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Tube feeding predictors after ischemic hemispheric stroke during hospitalization
CONCLUSION: Tube feeding during patients hospitalization after ischemic hemispheric stroke was predicted by the severity of stroke and signs of airway permeation.Key pointsSwallowing difficulty is one of the most common post-stroke consequences.There are few studies on the characterization of post-stroke patients with tube feeding.Tube feeding after ischemic stroke predictors were severity of stroke and signs of airway permeation.PMID:33775213 | DOI:10.1080/14015439.2021.1899279
Source: Logopedics, Phoniatrics, Vocology. - March 29, 2021 Category: Speech-Language Pathology Authors: Mar ília Fernandes Carollo Tyalla Duarte Patr ício Cristiane Gon çalves Montibeller Karen Fontes Luchesi Source Type: research

Pneumonia risk factors in stroke patients
Conclusion: pneumonia was a prevalent complication in post-stroke patients at a Brazilian tertiary hospital. It was related to the patient ’ s older age and the severity of the cerebral event.RESUMO Objetivo: avaliar as caracter ísticas demográficas e clínicas associadas ao desenvolvimento de pneumonia em pacientes após acidente vascular encefálico internados em um hospital terciário do Vale do São Francisco que atende os estados de Pernambuco e Bahia, Brasil. Métodos: trata-se de estudo unicêntrico, observacional , analítico e transversal realizado a partir dos prontuários de pacientes com diagnóstico de aci...
Source: Revista CEFAC - October 26, 2020 Category: Speech-Language Pathology Source Type: research

Causes of hospital admissions and deaths among Brazilian elders between 2005 and 2015.
CONCLUSION: Circulatory and respiratory diseases were the main causes of hospital admissions and death among the elderly, highlighting the impotant increase in pneumonia as a cause of morbimortality. PMID: 31644715 [PubMed - in process]
Source: Revista gaucha de enfermagem EENFUFRGS - October 25, 2019 Category: Nursing Tags: Rev Gaucha Enferm Source Type: research

Dysphagia and Associated Pneumonia in Stroke Patients from Brazil: A Systematic Review
AbstractDysphagia and its associated complications are expected to be relatively more frequent in stroke patients in Brazil than in similar patients treated in developed countries due to the suboptimal stroke care in many Brazilians medical services. However, there is no estimate of dysphagia and pneumonia incidence for the overall stroke population in Brazil. We conducted a systematic review of the recent literature to address this knowledge gap, first screening citations for relevance and then rating full articles of accepted citations. At both levels, judgements were made by two independent raters according to a priori ...
Source: Dysphagia - May 19, 2019 Category: Speech-Language Pathology Source Type: research

Anesthetic management of endovascular treatment for acute ischemic stroke: Influences on outcome and complications
ConclusionsGeneral anesthesia and conscious sedation are both safe alternatives for anesthetic management of patients submitted to endovascular thrombectomy. No anesthetic management is universally recommended and hopefully the ongoing randomized clinical trials will shed some light on the best approach; meanwhile, the choice of anesthesia should be based on the patient's individual characteristics. Regarding neuroprotection, hemodynamic stability is currently the most important strategy, as no pharmacological method has been proven effective in humans.ResumoJustificativa e objetivosO uso emergente de terapias endovascular...
Source: Brazilian Journal of Anesthesiology - July 25, 2018 Category: Anesthesiology Source Type: research

Hospital mortality in older patients in the Brazilian Unified Health System, Southeast region
CONCLUSIONS Although the information source has its shortcomings, the ability for discrimination of the risk adjustment model was reasonable. The variability in the risk-adjusted hospital mortality was great and comparatively higher in for-profit private hospitals. Despite the limits, the results favor the use of the risk-adjusted hospital mortality in the monitoring of the quality of hospital care provided to the older adult.RESUMO OBJETIVO Avaliar fatores associados ao óbito hospitalar em idosos internados por doenças do aparelho circulatório específicas no Sistema Único de Saúde, considerando a mortalidade hospita...
Source: Revista de Saude Publica - July 23, 2018 Category: International Medicine & Public Health Source Type: research

Off-pump versus On-pump Coronary Artery Bypass Grafting in Frail Patients: Study Protocol for the FRAGILE Multicenter Randomized Controlled Trial
In this study, the authors introduce the new national, multicenter, randomized, controlled trial "FRAGILE", to be developed in the main cardiac surgery centers of Brazil, to clarify the potential benefit of off-pump CABG in frail patients. Methods: FRAGILE is a two-arm, parallel-group, multicentre, individually randomized (1:1) controlled trial which will enroll 630 patients with blinded outcome assessment (at 30 days, 6 months, 1 year, 2 years and 3 years), which aims to compare adverse cardiac and cerebrovascular events after off-pump versus on-pump CABG in pre-frail and frail patients. Primary outcomes will be all-cause...
Source: Revista Brasileira de Cirurgia Cardiovascular - December 5, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research