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首页> 外文期刊>Journal of Clinical Medicine Research >Cough Reflex Testing in Dysphagia Following Stroke: A Randomized Controlled Trial
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Cough Reflex Testing in Dysphagia Following Stroke: A Randomized Controlled Trial

机译：中风后吞咽困难的咳嗽反射测试：随机对照试验。

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Background: Significant health issues and service delivery costs are associated with post-stroke pneumonia related to dysphagia. Silent aspiration is known to increase pneumonia and mortality in this population. The utility of cough reflex testing (CRT) for reducing pneumonia in acute stroke patients was the subject of this randomised, controlled trial.?Methods: Patients referred for swallowing evaluation (N = 311) were assigned to either 1) a control group receiving standard evaluation or 2) an experimental group receiving standard evaluation with CRT. Participants in the experimental group were administered nebulised citric acid with test results contributing to clinical decisions. Outcomes for both groups were measured by pneumonia rates at 3 months post evaluation and other clinical indices of swallowing management.?Results: Analysis of the data identified no significant differences between groups in pneumonia rate (P = 0.38) or mortality (P = 0.15). Results of CRT were shown to influence diet recommendations (P < 0.0001) and referrals for instrumental assessment (P < 0.0001).?Conclusions: Despite differences in clinical management between groups, the end goal of reducing pneumonia in post stroke dysphagia was not achieved.doi: http://dx.doi.org/10.4021/jocmr1340w
机译：背景：重大的健康问题和服务提供成本与吞咽困难相关的中风后肺炎有关。已知无声抽吸会增加该人群的肺炎和死亡率。这项随机对照试验的主题是咳嗽反射测试（CRT）减少急性中风患者的肺炎的方法。方法：将接受吞咽评估的患者（N = 311）分配给以下任一者：1）接受标准的对照组评估或2）接受CRT标准评估的实验组。实验组的受试者被给予雾化柠檬酸，其测试结果有助于临床决策。两组的结果均通过评估后3个月的肺炎发生率和其他吞咽处理的临床指标来衡量。结果：数据分析确定两组之间的肺炎发生率（P = 0.38）或死亡率（P = 0.15）没有显着差异。 。 CRT结果显示影响饮食建议（P <0.0001）和推荐进行仪器评估（P <0.0001）。结论：尽管各组之间的临床管理存在差异，但仍未达到减少卒中后吞咽困难的肺炎的最终目标。 doi：http：//dx.doi.org/10.4021/jocmr1340w

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