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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 265 - 274 (10page)
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Background and Purpose The presence of dysphagia and aspiration in stroke patients is associated with increased mortality and morbidity. Early recognition and management of these two conditions via reliable, minimally invasive bedside procedures before complications arise remains challenging in everyday clinical practice. This study reviews the available bedside screening tools for detecting swallowing status and aspiration risk in acute stroke by qualitatively observing reference population study design, clinical flexibility, reliability and applicability to acute-care settings. Methods The primary search was conducted using the PubMed, Embase, and Cochrane Library databases. The search was limited to papers on humans written in English and published from 1991 to 2016. Eligibility criteria included the consecutive enrollment of acute-stroke inpatients and the development of a protocol for screening aspiration risk during oral feeding in this population. Results Of the 652 sources identified, 75 articles were reviewed in full however, only 12 fulfilled the selection criteria. Notable deficiencies in most of the bedside screening protocols included poor methodological designs and inadequate predictive values for aspiration risk which render clinicians to be more conservative in making dietary recommendations. Conclusions The literature is dense with screening methods for assessing the presence of dysphagia but with low predictive value for aspiration risk after acute stroke. A standard, practical, and cost-effective screening tool that can be applied at the bedside and interpreted by a wide range of hospital personnel remains to be developed. This need is highlighted in settings where neither trained personnel in evaluating dysphagia nor clinical instrumentation procedures are available.
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참고문헌 (48)
참고문헌 신청
Altman KW / 2010 / Consequence of dysphagia in the hospitalized patient: impact on prognosis and hospital resources / Arch Otolaryngol Head Neck Surg 136:784~789
Armstrong JR / 2011 / Aspiration pneumonia after stroke: intervention and prevention / Neurohospitalist 1:85~93
Goldstein LB / 2011 / Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association / Stroke 42:517~584
Camm AJ / 2014 / The Route Map for Change & the European Atlas on the Prevention of AF-Related Stroke / The Health Policy Partnership
OECD/EU / 2010 / Health at a Glance: Europe 2010 / OECD Publishing
Armstrong JR / 2011 / Aspiration pneumonia after stroke: intervention and prevention / Neurohospitalist 1:85~93
Goldstein LB / 2011 / Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association / Stroke 42:517~584
Camm AJ / 2014 / The Route Map for Change & the European Atlas on the Prevention of AF-Related Stroke / The Health Policy Partnership
OECD/EU / 2010 / Health at a Glance: Europe 2010 / OECD Publishing
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