Document Detail

Quantifying fluid intake in dysphagic stroke patients: a preliminary comparison of oral and nonoral strategies.
MedLine Citation:
PMID:  11733894     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine whether dysphagic stroke patients receiving oral (thickened-fluid dysphagia) diets or nonoral (enteral feedings supplemented with intravenous fluids) diets met their estimated fluid requirements. DESIGN: Cohort study. SETTING: University-affiliated hospital. PARTICIPANTS: Thirteen dysphagic patients with new strokes were studied for 21 days postadmission to hospital. INTERVENTIONS: Seven patients (group 1) were started on nonoral feeding and later progressed to oral diets and 6 patients (group 2) received oral dysphagia diets only. MAIN OUTCOME MEASURE: Fluid intake. RESULTS: Fluid intake of patients in group 1 significantly declined over the 21 days (mean +/- standard deviation, 3158 +/- 523mL/d vs 984 +/- 486mL/d; p < .0001), representing 134% +/- 26% and 43% +/- 20% of their fluid requirements, respectively. Mean fluid intake of patients in group 2 was 755 +/- 162mL/d, representing 33% +/- 5% of requirements. This volume was significantly lower than the fluid intake of patients who received nonoral feeding (p < .0001). CONCLUSIONS: Dysphagic stroke patients who received thickened-fluid dysphagia diets failed to meet their fluid requirements whereas patients on enteral feeding and intravenous fluid regimens received ample fluid.
H M Finestone; N C Foley; M G Woodbury; L Greene-Finestone
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  82     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-12-04     Completed Date:  2002-01-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1744-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Department of Physical Medicine and Rehabilitation, University of Ottawa, Sisters of Charity Health Sciences Service, Ottawa, Ontario, Canada.
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MeSH Terms
Cohort Studies
Deglutition Disorders / etiology,  therapy*
Dehydration / prevention & control*
Enteral Nutrition*
Fluid Therapy*
Middle Aged
Stroke / complications*

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

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