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- W4319008006 abstract "Introduction: Lower cranial nerve motor dysfunction is a well-distinguished feature in acute ischemic stroke (AIS). As a result, patients can present with vocal dysfunction, including vocal fold paralysis (VFP). Few studies have examined VFP in AIS patients. Objective: To identify the incidence and characteristics of patients presenting with VFP after AIS. Methods: A query of the 2000-2019 National Inpatient Sample was performed for patients admitted with AIS (ICD9 433, 43401, 43411, 43491, ICD-10 I63). Demographics, comorbidities, and outcomes were identified. Univariate analysis with t-tests or chi-square performed as appropriate. A 1:1 nearest neighbor propensity score matched cohort was generated. Variables with standardized mean differences >0.1 used in multivariate regression to generate adjusted odds ratios (AOR)/β-coefficients for VFP on outcomes. Significance set at an alpha level of <0.001. All analysis performed in R version 4.1.3. Results: 10,415,286 patients with AIS were included; 11,328 (0.1%) had VFP. At baseline, a higher percentage of patients with VFP were younger, male, insured by Medicaid, had a higher Elixhauser Comorbidity Score, and were more likely to have a tracheostomy and ventilator use (all p<0.001). Following propensity matching, multivariate analysis revealed that patients with VFP were less likely to be discharged home (AOR 0.32; 95%CI: 0.18-0.57; p<0.001) with no effect of VFP on in-hospital mortality, length of stay, or total hospital charges (p> 0.001) Conclusion: This is the first study to report on national trends of patients with VFP after AIS, and we found that VFP patients were more male, younger, higher overall disease burden, and required more in-hospital procedures. Though rare, VFP causes significant morbidity for patients after AIS. Patients experience significant functional deficits at discharge, as represented by the low rate of home discharge." @default.
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- W4319008006 date "2023-02-01" @default.
- W4319008006 modified "2023-09-23" @default.
- W4319008006 title "Abstract WP206: Acute Ischemic Stroke And Vocal Fold Paralysis: A Propensity Matched 20-year Analysis Of The National Inpatient Sample" @default.
- W4319008006 doi "https://doi.org/10.1161/str.54.suppl_1.wp206" @default.
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