Associating Factors Regarding Nasogastric Tube Removal in Patients With Dysphagia After Stroke
Annals of Rehabilitation Medicine
;
: 6-12, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-227449
ABSTRACT
OBJECTIVE:
To demonstrate associating factors regarding nasogastric tube (NGT) removal in patients with dysphagia after stroke.METHODS:
This study is a retrospective medical chart review. Patients were divided into non-brain stem (NBS) and brain stem (BS) groups. A videofluoroscopic swallowing study was conducted until swallowing functions were recovered. Initial disease status was measured using the National Institutes of Health Stroke Scale (NIHSS) and the modified Rankin Scale (mRS). Risk factors related to stroke were evaluated. The penetration-aspiration scale (PAS) was used as the swallowing test. Functional status was measured by Mini-Mental Status Examination (MMSE) and Modified Barthel Index (MBI). Within each group, initial evaluations and their subsequent changes were compared according to the NGT removal status. Correlation between the NGT removal time and other initial factors were evaluated.RESULTS:
Ninety-nine patients were allocated to the NBS group and 39 to the BS group. In NBS, age, PAS, MMSE, and MBI were significantly different according to the NGT removal status. In BS, smoking and PAS were significantly different. In NBS, changes in PAS, MMSE, and MBI were significantly different according to the NGT removal status. In BS, only PAS change was significantly different. In NBS, initial NIHSS, mRS, MMSE, and MBI were correlated with removal time.CONCLUSION:
In stroke patients with NTG, younger age, better initial disease and functional status seems to remove NGT in NBS stroke. Therefore, when deciding to remove NGT, those three factors should be considered discreetly.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fumaça
/
Tronco Encefálico
/
Fluoroscopia
/
Fumar
/
Transtornos de Deglutição
/
Estudos Retrospectivos
/
Fatores de Risco
/
Acidente Vascular Cerebral
/
Deglutição
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Annals of Rehabilitation Medicine
Ano de publicação:
2014
Tipo de documento:
Artigo
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