Predictors of prolonged dysphagia following acute stroke.

Predictors of prolonged dysphagia following acute stroke. Research Abstract Details 

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Predictors of prolonged dysphagia following acute stroke. Abstract Text:

S Broadley,D Croser,J Cottrell,M Creevy,E Teo,D Yiu,R Pathi,J Taylor,P D Thompson,

Dysphagia following acute stroke frequently necessitates prolonged enteral feeding. There is evidence that early enteral feeding via percutaneous endoscopic gastrostomy (PEG) is both beneficial and safe. The aim of this study was to identify predictors of prolonged dysphagia. The subjects were 149 consecutive patients admitted with acute stroke. Clinical findings and imaging results were prospectively collected, and subsequent progress recorded. Subjects were divided into 3 groups for analysis: no dysphagia; transient dysphagia (14 days). Validity of the water swallow test as a predictor of aspiration pneumonia was confirmed. Significant associations for prolonged dysphagia were seen with stroke severity, dysphasia and lesions of the frontal and insular cortex on brain imaging. These results indicate that it may be possible to predict patients who will develop prolonged significant dysphagia following acute stroke thereby facilitating referral for insertion of PEG at an earlier time point.

Predictors of prolonged dysphagia following acute stroke. Publishing Authors By Initials

S Broadley,D Croser,J Cottrell,M Creevy,E Teo,D Yiu,R Pathi,J Taylor,PD Thompson,

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Predictors of prolonged dysphagia following acute stroke. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of clinical neuroscience : official journa

VOLUME: 10

Page Numbers: 300-5

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ISSN: 0967-5868

DAY: 23

MONTH: May

YEAR: 2003

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LANGUAGE: eng

NlmUniqueID: 9433352

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Grant and Affiliation Information for Predictors of prolonged dysphagia following acute stroke.

AFFILIATION: Department of Neurology, Royal Adelaide Hospital, North Terrace, SA 5000, Australia

Country: Scotland

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MEDLINETA: J Clin Neurosci

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