Document Detail


Influence of Dysphagia on short-term outcome in patients with acute stroke.
MedLine Citation:
PMID:  21765247     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: : The aim of this study was to determine whether dysphagia present at initial swallowing evaluation is associated with the type of diet eaten at the time of discharge and the location to which the patient is transferred after discharge.
DESIGN: : A total of 409 newly diagnosed acute stroke patients were studied.
RESULTS: : After hospital discharge, 140 patients returned home, 250 were transferred to another hospital for rehabilitation, and 7 were admitted to a nursing home. Twelve patients died. A total of 205 patients were on a regular diet, 96 were receiving a dysphagia diet, and 96 were on enteral feeding at discharge. A total of 90.7% (127/140) of patients who were discharged home were on a regular diet. Most of the patients on a dysphagia diet or enteral feeding could not return home. The scores of the functional independence measure were higher in the patients who returned to their homes than in other groups.
CONCLUSIONS: : Although it is necessary to indicate other factors, such as the physical status to establish better rehabilitation networks, clinical assessment of swallowing in acute stroke is very important to determine whether the patients can go home directly.
Authors:
Shinichiro Maeshima; Aiko Osawa; Yasuhiro Miyazaki; Yasuko Seki; Chiaki Miura; Yuu Tazawa; Norio Tanahashi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  90     ISSN:  1537-7385     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-07-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  316-20     Citation Subset:  AIM; IM    
Affiliation:
From the Department of Rehabilitation Medicine (SM, AO), Division of Speech Pathology (YM, YS, CM, YT), and Department of Neurology (NT), Saitama Medical University International Medical Center, Hidaka, Japan.
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