| dc.description.abstract | Background: Alberta Stroke Program Early CT Score (ASPECTS) is a quantitative
scoring system to measure the extension of early ischemic changes in hyperacute
ischemic stroke in the anterior circulation. Risk factors of dysphagia have been
linked to ASPECTS score. Patients with lower ASPECTS scores have a higher risk
of dysphagia. Furthermore, ASPECTS score has also been linked with severity.
Objective: To study an association between ASPECTSS score and dysphagia and
severity in patients with acute ischemic stroke in RSUP H. Adam Malik Medan
Methods: This analytic study with a cross-sectional design was conducted in the
RSUP H. Adam Malik from November 2022 – January 2023. Subjects include
acute ischemic stroke patients confirmed by a non-contrast head CT scan. We
collected data regarding the ASPECTS, NIHSS scores, and dysphagia evaluation
from the Gugging Swallowing Screen. The Association between ASPECTS score
and dysphagia was performed using Mann-Whitney test, and the association
between ASPECT score and National Institutes of Health Stroke Scale
(NIHSS) score was performed by Spearman test.
Results: A total of 34 subjects were included in this study, with a mean age of
58.4±10.1 years. We found a significant association between ASPECT score and
dysphagia (p <0.001), and a significant negative association with a very strong
correlation between ASPECTS and NIHSS scores (r=-0.82; p<0.001).
Conclusion: There is a significant association between ASPECT score and
dysphagia and stroke severity. | en_US |
