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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Factors Influencing Oral Intake Improvement and Feeding Tube Dependency in Patients with Poststroke Dysphagia
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Factors Influencing Oral Intake Improvement and Feeding Tube Dependency in Patients with Poststroke Dysphagia

机译：影响口交障碍患者口服进气提高和喂养管依赖性的因素

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Objective: To assess ischemic stroke patients regarding the relationship between lesion locations, swallowing impairment, medical and demographic factors and (1) oral intake improvement and (2) feeding tube dependency at discharge from their acute hospital stay. Methods: We conducted an exploratory, retrospective observational longitudinal cohort study of acute, first-ever, ischemic stroke patients. Patients who had an initial nonoral feeding recommendation from a speech and language pathologist and who underwent a modified barium swallow study within their hospital stay were included. Oral intake status was measured with the Functional Oral Intake Scale (FOIS) as the change in FOIS during the hospital stay and as feeding tube dependency at hospital discharge. Associations were assessed with multiple linear regression modeling controlling for age, comorbidities, and hospital length of stay. Results: We included 44 stroke patients. At hospital discharge, 93% of patients had oral intake restrictions and 30% were feeding tube dependent. Following multiple linear regression modeling, age, damage to the left superior frontal gyrus, dorsal anterior cingulate gyrus, hypothalamus, and nucleus accumbens were significant predictors for FOIS change. Feeding tube dependency showed no significant associations with any prognostic variables when controlling for confounders. Conclusions: The vast majority of patients with an initial nonoral feeding recommendation are discharged with oral intake restrictions indicating a continued need for swallowing assessments and treatment after discharge. Lesion locations associated with motivation, reward, and drive to consume food as well as swallowing impairment, higher age, and more comorbidities were related to less oral intake improvement.
机译：目的：评估关于病变位置，吞咽损伤，医疗和人口因子的关系的缺血性脑卒中患者及（1）口服摄入改善和（2）饲料管依赖于其急性住院住院。方法：对急性，首先，缺血性卒中患者进行探索性，回顾性观察纵向队列研究。包括言语和语言病理学家的初始非饲养推荐的患者，并在其医院住宿中接受过修正的钡燕子研究。用功能性口服摄入量表（FOIS）测量口服摄入状态，因为医院住院期间的FOIS变化以及在医院放电的喂食管依赖性。通过多元线性回归模型进行评估协会，用于年龄，合并症和医院住院时间。结果：我们包括44名中风患者。在医院出院，93％的患者的口服进气限制，30％依赖于饲料管。遵循多元线性回归建模，年龄，左上级额相回归，背侧刺伤的rucus，下丘脑和核心尿道，是FOIS变化的显着预测因子。喂食管依赖性显示出在控制混凝剂时没有任何具有预后变量的重要关联。结论：绝大多数具有初始非饲养推荐的患者与口服摄入限制进行排放，表明持续需要吞咽评估和放电后治疗。与动机，奖励和开车相关的病变地点，以消耗食物以及吞咽损伤，更高的年龄，更高的合并症与较少口服的进气有关。

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