The Relationship between Severity of Dysphagia and Aspiration Risk among Patients with Neurogenic Dysphagia

Document Type : Original Article

Authors

1 Assistant lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Menoufia University.

2 Prof. of Critical Care and Emergency Nursing, Faculty of Nursing, Menoufia University.

3 Prof of Anesthesiology & Intensive Care Medicine, Anesthesiology & Intensive Care Medicine Department, Faculty of Medicine, Menoufia University.

4 Assistant Prof. of Critical Care and Emergency Nursing , Faculty of Nursing, Menoufia University.

10.21608/menj.2025.452678

Abstract

Abstract: Background: Neurogenic dysphagia is a common problem among critically ill patients. Purpose of the study: to examine the relationship between the severity of dysphagia and aspiration risk among patients with neurogenic dysphagia.  Setting: Medical and Trauma ICUs at Menoufia University Hospital. Sample: A convenient sample of 60 patients with neurogenic dysphagia. Design: A descriptive study was conducted. Instruments: (1) Demographic and Clinical Data Sheet, (2) Dysphagia Severity Rating Scale (DSRS), (3) Mann Assessment of Swallowing Ability (MASA), (4) Functional Oral Intake Scale (FOIS), and (5) Glasgow Coma Scale (GCS. Results: There is a highly statistically significant negative correlation between aspiration risk scores and dysphagia severity scores in the studied group (r = -0.655, p = 0.000). Additionally, there is a highly statisticaly significant negative correlation between the dysphagia severity scores and functional oral intake (r = -0.597, p = 0.000). Conclusion: The severity of dysphagia affects the aspiration risk, and functional oral intake in patients with neurogenic dysphagia. Recommendation: Dysphagia screening should become a routine nursing intervention in ICUs to enable early identification of swallowing problems and reduce the fatal outcomes associated with neurogenic dysphagia.

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