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Condition: Pneumonia
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Total 1270 results found since Jan 2013.

Swallowing Dysfunction after Acute Stroke: The Incidence, Predictors and Outcome
CONCLUSION: Swallowing dysfunction should be checked in all cases of strokes, including unilateral hemispheric strokes and in fully conscious patients. Swallowing improves with time, but the patient may require feeding assistance in an acute setting. Dysphagia is more common in strokes with higher NIHSS, involving more brain parenchyma and posterior circulation strokes.PMID:37651239 | DOI:10.59556/japi.71.0301
Source: Journal of the Association of Physicians of India - August 31, 2023 Category: General Medicine Authors: Charulata Londhe Aashish Agrawal Sangeeta Pednekar Dharmendra Pandey Mohammed Fasahatulla Khan Source Type: research

Post‐stroke dysphagia: progress at last
Abstract Oropharyngeal Dysphagia (OD) is both underestimated and underdiagnosed as a cause of malnutrition and respiratory complications following stroke. OD occurs in more than 50% of stroke patients. Aspiration pneumonia (AP) occurs in up to 20% of acute stroke patients and is a major cause of mortality after discharge. Systematic screening for OD should be performed on every patient with stroke before starting oral feeding, followed, if appropriate by clinical and instrumental (videofluroscopy and/or fiberoptic endoscopy) assessment. Bolus modification with adaptation of texture and viscosity of solids and fluids and po...
Source: Neurogastroenterology and Motility - March 11, 2013 Category: Gastroenterology Authors: L. Rofes, N. Vilardell, P. Clavé Tags: Viewpoint Source Type: research

Differences in Videofluoroscopic Swallowing Study (VFSS) Findings According to the Vascular Territory Involved in Stroke
Abstract Dysphagia affects up to half of stroke patients and increases the risk of pneumonia and fatal outcomes. In order to assess swallowing difficulty, videofluoroscopic swallowing study (VFSS) has traditionally been the gold standard. The purpose of this study was to compare the patterns of post-stroke swallowing difficulties according to the vascular territories involved in the stroke. One hundred and three patients who were diagnosed with first ischemic stroke by brain magnetic resonance imaging and had swallowing difficulty were included in this study. Location of the stroke was classified into three group...
Source: Dysphagia - August 1, 2014 Category: Speech Therapy Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as an early predictor of post-stroke dysphagia
Conclusions The NIHSS >9 and FIM < 55 are moderately predictive of clinically relevant dysphagia. While the NIHSS clinical test characteristics are not as favorable as the FIM, NIHSS appears to be more sensitive than some other reported methods such as a 3-sip water test. Further study into development of paradigms that incorporate NIHSS into initial assessment of dysphagia risk may be appropriate.
Source: PMandR - January 15, 2015 Category: Rehabilitation Source Type: research

Effectiveness Of A Structured Teaching Programme In Improving The Knowledge And Skills Of The Care Givers And Preventing Secondary Complications In Hospitalized Stroke Patients (P5.147)
Conclusion: The structured teaching program was effective in improving the knowledge and skill of the caregivers and decreasing the complications in the hospitalized stroke patients.Disclosure: Dr. Bhatia has nothing to disclose. Dr. Thomas has nothing to disclose. Dr. Agarwal has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bhatia, R., Thomas, A., Agarwal, M. Tags: Cerebrovascular Disease and Interventional Neurology: Quality Research and Initiatives Source Type: research

Risk of Stroke-Associated Pneumonia and Oral Hygiene
Conclusion: In this large hospital-based cohort of patients admitted with acute stroke, systematic OHC use was associated with decreased odds of hospital-acquired pneumonia.Cerebrovasc Dis 2016;41:35-39
Source: Cerebrovascular Diseases - November 20, 2015 Category: Neurology Source Type: research

Predicting Pneumonia in Acute Ischaemic Stroke: Comparison of Five Prediction Scoring Models.
CONCLUSION: A(2)DS(2) , AIS-APS and Kwon's scores performed comparably in discriminating SAP in AIS patients. PMID: 28733688 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - June 1, 2017 Category: General Medicine Authors: Tu TM, Phua SS, Acharyya S, Ng WM, Oh DC Tags: Ann Acad Med Singapore Source Type: research

Dysphagia and aspiration pneumonia in elderly hospitalization stroke patients: Risk factors, cerebral infarction area comparison.
CONCLUSION: In stroke inpatients over sixty years of age, it is necessary to distinguish the patients with multiple previous cerebral infarctions, high NIHSS score, masticatory muscle paralysis, abolition of gag reflex for early detection and rehabilitation of dysphagia. PMID: 30223382 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - September 20, 2018 Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

Mapping acute lesion locations to physiological swallow impairments after stroke
This study aimed to assess the statistical relationship between acute stroke lesion locations and impairment of specific aspects of swallow physiology. We performed lesion symptom mapping with 68 retrospectively recruited, acute, first-ever ischemic stroke patients. Lesions were determined on diffusion weighted MRI scans. Post-stroke swallow physiology was determined using the Modified Barium Swallow Study Impairment Profile (MBSImP©™). The relationship between brain lesion location and 17 physiological aspects of swallowing were tested using voxel-based and region-based statistical associations corrected for multiple c...
Source: NeuroImage: Clinical - January 22, 2019 Category: Radiology Source Type: research

A stimulus for eating. The use of neuromuscular transcutaneous electrical stimulation in patients affected by severe dysphagia after subacute stroke: A pilot randomized controlled trial.
CONCLUSIONS: Laryngopharyngeal neuromuscular electrical stimulation may be considered as an additional and effective treatment option for dysphagia after stroke. PMID: 30714980 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - February 6, 2019 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Assessment of the effects of dysphagia therapy in patients in the early post-stroke period: a randomised controlled trial.
CONCLUSIONS: A comprehensive therapy for dysphagia is effective and can reduce serious complications of swallowing disorders in clinical practice. CLINICAL IMPLICATIONS: The results of this study could improve the clinical treatment of dysphagia. PMID: 31724147 [PubMed - as supplied by publisher]
Source: Neurologia i Neurochirurgia Polska - November 13, 2019 Category: Neurology Authors: Krajczy E, Krajczy M, Luniewski J, Bogacz K, Szczegielniak J Tags: Neurol Neurochir Pol Source Type: research