Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/9593
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Predictors of prolonged dysphagia following acute stroke |
Author: | Broadley, S. Croser, D. Cottrell, J. Creevy, M. Teo, E. Yiu, D. Pathi, R. Taylor, J. Thompson, P. |
Citation: | Journal of Clinical Neuroscience, 2003; 10(3):300-305 |
Publisher: | Churchill Livingstone |
Issue Date: | 2003 |
ISSN: | 0967-5868 1532-2653 |
Statement of Responsibility: | S. Broadley, D. Croser, J. Cottrell, M. Creevy, E. Teo, D. Yiu, R. Pathi, J. Taylor and P. D. Thompson |
Abstract: | 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. |
Keywords: | acute stroke dysphagia prognosis PEG aspiration pneumonia |
Description: | Copyright © 2003 Elsevier Science Ltd. All rights reserved. |
DOI: | 10.1016/S0967-5868(03)00022-5 |
Published version: | http://dx.doi.org/10.1016/s0967-5868(03)00022-5 |
Appears in Collections: | Aurora harvest 4 Medicine publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.