Review Article

Pharyngeal Electrical Stimulation for Treatment of Poststroke Dysphagia: Individual Patient Data Meta-Analysis of Randomised Controlled Trials

Table 2

Baseline characteristics of participants. Data are number (%), median [interquartile range], or mean (standard deviation).

TrialAllPESNo PESTrial 1 [9]Trial 2 [9]Trial 3 [10]

Participants ()733736102835
Age (years, mean, SD)72.0 (11.8)71.3 (13.4)72.8 (9.9)73.3 (11.9)74.9 (9.7)69.4 (12.9)
Sex (male, %)45 (61.6)24 (64.9)21 (58.3) 5 (50.0)19 (67.9) 21 (60.0)
mRS (/6)3.0 (1.7) 3.1 (1.7) 2.9 (1.7) 0.1 (0.4) NR3.6 (1.0)
Stroke syndrome (%) [12]
 TACS34 (46.6) 19 (51.4) 15 (41.7) 3 (30.0)10 (35.7)21 (60.0)
 PACS33 (45.2)16 (43.2)17 (47.2)5 (50.0)16 (57.1)12 (34.3)
 LACS4 (5.5)2 (5.4)2 (5.6)2 (20.0)1 (3.6)1 (2.9)
 POCS2 (2.7)0 (0)2 (5.6)0 (0)1 (3.6)1 (2.9)
Type (%)
 Ischaemic69 (94.5)35 (94.6) 34 (94.4) 10 (100)26 (92.9)33 (94.3)
 ICH4 (5.5)2 (5.4)2 (5.6)0 (0)2 (7.1)2 (5.7)
Severity, NIHSS (/42)10.6 (5.8)10.2 (5.9)10.9 (5.8)5.4 (4.2)9.7 (4.1)12.7 (6.4)
Side of lesion (%)
 Normal12 (32.4) 7 (38.9) 5 (26.3) 5 (50.0)7 (25.9)
 Left6 (16.2)3 (16.7)3 (15.8)1 (10.0)5 (18.5)
 Right15 (40.5)6 (33.3)9 (47.4)4 (40.0)11 (40.7)
 Bilateral4 (10.8)2 (11.2)2 (10.5)0 (0)4 (14.8)
Feeding, enteral (%)36 (49.3)18 (48.6)18 (50.0)2 (20.0)11 (39.3)23 (65.7)
DSRS (/12)6.7 (4.3) 7.1 (4.2) 6.3 (4.4) 6.0 (4.8)7.3 (3.8)
 Median [IQR]6.0 [9.0] 8.0 [8.0] 5.5 [9.0] 5.5 [10.5]7.0 [8.0]
(%)17 (27.0) 9 (27.3) 8 (26.7) 7 (25.0)10 (28.6)
Weight (kg)76.9 (23.6) 75.2 (24.8) 78.5 (22.9) 78.0 (24.8) 76.7 (23.8)
PAS (/8)4.3 (1.8) 4.6 (2.0) 3.9 (1.6) 4.5 (0.8)4.3 (1.9)4.2 (2.2)
 Mean of first 34.3 (2.2) 4.7 (2.5) 3.9 (1.8) 4.9 (1.8)4.1 (2.1)4.3 (2.5)
 Number of boli >33.2 (2.1) 3.6 (2.2) 2.7 (2.0) 3.5 (1.5)3.4 (2.3)2.6 (2.1)
 Any bolus >3 (%)51 (85.0) 28 (87.5) 23 (82.1) 9 (90.0)23 (82.1)19 (86.4)
 Worst [median, IQR]7.0 [3.0] 7.5 [3.0] 6.0 [3.5] 8.0 [3.0]7.0 [3.0]6.0 [3.0]
 Cumulative [/48]25.0 [14.5] 28.1 [17.0] 23.5 [11.0] 27.0 [5.0]26.1 [16.0]20.5 []
TAR (days)15.1 (8.5)14.8 (8.5)15.5 (8.7)13.2 (7.3)15.0 (7.7)15.8 (9.6)
Electrical current (mA)
 Sensitivity11.4 (5.6) 10.4 (5.3) 12.8 (5.8) 7.9 (3.2) 10.3 (4.4) 12.9 (6.4)
 Treatment16.8 (6.6) 15.5 (5.7) 18.4 (7.2) 12.3 (4.3) 15.3 (5.2) 18.6 (7.3)

DSRS: dysphagia severity rating scale; ICH: intracerebral haemorrhage; LACS: lacunar syndrome; mRS: modified Rankin Scale; NIHSS: National Institutes of Health Stroke Scale; NR: not recorded; PACS: partial anterior circulation syndrome; PAS: penetration aspiration score; POCS; posterior circulation syndrome; SD: standard deviation; TACS: total anterior circulation syndrome; TAR: time admission-randomisation.