지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 42 - 51 (10page)
이용수
초록· 키워드
오류제보하기
Objective To demonstrate the usefulness of early videofluoroscopic swallowing study (VFSS) and to investigate change patterns in dietary methods in stroke patients with dysphagia. Methods The VFSS was performed within 7 days of stroke onset in neurologically stable patients. The patients were divided into three groups according to type of brain lesion: cortical lesion (CL), subcortical lesion (SCL), and brainstem/cerebellar lesion (BCL). Based on the VFSS results, this study investigated change patterns in feeding method and discrepancies in the aspiration risk predicted by the Water Swallowing Test (WST) and the VFSS. Complications, such as aspiration pneumonia, were also evaluated. Results A total of 163 patients met the inclusion criteria and the VFSS was performed within 7 days of stroke. Patients considered at risk for aspiration (Penetration-Aspiration Scale [PAS] scores of 6 to 8) were found in all three groups using the VFSS (47.5% of the CL group, 59.3% of the SCL group, and 47.9% of the BCL group). After early VFSS, 79.7% of the patients were assessed to require restricted feeding methods. A 19.0% discrepancy was found between the WST and VFSS results. At 3-week follow-up after the VFSS, aspiration pneumonia was observed in 12 patients (7.4%) with restricted feeding methods. Conclusion Early VFSS during the acute period can facilitate determination of the most appropriate feeding method, and support effective dysphagia management for stroke patients.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Axelsson K / 1984 / Eating after a stroke: towards an integrated view / Int J Nurs Stud 21:93~99
Mann G / 1999 / Swallowing function after stroke: prognosis and prognostic factors at 6 months / Stroke 30:744~748
Martino R / 2005 / Dysphagia after stroke: incidence, diagnosis, and pulmonary complications / Stroke 36:2756~2763
Katzan IL / 2003 / The effect of pneumonia on mortality among patients hospitalized for acute stroke / Neurology 60:620~625
Doggett DL / 2001 / Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: an evidence-based comprehensive analysis of the literature / Dysphagia 16:279~295
Mann G / 1999 / Swallowing function after stroke: prognosis and prognostic factors at 6 months / Stroke 30:744~748
Martino R / 2005 / Dysphagia after stroke: incidence, diagnosis, and pulmonary complications / Stroke 36:2756~2763
Katzan IL / 2003 / The effect of pneumonia on mortality among patients hospitalized for acute stroke / Neurology 60:620~625
Doggett DL / 2001 / Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: an evidence-based comprehensive analysis of the literature / Dysphagia 16:279~295
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