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Prevalence and risk factors of stroke-related sarcopenia at the subacute stage: A case control study
ConclusionsOlder age, light weight, severer clinical conditions, cognitive impairment, and significantly decreased levels of albumin, RAG, creatinine, uric acid, red blood cell count, hemoglobin, prealbumin, iron, and creatine kinase are more significantly present in patients with SRS compared with those without SRS.
Source: Frontiers in Neurology - August 8, 2022 Category: Neurology Source Type: research

Case report: Dysphagia after COVID-19 infection in a stroke patient —Is neurostimulation a potential management?
A 90-year-old man with stroke was weaned from tube feeding 4 months after stroke onset. However, he had a coronavirus disease 2019 (COVID-19) infection after 2 months and suffered from drastically worsened oropharyngeal dysphagia that required a reinsertion of the nasogastric tube. A videofluoroscopic swallowing study revealed poor bolus oral transit, significantly delayed swallowing reflex, reduced pharyngeal movements, and insufficient cough response. Repetitive transcranial magnetic stimulation and neuromuscular electrical stimulation were applied, in addition to conventional swallowing training. The feeding tube was re...
Source: Frontiers in Neurology - March 6, 2023 Category: Neurology Source Type: research

Intramural hematoma of the esophagus after thrombolysis for ischemic stroke
We report the case of an 88-year-old woman who developed an intramural hematoma of the esophagus after intravenous thrombolysis for an acute ischemic stroke. Before thrombolysis, nasogastric intubation was attempted unsuccessfully. She was kept on nil by mouth, intravenous hydration, proton pump inhibitor, antiemetics, and an antibiotic initiated 2 days before for periodontal disease.
Source: The American Journal of Emergency Medicine - August 29, 2014 Category: Emergency Medicine Authors: Mario Jorge Silva, Joana Saiote, Vera Salvado, Ana Paiva Nunes, Pedro Duarte Tags: Case report Source Type: research

Pharyngeal Electrical Stimulation in Dysphagia Poststroke: A Prospective, Randomized Single-Blinded Interventional Study
Conclusions. Although the direction of observed differences were consistent with PES accelerating swallowing recovery over the first 2 weeks postintervention, suboptimal recruitment prevents definitive conclusions. Our study design experience and outcome data are essential to inform a definitive, multicenter randomized trial.
Source: Neurorehabilitation and Neural Repair - September 11, 2016 Category: Neurology Authors: Vasant, D. H., Michou, E., OLeary, N., Vail, A., Mistry, S., Hamdy, S., Greater Manchester Stroke Research Network Tags: Clinical Research Articles Source Type: research

Long Term Use of Nasogastric Tube Has Negative Impact in Swallowing Function in Post-stroke Patient
To investigate the impact of long term use of nasogastric tube in swallowing function in post-stroke patient.
Source: Archives of Physical Medicine and Rehabilitation - September 24, 2017 Category: Rehabilitation Authors: Guo-Xin Ni, Zhi-Yong Wang Source Type: research

One-Year Risk of Pneumonia and Mortality in Patients with Poststroke Dysphagia: A Nationwide Population-Based Study
In the early stages of stroke, the use of a nasogastric tube can reduce complications such as malnutrition, dehydration, and pneumonia. However, its long-term efficacy is controversial.
Source: Journal of Stroke and Cerebrovascular Diseases - February 3, 2018 Category: Neurology Authors: Chung-Han Ho, Wen-Chih Lin, Ya-Fang Hsu, I.-Hui Lee, Yi-Chieh Hung Source Type: research

Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding
In clinical practice, a large number of post-stroke survivors require nasogastric tube (NGT) placement and nasal feeding for a relatively long period. However, its impact on the swallowing function remains lar...
Source: BMC Neurology - May 1, 2019 Category: Neurology Authors: Zhi-Yong Wang, Jian-Min Chen and Guo-Xin Ni Tags: Research article Source Type: research

Comparison of tube feeding in stroke patients: Nasogastric tube feeding versus oroesophageal tube feeding—A pilot study
Backgrounds: Patients with central nervous system injuries present with dysphagia and may require non-oral feeding methods, like percutaneous endoscopic gastrostomy, nasogastric (NG) tube, or oroesophageal (OE) tube. The prevalence of pneumonia in patients with gastroesophageal reflux (GER) is significantly higher than that in patients without GER. We aimed to determine the most appropriate tube feeding with low risk of GER by comparing the results of 24-hour pH monitoring studies in patients who were administered 2 types of feeding: NG tube and OE tube. Methods: In this pilot study, 6 stroke patients underwent 24-hou...
Source: Medicine - July 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research

Factors Associated with Risk of Stroke-Associated Pneumonia in Patients with Dysphagia: A Systematic Review
AbstractDysphagia is associated with increased risk of stroke-associated pneumonia (SAP). However, it is unclear what other factors contribute to that risk or which measures may reduce it. This systematic review aimed to provide evidence on interventions and care processes associated with SAP in patients with dysphagia. Studies were screened for inclusion if they included dysphagia only patients, dysphagia and non-dysphagia patients or unselected patients that included dysphagic patients and evaluated factors associated with a recorded frequency of SAP. Electronic databases were searched from inception to February 2017. El...
Source: Dysphagia - September 5, 2019 Category: Speech-Language Pathology Source Type: research

Associating Factors of Recovery of Functional Swallow in Patients with Dysphagia Following a Stroke
To investigate associating factors of early recovery of functional swallow in patients who had nasogastric tube (NGT) placement for dysphagia after stroke.
Source: Archives of Physical Medicine and Rehabilitation - October 24, 2020 Category: Rehabilitation Authors: Jui-ching Liu Tags: Research Poster Source Type: research

The Outcome of Status Epilepticus and Long-Term Follow-Up
Conclusion: This study highlights the importance of regular care and patient follow-up. Introduction Status epilepticus (SE) is a condition and most extreme form of epilepsy (1), which leads to abnormal and prolonged seizure (at least 5 min). In case SE persists over 30 min, it may have severe long-term consequences (2). Referring to the new classification scheme of SE, there are two operational dimensions of the definition: time point 1 (T1) is associated with abnormally prolonged seizure, when therapy should be initiated, while time point 2 (T2) is related to the time of on-going seizure activity involving a risk...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

In Process Citation.
Abstract Management of ischemic stroke is targeted on four therapeutic objectives: limitation of neurological deficit, prevention of earyl stroke recurrence, protection against complications, and secondary prevention. Intravenous thrombolysis within 4.5h of stroke onset is the only proven therapy to improvefunctional outcome. Although promising, neither endovascular recanalisation nor neuroprotective strategies have demonstrated efficacy so far. Immediate administration of antiplatelet agents like acetylsalicylic acid and clopidogrel - in case of intravenous thrombolysis at the earliest after 24h - is effective to...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 1, 2014 Category: Intensive Care Authors: Görtler M, Oldag A, Brejova A Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research

Impact of early versus late enteral nutrition on cell mediated immunity and its relationship with Glucagon Like Peptide-1 in intensive care unit patients: a prospective study
Conclusions: Our findings suggest that early enteral feeding may cause amelioration in cell mediated immunity via factors other than GLP-1 in ICU patients with acute thromboembolic stroke. However, the possible deleterious effects of parenteral nutrition cannot be ruled out.
Source: Critical Care - June 20, 2013 Category: Intensive Care Authors: Okan BakinerEmre BozkirliSemih GirayZulfikar ArlierIlknur KozanogluNurzen SezginCagla SariturkEda Ertorer Source Type: research

Interventions to prevent non-critical care hospital acquired pneumonia – a systematic review
Conclusions There is currently insufficient trial evidence on preventing non-critical care hospital-acquired pneumonia to make recommendations on practice.
Source: European Geriatric Medicine - April 24, 2015 Category: Geriatrics Source Type: research

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