La tunisie Medicale - 2022 ; Vol 100 ( n°010 ) : 664-669
[ 1835 times seen ]

Introduction: Dysphagia is a common disorder among stroke patients. Dysphagia can lead to consequences that can negatively impact the quality of life (QoL) in stroke patients.
Aim: To investigate the impact of dysphagia on the QoL in stroke patients.
Methods: Relevant types of literature were searched from PubMed, Scopus, ProQuest, and Google Scholar databases from inception to July 2022. Peerreviewed studies that aimed to determine the impact of dysphagia on the QoL in stroke patients were included regardless of the year of publication. The National Institutes of Health tool for observational cohort and cross-sectional studies was used to assess the methodological quality of the selected studies. In addition, data analysis was conducted using qualitative methodology with narrative synthesis.
Results: A total of 6 studies met the inclusion criteria with a total number of 381 participants. Only one study has good methodological quality while other studies have fair methodological quality. Dysphagia negatively impacts the QoL in stroke patients, especially those with severe dysphagia. However, after treatment, changes were evident through improved QoL and decreased severity of dysphagia. Moreover, the research found that patients with a higher educational level have a better QoL
Conclusion : Dysphagia has a negative impact on the QoL in stroke patients, so dysphagia in stroke patients should be diagnosed and treated as soon as possible to avoid poor QoL.

Key - Words
  1. Pontes ÉS, Amaral AK, Rêgo FL, Azevedo EH, Silva PO. Quality of life in swallowing of the elderly patients affected by stroke. Arq Gastroenterol. 2017; 54(1):27-32.
  2. Sarikaya H, Ferro J, Arnold M. Stroke prevention--medical and lifestyle measures. Eur Neurol. 2015; 73(3-4):150-7.
  3. Cichero JA, Steele C, Duivestein J, et al. The Need for International Terminology and Definitions for TextureModified Foods and Thickened Liquids Used in Dysphagia Management: Foundations of a Global Initiative. Curr Phys Med Rehabil Rep. 2013; 24;1(4):280-291.
  4. Kidd D, Lawson J, Nesbitt R, MacMahon J. The natural history and clinical consequences of aspiration in acute stroke. QJM. 1995; 88(6):409-13. ‏
  5. Mann G, Hankey GJ, Cameron D. Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis. 2000; 10(5):380-6.‏
  6. Martino R, Foley N, Bhogal S, et al. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005; 36(12):2756-63.‏
  7. Meng NH, Wang TG, Lien IN. Dysphagia in patients with brainstem stroke: incidence and outcome. Am J Phys Med Rehabil. 2000; 79(2):170-5.‏
  8. Nilsson H, Ekberg O, Olsson R, Hindfelt B. Dysphagia in stroke: a prospective study of quantitative aspects of swallowing in dysphagic patients. Dysphagia. 1998; 13(1):32-8. ‏
  9. Finizia C, Rudberg I, Bergqvist H, Rydén A. A cross-sectional validation study of the Swedish version of SWAL-QOL. Dysphagia. 2012; 27(3):325-35.‏
  10. Burkhead LM, Sapienza CM, Rosenbek JC. Strengthtraining exercise in dysphagia rehabilitation: principles, procedures, and directions for future research. Dysphagia. 2007; 22(3):251-65.‏
  11. Crary MA, Humphrey JL, Carnaby-Mann G, et al. Dysphagia, nutrition, and hydration in ischemic stroke patients at admission and discharge from acute care. Dysphagia. 2013; 28(1):69-76.‏
  12. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008; 10;8:45.‏
  13. Christmas C, Rogus-Pulia N. Swallowing Disorders in the Older Population. J Am Geriatr Soc. 2019; 67(12):2643-2649.
  14. van Hoeken D, Hoek HW. Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden. Curr Opin Psychiatry. 2020; 33(6):521-527.
  15. Farahat M, Malki KH, Mesallam TA, Bukhari M, Alharethy S. Development of the Arabic Version of Dysphagia Handicap Index (DHI). Dysphagia. 2014; 29(4):459-67.
  16. McHorney CA, Robbins J, Lomax K, et al. The SWALQOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia. 2002; 17(2):97-114.
  17. Silbergleit AK, Schultz L, Jacobson BH, Beardsley T, Johnson AF. The Dysphagia handicap index: development and validation. Dysphagia. 2012; 27(1):46-52.
  18. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.
  19. The National Institutes of Health. Retrieved from: https:// (Last visit: October 14, 2022).
  20. Brandão DM, Nascimento JL, Vianna LG. Evaluation of functional capacity and quality of life of the elderly after ischemic stroke with and without dysphagia. Rev Assoc Med Bras. 2009; 55(6):738-43.
  21. Bakhtiyari J, Dadgar H, Maddah M, et al. The Effects of Dysphagia on Quality of Life in Stroke Survivors. Middle East J Rehab Health Stud. 2020;7(4).‏
  22. Kim DY, Park HS, Park SW, Kim JH. The impact of dysphagia on quality of life in stroke patients. Medicine. 2020; 21;99(34):e21795.‏
  23. Hong DG, Yoo DH. A comparison of the swallowing function and quality of life by oral intake level in stroke patients with dysphagia. J Phys Ther Sci. 2017; 29(9):1552-1554.‏
  24. Bahcecı K, Umay E, Gundogdu I, et al. The effect of swallowing rehabilitation on quality of life of the dysphagic patients with cortical ischemic stroke. Iran J Neurol. 2017; 7;16(4):178-184.‏
  25. Jones E, Speyer R, Kertscher B, et al. Health-Related Quality of Life and Oropharyngeal Dysphagia: A Systematic Review. Dysphagia. 2018; 33(2):141-172.‏
  26. Ross CE, Van Willigen M. Education and the subjective quality of life. J Health Soc Behav. 1997; 38(3):275-97.‏
  27. Tan LLC, Lim Y, Ho P, et al. Understanding Quality of Life for Palliative Patients With Dysphagia Using the Swallowing Quality of Life (SWAL-QOL) Questionnaire. Am J Hosp Palliat Care. 2021; 38(10):1172-1176.‏
E-mail :
Password :
Remember Me Forgot password? Sign UP
Keywords most used
Tunisia treatment diagnosis Child surgery prognosis epidemiology Risk factors Children prevalence Crohn’s disease Breast cancer screening obesity Cancer
Sign up to receive our newsletter
E-mail :
Stay in Touch
Join Us! !