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Guidewire-assisted Nasogastric Tube Insertion in Post Stroke Patients: A Simple Bedside Trick
Soumya Madhusudhan, Bharath Srinivasaiah, Raghavendra K Pai, Venkatesh Kumar GopalaiahNeurology India 2019 67(5):1367-1368
Source: Neurology India - November 18, 2019 Category: Neurology Authors: Soumya Madhusudhan Bharath Srinivasaiah Raghavendra K Pai Venkatesh Kumar Gopalaiah Source Type: research

Nutritional status and clinical evolution of the elderly in home enteral nutritional therapy: a retrospective cohort study.
CONCLUSION: the majority of patients in home enteral nutrition therapy presented maintenance and / or improvement of clinical and nutritional status. Therefore, this therapy may contribute to a better clinical and nutritional evolution. PMID: 31618391 [PubMed - in process]
Source: Revista Latino-Americana de Enfermagem - October 13, 2019 Category: Nursing Authors: Menezes CS, Fortes RC Tags: Rev Lat Am Enfermagem Source Type: research

Prediction Model of Early Return to Hospital after Discharge Following Acute Ischemic Stroke.
CONCLUSIONS: Although CART analysis did not improve the prediction of an early return to hospital after stroke compared with logistic regression models, decision rules generated by CART can easily be interpreted and applied in clinical practice. PMID: 31544716 [PubMed - as supplied by publisher]
Source: Current Neurovascular Research - September 10, 2019 Category: Neurology Authors: Lee JD, Lee TH, Huang YC, Lee M, Kuo YW, Huang YC, Hu YH Tags: Curr Neurovasc Res 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

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

IJERPH, Vol. 16, Pages 2228: Effect of an Oral Health Programme on Oral Health, Oral Intake, and Nutrition in Patients with Stroke and Dysphagia in Taiwan: A Randomised Controlled Trial
ang Huang No previous studies have evaluated an oral health programme, before swallowing therapy, in patients with stroke and dysphagia in Taiwan. This randomised controlled trial evaluated the effect of an oral health programme (i.e., sputum assessment, Bass method-based tooth brushing, and tooth coating with fluoride toothpaste) before swallowing therapy. Sixty-six patients with stroke (23 female, 43 male) in our rehabilitation ward, who underwent nasogastric tube insertion, were assigned randomly to an oral care group (n = 33) and a control group (n = 33). Demographic data, oral health assessment, Functional Oral...
Source: International Journal of Environmental Research and Public Health - June 23, 2019 Category: Environmental Health Authors: Chen Chen Chen Lee Chang Huang Tags: Article Source Type: research

A functional recovery profile for patients with stroke following post-acute rehabilitation care in Taiwan
ConclusionsThis study showed that the PAC rehabilitation unit was beneficial for patients with acute stroke who had functional impairments. The study results may call for further investigation to identify and develop better models for the delivery of rehabilitation in the stroke PAC unit.
Source: Journal of the Formosan Medical Association - May 29, 2019 Category: General Medicine Source Type: research

A functional recovery profile for patients with stroke following post-acute rehabilitation care in Taiwan.
CONCLUSIONS: This study showed that the PAC rehabilitation unit was beneficial for patients with acute stroke who had functional impairments. The study results may call for further investigation to identify and develop better models for the delivery of rehabilitation in the stroke PAC unit. PMID: 31147198 [PubMed - as supplied by publisher]
Source: J Formos Med Assoc - May 26, 2019 Category: General Medicine Authors: Chien SH, Sung PY, Liao WL, Tsai SW Tags: J Formos Med Assoc 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

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

Management of Dysphagia in Patients with Parkinson's Disease and Related Disorders.
Authors: Umemoto G, Furuya H Abstract Various methods of rehabilitation for dysphagia have been suggested through the experience of treating stroke patients. Although most of these patients recover their swallowing function in a short period, dysphagia in Parkinson's disease (PD) and Parkinson-related disorder (PRD) degenerates with disease progression. Muscle rigidity and bradykinesia are recognized as causes of swallowing dysfunction, and it is difficult to easily apply the strategies for stroke to the rehabilitation of dysphagia in PD patients. Disease severity, weight loss, drooling, and dementia are important ...
Source: Internal Medicine - April 20, 2019 Category: Internal Medicine Tags: Intern Med Source Type: research

Factors associated with hospitalization for community-acquired pneumonia in home health care patients in Taiwan.
CONCLUSIONS: Our results revealed risk factors associated with hospitalization for CAP in HHC patients. In addition to chronic diseases, malnutrition is an important risk factor. Caregivers should make prompt assessments and take preventive measures for such patients. PMID: 30877643 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - March 13, 2019 Category: Geriatrics Authors: Lin CJ, Chang YC, Tsou MT, Chan HL, Chen YJ, Hwang LC Tags: Aging Clin Exp Res Source Type: research

Dysphagia Screening Using High-resolution Impedance Manometry in Acute Stroke
ConclusionsOur assessment program was safe and effective for assessing swallowing function and for determining the appropriate diet plan.
Source: International Journal of Gerontology - July 10, 2018 Category: Geriatrics Source Type: research

Complications Associated With Nasogastric Tube Placement in the Acute Phase of Stroke: A Systematic Review
This systematic review explores the frequency of complications associated with nasogastric tube (NGT) placement in patients with acute stroke. The unique condition of the dysphasic, immobile, confused immunosuppressed patient who has had an acute stroke hampers any consistent inference from other neurological or nonneurological condition in which NGT placement is used. Twelve studies including 921 patients fed by NGT in the acute phase (first 4 weeks) were included in the analysis. The overall quality of the included studies was good. The main limitation was the heterogeneity and small size of most studies. The occurrence ...
Source: Journal of Neuroscience Nursing - July 10, 2018 Category: Neuroscience Tags: Literature Review Source Type: research

Dysphagia Screening Using High-resolution Impedance Manometry in Acute Stroke
ConclusionsOur assessment program was safe and effective for assessing swallowing function and for determining the appropriate diet plan.
Source: International Journal of Gerontology - July 5, 2018 Category: Geriatrics Source Type: research

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