Findings of videofluoroscopic swallowing studies are associated with tube feeding dependency at discharge in stroke patients with dysphagia

The factors associated with tube feeding dependency in stroke patients with dysphagia have received little attention. This study aimed to identify factors independently associated with tube feeding dependency at discharge in stroke patients with dysphagia using videofluoroscopic swallowing studies (...

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Published inDysphagia Vol. 20; no. 1; pp. 23 - 31
Main Authors Lin, Yi-Nien, Chen, Ssu-Yuan, Wang, Tyng-Guey, Chang, Yeun-Chung, Chie, Wei-Chu, Lien, I-Nan
Format Journal Article
LanguageEnglish
Published United States Springer 2005
Subjects
Adult
Aged
Care and treatment
Cohort Studies
Complications and side effects
Deglutition - physiology
Deglutition disorders
Deglutition Disorders - etiology
Deglutition Disorders - physiopathology
Enteral feeding
Enteral Nutrition
Female
Fluoroscopy
Health aspects
Humans
Male
Middle Aged
Patient Discharge
Photofluorography
Prospective Studies
Risk Factors
Stroke - complications
Stroke patients
Tube feeding
United States
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Summary:The factors associated with tube feeding dependency in stroke patients with dysphagia have received little attention. This study aimed to identify factors independently associated with tube feeding dependency at discharge in stroke patients with dysphagia using videofluoroscopic swallowing studies (VSS) and clinical findings. One hundred eighty-one consecutive tube-fed inpatients with stroke-related dysphagia referred for VSS were enrolled in the study. Of them, 47 patients continued to require tube feeding at discharge. In the final logistic regression analysis model, advanced age, recurrent stroke, confinement to a wheelchair at discharge, long duration from stroke onset to VSS, and stasis in valleculae or pyriform sinuses and aspiration on VSS were independently associated with tube feeding dependency at discharge. This study confirms the association between findings of VSS and tube feeding dependency at discharge in stroke patients with dysphagia. Based on the final regression model, a preliminary equation was proposed to help clinicians better predict the tube feeding dependency at discharge in stroke patients with dysphagia.
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content type line 23
ISSN:0179-051X
1432-0460
DOI:10.1007/s00455-004-0021-6