild 50. 6%; moderate 29. 4%; and severe 20%). The logistic regression model demonstrated that disability status in EDSS (OR= 2. 1; 95% CI 0. 5-1. 2) and disease duration (OR= 2. 3; 95% CI 0. 4-1. 1) predicts a high risk for dysphagia in MS patients. Conclusion: Dysphagia is prevalent in Iranian patients with MS. Disability level and disease duration are significant predictors of dysphagia after MS.
 
Keyword(s): Multiple Sclerosis,Deglutition,Deglutition disorders,Prevalence,MASA
 
References: 
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