Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2003-5-23
pubmed:abstractText
Dysphagia following acute stroke frequently necessitates prolonged enteral feeding. There is evidence that early enteral feeding via percutaneous endoscopic gastrostomy (PEG) is both beneficial and safe. The aim of this study was to identify predictors of prolonged dysphagia. The subjects were 149 consecutive patients admitted with acute stroke. Clinical findings and imaging results were prospectively collected, and subsequent progress recorded. Subjects were divided into 3 groups for analysis: no dysphagia; transient dysphagia (< or =14 days); or prolonged dysphagia (>14 days). Validity of the water swallow test as a predictor of aspiration pneumonia was confirmed. Significant associations for prolonged dysphagia were seen with stroke severity, dysphasia and lesions of the frontal and insular cortex on brain imaging. These results indicate that it may be possible to predict patients who will develop prolonged significant dysphagia following acute stroke thereby facilitating referral for insertion of PEG at an earlier time point.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1532-2653
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
300-5
pubmed:meshHeading
pubmed-meshheading:12763332-Acute Disease, pubmed-meshheading:12763332-Adult, pubmed-meshheading:12763332-Aged, pubmed-meshheading:12763332-Aged, 80 and over, pubmed-meshheading:12763332-Brain, pubmed-meshheading:12763332-Deglutition, pubmed-meshheading:12763332-Deglutition Disorders, pubmed-meshheading:12763332-Female, pubmed-meshheading:12763332-Gastrostomy, pubmed-meshheading:12763332-Humans, pubmed-meshheading:12763332-Male, pubmed-meshheading:12763332-Middle Aged, pubmed-meshheading:12763332-Patient Readmission, pubmed-meshheading:12763332-Pneumonia, Aspiration, pubmed-meshheading:12763332-Predictive Value of Tests, pubmed-meshheading:12763332-Severity of Illness Index, pubmed-meshheading:12763332-Stroke, pubmed-meshheading:12763332-Time Factors, pubmed-meshheading:12763332-Young Adult
pubmed:year
2003
pubmed:articleTitle
Predictors of prolonged dysphagia following acute stroke.
pubmed:affiliation
Department of Neurology, Royal Adelaide Hospital, North Terrace, SA 5000, Australia.
pubmed:publicationType
Journal Article