P.059 Predictors of gastrostomy tube placement in patients with dysphagia after acute stroke

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Predictors of Percutaneous Endoscopic Gastrostomy Tube Placement after Stroke.

AIMS the goal of this study was to identify important prognostic variables affecting placement of a percutaneous endoscopic gastrostomy (Peg) tube after acute stroke. METHODS We retrospectively reviewed our patient database to identify acute ischemic stroke patients who placed Peg or nasogastric tube (NGT) tube, but were free of other confounding conditions affecting swallowing. A total of 34...

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Predictors of Recovery of Functional Swallow After Gastrostomy Tube Placement for Dysphagia in Stroke Patients After Inpatient Rehabilitation: A Pilot Study

OBJECTIVE To determine predictors of early recovery of functional swallow in patients who had gastrostomy (percutaneous endoscopic gastrostomy [PEG]) placement for dysphagia and were discharged to inpatient rehabilitation (IPR) after stroke. METHODS A retrospective study of prospectively identified patients with acute ischemic and hemorrhagic stroke from July 2008 to August 2012 was conducted...

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dysphagia in acute ischemic stroke

Introduction: Swallowing dysfunction complicates acute strokes in 25-32% of cases and directly affects patientschr('39') prognosis and recovery. Dysphagia complicates the course of acute strokes through its potential of the development of chest infection, nutritional problems, and dehydration.  Dysphagia is also an independent predictor of respiratory morbidity and mortality in acute stroke. In...

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The role of gastrostomy tube placement in advanced dementia with dysphagia: a critical review

PURPOSE Over 4.5 million people in North America had a diagnosis of dementia in the year 2000, and more than half had advanced disease with potential aspiration risk. There is much controversy regarding the use and timing of enteral feeding support in these patients with dysphagia. The management of dysphagia is far more complex when considering quality of life, "comfort care" hand feeding, the...

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Predictors and Outcomes of Dysphagia Screening After Acute Ischemic Stroke.

BACKGROUND AND PURPOSE Guidelines advocate screening all acute stroke patients for dysphagia. However, limited data are available regarding how many and which patients are screened and how failing a swallowing screen affects patient outcomes. We sought to evaluate predictors of receiving dysphagia screening after acute ischemic stroke and outcomes after failing a screening test. METHODS We us...

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ژورنال

عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques

سال: 2017

ISSN: 0317-1671,2057-0155

DOI: 10.1017/cjn.2017.143