Factors Contributing to Hydration, Fluid Intake and Health Status of Inpatients With and Without Dysphagia Post  Stroke

AbstractDysphagia has been strongly associated with poor hydration in acute stroke settings. However, in sub-acute settings, the contribution to dehydration of dysphagia in combination with other common stroke comorbidities has not been explored. The aim of this study was to investigate which demographic and stroke comorbidities, including dysphagia, contribute most significantly to oral fluid intake, hydration status and specific adverse health outcomes for patients in sub-acute rehabilitation following stroke. Data from 100 inpatients from three Australian rehabilitation facilities (14 with confirmed dysphagia and 86 without dysphagia) were analysed. Hierarchical multiple regressions were conducted to determine which demographic or stroke comorbidities were most predictive of each outcome: average daily fluid intake; Blood urea nitrogen/creatinine (BUN/Cr) ratio as an index of hydration and medically diagnosed adverse events of pneumonia, dehydration, urinary tract infection or constipation. Average daily beverage intake (M = 1448 ml, SD 369 ml) was significantly and independently predicted by Functional Independence Measure (FIM) at admission (F change  = 9.212,p = 0.004). BUN/Cr ratio (M = 20, SD 5.16) was predicted only by age (F change  = 4.026,p = 0.049). Adverse health events, diagnosed for 20% of participants, were significantly predicted by Admission FIM (OR 1.040, 95% CI 1.001, 1.081,p =&nbs...
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research

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Publication date: Available online 15 October 2018Source: Journal of Hospital InfectionAuthor(s): C.C.H. Leung, G.M. Joynt, C.D. Gomersall, W.T. Wong, A. Lee, L. Ling, P.K.S. Chan, P.C.W. Lui, P.C.Y. Tsoi, C.M. Ling, M. HuiSummaryWhereas high-flow nasal cannula use is gaining prevalence, its high gas flow raises concerns about aerosolization of infectious particles and spread of infection. This randomized controlled crossover non-inferiority trial (N = 20) evaluated the degree of environmental contamination by viable bacteria associated with the use of high-flow nasal cannula compared with conventional oxygen mask for crit...
Source: Journal of Hospital Infection - Category: Infectious Diseases Source Type: research
Abstract Continuous antibiotic prophylaxis (CAP) for urinary tract infection prevention in children with vesicoureteral reflux, hydronephrosis, and hydroureteronephrosis is reviewed. A more selective use of CAP is advocated based on a review of known individual risk factors in each of these conditions that subsequently helps identify the children most likely to benefit from CAP. Both short-term and potential long-term side effects of CAP are reviewed, including the impact of prophylactic antibiotics on bacterial resistance and the microbiome. Alternatives to continuous antibiotic prophylaxis including Vaccinium ma...
Source: The Urologic Clinics of North America - Category: Urology & Nephrology Authors: Tags: Urol Clin North Am Source Type: research
This article is part of a series of opinion pieces to mark World Food Day October 16   José Graziano da Silva is Director-General of the Food and Agriculture Organization of the United NationsThe post Zero Hunger: our actions today are our future tomorrow appeared first on Inter Press Service.
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Development & Aid Economy & Trade Editors' Choice Featured Food & Agriculture Global Headlines Health Poverty & SDGs TerraViva United Nations World Food Day 2018 Source Type: news
Buffalo General Medical Center has received state approvals to add 4-D imaging equipment adjacent to its emergency department, a move it says will “revolutionize” stroke treatment. The hospital filed plans this summer to invest $2.5 million in a 4-Dimensional Computed Tomography system from Canon Medical USA, creating a cardiac catheterization lab suite within Buff Gen’s Gates Vascular Institute emergency department. The state Departme nt of Health approved the project Oct. 10.  The equipment…
Source: bizjournals.com Health Care:Physician Practices headlines - Category: American Health Authors: Source Type: news
Condition:   Ventilator-acquired Pneumonia Interventions:   Device: EVAC-PU-ETT;   Device: PVC-ETT Sponsors:   Oregon Health and Science University;   National Heart, Lung, and Blood Institute (NHLBI) Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Stroke Intervention:   Behavioral: Cardiac Rehabilitation Sponsors:   University of South Carolina;   Novant Health Heart and Vascular Institute;   American Physical Therapy Association Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This study sought to provide direct evidence of the benefits of drinking extra fluids. What did the study tell us? The study participants were 140 premenopausal women who experienced three or more episodes of cystitis in one year and reported that they drank less than 1.5 liters of fluids daily, which is about 6 1/3 cups. The average amount participants drank daily was a bit over a liter (1.1 liters, or about 4 1/2 cups). The women were randomized to one of two groups. Every day, one group drank their usual amount of fluids plus an additional 1.5 liters of water. The control group drank just their usual amount of fluids. T...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Kidney and urinary tract Prevention Sex Women's Health Source Type: blogs
AbstractDysphagia has been strongly associated with poor hydration in acute stroke settings. However, in sub-acute settings, the contribution to dehydration of dysphagia in combination with other common stroke comorbidities has not been explored. The aim of this study was to investigate which demographic and stroke comorbidities, including dysphagia, contribute most significantly to oral fluid intake, hydration status and specific adverse health outcomes for patients in sub-acute rehabilitation following stroke. Data from 100 inpatients from three Australian rehabilitation facilities (14 with confirmed dysphagia and 86 wit...
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research
ConclusionsOsteoporotic fractures led to amount of medical complications, which significantly increased patients ’ economic burden. Complications correlate to various factors such as patients’ disease history.
Source: Archives of Orthopaedic and Trauma Surgery - Category: Orthopaedics Source Type: research
This study aimed to contribute to the evidence of the effectiveness of water protocols with a particular emphasis on health outcomes, especially hydration. An RCT was conducted with patients with known thin liquid aspiration post stroke randomized to receiving thickened liquids only or a water protocol. For the 14 participants in rehabilitation facilities whose data proceeded to analysis, there was no difference in the total amount of beverages consumed between the water protocol group (mean = 1103 ml per day, SD = 215 ml) and the thickened liquids only group (mean = 1103 ml, SD...
Source: Dysphagia - Category: Speech Therapy Source Type: research
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