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    
Abstract/OtherAbstract:
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.
Authors:
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
Affiliation:
Department of Physical Medicine and Rehabilitation, University of Ottawa, Sisters of Charity Health Sciences Service, Ottawa, Ontario, Canada. hfinesto@scohs.on.ca
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MeSH Terms
Descriptor/Qualifier:
Aged
Cohort Studies
Deglutition Disorders / etiology,  therapy*
Dehydration / prevention & control*
Diet
Drinking
Enteral Nutrition*
Fluid Therapy*
Humans
Middle Aged
Stroke / complications*

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


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