Swallowing Status Comparison between Primary Dysphagia and Post-stroke Dysphagia in Inpatient Rehabilitation Facilities.
Autor: | Hong I; Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA., Hreha KP; Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA. |
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Jazyk: | angličtina |
Zdroj: | Swallowing rehabilitation [Swallowing Rehabil] 2020 Mar; Vol. 3 (1), pp. 23-31. |
DOI: | 10.31115/sr.2020.3.1.23 |
Abstrakt: | Objectives: To examine the improvement of discharge swallowing status between patients with a primary dysphagia diagnosis and those with Post-stroke dysphagia discharged from inpatient rehabilitation facilities (IRFs). Methods: A retrospective cohort design used data from the United States Uniform Data System for Medical Rehabilitation (UDS Results: The mean age of the sample was 71.4 years (SD = 12.8). A total of 992 patients were retrieved from the study data, including 64 patients with a primary dysphagia diagnosis and 928 patients with Post-stroke dysphagia. Adjusted ordinal logistic regression model revealed that patients with primary dysphagia had lower odds of improving their swallowing status (odds ratio [OR] 0.300: 95% Confidence Interval [CI] 0.142, 0.636) than those with Post-stroke dysphagia at discharge from IRFs. Similarly, the multiple imputations method revealed that patients with primary dysphagia had lower odds of swallowing status improvement at discharge from IRFs (OR 0.563: 95% CI 0.342, 0.925). Discussion: Patients with a primary dysphagia diagnosis receiving rehabilitation services in IRFs demonstrated substantially worse swallowing status compared to those with Post-stroke dysphagia in a large national sample. This finding suggests that healthcare providers should be aware of the differences occurring in swallowing improvement across dysphagia diagnosis groups. |
Databáze: | MEDLINE |
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