Predictive Factors for Dysphagia After Anterior Cervical Spine Surgery: A Prospective Multicenter Study

医学 吞咽困难 颈椎 多中心研究 前瞻性队列研究 外科 颈椎 脊柱外科 随机对照试验
作者
Yu Chen,Jihong Zhu,Fengzhao Zhu,Chencheng Feng,Chunmei Luo,Caiping Song
出处
期刊:World Neurosurgery [Elsevier BV]
卷期号:178: e533-e539 被引量:1
标识
DOI:10.1016/j.wneu.2023.07.115
摘要

To identify the incidence and predictors of postoperative dysphagia in patients who undergo anterior cervical spine surgery (ACSS) by utilizing the Eating Assessment Tool (EAT-10). A multicenter prospective study was undertaken at three hospitals to evaluate patients undergoing ACSS between January 2021 and January 2023. Included patients were aged 18–80 years and were undergoing primary or revision ACSS. Dysphagia was assessed using the validated EAT-10 questionnaire. Patients with dysphagia were included in the observation group, and those without dysphagia were included in the control group. Of the 343 patients enrolled, 50 patients (14.6%) had EAT-10 scores of 3 or more at the 6-month follow-up. In the univariate analysis, patients with dysphagia at 7 days had a longer operative time, were current smokers, had involvement of vertebral bodies at C4 and above, and underwent intraoperative neurophysiological monitoring. Patients with dysphagia at 6 months had involvement of vertebral bodies at C4 and above and underwent intraoperative neurophysiological monitoring. In the multivariate analysis to determine associations with prolonged dysphagia, only the involvement of vertebral bodies at C4 and above (odds ratio 3.883, 95% confidence interval 1.847–8.165, P = 0.001) and intraoperative neurophysiological monitoring (odds ratio 0.273, 95% confidence interval 0.080–0.931, P = 0.038) remained significant. Dysphagia is common after ACSS, affecting more than 67.5% of patients at 7 days postoperatively, but over time, the incidence of dysphagia gradually decreases. Involvement of the vertebral bodies at C4 and above is a risk factor for dysphagia after ACSS, and intraoperative neurophysiological monitoring is a protective factor.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
丝丢皮得完成签到 ,获得积分10
1秒前
爆米花应助DeepLearning采纳,获得10
5秒前
铜豌豆完成签到 ,获得积分10
5秒前
cheng完成签到,获得积分10
12秒前
君看一叶舟完成签到 ,获得积分10
18秒前
在水一方应助科研通管家采纳,获得10
18秒前
19秒前
Chuang完成签到 ,获得积分10
33秒前
热心市民完成签到 ,获得积分10
38秒前
吃不胖的魔芋丝完成签到 ,获得积分10
46秒前
49秒前
李东东完成签到 ,获得积分10
49秒前
fsznc1完成签到 ,获得积分0
58秒前
年轻的笙完成签到,获得积分10
59秒前
嘻嘻完成签到 ,获得积分10
1分钟前
huiluowork完成签到 ,获得积分10
1分钟前
1分钟前
拾陆发布了新的文献求助10
1分钟前
乔杰完成签到 ,获得积分10
1分钟前
ramsey33完成签到 ,获得积分10
1分钟前
小静完成签到 ,获得积分10
1分钟前
默笙完成签到 ,获得积分10
1分钟前
小乙猪完成签到 ,获得积分0
1分钟前
赵帅完成签到 ,获得积分10
1分钟前
1分钟前
西扬完成签到 ,获得积分10
1分钟前
1分钟前
Ray完成签到 ,获得积分10
1分钟前
yyds完成签到,获得积分10
1分钟前
DeepLearning发布了新的文献求助10
1分钟前
1分钟前
柚C美式完成签到 ,获得积分10
1分钟前
kumo完成签到 ,获得积分10
1分钟前
旺旺大礼包完成签到,获得积分10
1分钟前
小康学弟完成签到 ,获得积分10
1分钟前
大个应助DeepLearning采纳,获得10
1分钟前
yimiyangguang完成签到 ,获得积分10
1分钟前
HHEHK完成签到 ,获得积分10
2分钟前
CCsci完成签到 ,获得积分10
2分钟前
ranj完成签到,获得积分10
2分钟前
高分求助中
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3990835
求助须知:如何正确求助?哪些是违规求助? 3532241
关于积分的说明 11256614
捐赠科研通 3271100
什么是DOI,文献DOI怎么找? 1805229
邀请新用户注册赠送积分活动 882302
科研通“疑难数据库(出版商)”最低求助积分说明 809236