Document Detail


Findings of videofluoroscopic swallowing studies are associated with tube feeding dependency at discharge in stroke patients with dysphagia.
MedLine Citation:
PMID:  15886964     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The factors associated with tube feeding dependency in stroke patients with dysphagia have received little attention. This study aimed to identify factors independently associated with tube feeding dependency at discharge in stroke patients with dysphagia using videofluoroscopic swallowing studies (VSS) and clinical findings. One hundred eighty-one consecutive tube-fed inpatients with stroke-related dysphagia referred for VSS were enrolled in the study. Of them, 47 patients continued to require tube feeding at discharge. In the final logistic regression analysis model, advanced age, recurrent stroke, confinement to a wheelchair at discharge, long duration from stroke onset to VSS, and stasis in valleculae or pyriform sinuses and aspiration on VSS were independently associated with tube feeding dependency at discharge. This study confirms the association between findings of VSS and tube feeding dependency at discharge in stroke patients with dysphagia. Based on the final regression model, a preliminary equation was proposed to help clinicians better predict the tube feeding dependency at discharge in stroke patients with dysphagia.
Authors:
Yi-Nien Lin; Ssu-Yuan Chen; Tyng-Guey Wang; Yeun-Chung Chang; Wei-Chu Chie; I-Nan Lien
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Dysphagia     Volume:  20     ISSN:  0179-051X     ISO Abbreviation:  Dysphagia     Publication Date:  2005  
Date Detail:
Created Date:  2005-05-11     Completed Date:  2005-10-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8610856     Medline TA:  Dysphagia     Country:  United States    
Other Details:
Languages:  eng     Pagination:  23-31     Citation Subset:  IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cohort Studies
Deglutition / physiology*
Deglutition Disorders / etiology,  physiopathology*
Enteral Nutrition*
Female
Humans
Male
Middle Aged
Patient Discharge*
Photofluorography
Prospective Studies
Risk Factors
Stroke / complications*
Comments/Corrections
Erratum In:
Dysphagia. 2005 Autumn;20(4):388

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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