Predictors of prolonged dysphagia following acute stroke
| Autor: | D. Yiu, E. Teo, D. Croser, Philip D. Thompson, J. Taylor, R. Pathi, J. Cottrell, Simon Broadley, M. Creevy |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors medicine.medical_treatment Aspiration pneumonia Pneumonia Aspiration Enteral administration Patient Readmission Severity of Illness Index Young Adult Predictive Value of Tests Physiology (medical) Percutaneous endoscopic gastrostomy otorhinolaryngologic diseases medicine Humans Stroke Aged Aged 80 and over Gastrostomy Vascular disease business.industry Esophageal disease Brain General Medicine Middle Aged medicine.disease Dysphagia Surgery Deglutition Neurology Acute Disease Female Neurology (clinical) medicine.symptom Complication business Deglutition Disorders |
| Zdroj: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 10(3) |
| ISSN: | 1532-2653 |
| Popis: | Dysphagia following acute stroke frequently necessitates prolonged enteral feeding. There is evidence that early enteral feeding via percutaneous endoscopic gastrostomy (PEG) is both beneficial and safe. The aim of this study was to identify predictors of prolonged dysphagia. The subjects were 149 consecutive patients admitted with acute stroke. Clinical findings and imaging results were prospectively collected, and subsequent progress recorded. Subjects were divided into 3 groups for analysis: no dysphagia; transient dysphagia (or =14 days); or prolonged dysphagia (14 days). Validity of the water swallow test as a predictor of aspiration pneumonia was confirmed. Significant associations for prolonged dysphagia were seen with stroke severity, dysphasia and lesions of the frontal and insular cortex on brain imaging. These results indicate that it may be possible to predict patients who will develop prolonged significant dysphagia following acute stroke thereby facilitating referral for insertion of PEG at an earlier time point. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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