Factors affecting return to oral intake in inpatient rehabilitation after acquired brain injury.

作者: Annette Kjaersgaard , Lars Hedemann Nielsen , Bengt H. Sjölund

DOI: 10.3109/02699052.2015.1022883

关键词: DysphagiaPhysical therapyFunctional Independence Measure scoreSwallowingIn patientAcquired brain injuryInpatient rehabilitationMedicineNeurorehabilitation

摘要: AbstractPrimary objective: To extend previous observations by investigating if differences exist in time to initiation or recovery of total oral intake patients with acquired brain injury assessed either Facial-Oral Tract Therapy (F.O.T.T.®) Fibreoptic Endoscopic Evaluation Swallowing (FEES) and investigate whether other factors influence these outcomes.Research design: Randomized controlled trial.Methods: One hundred nineteen dysphagia inpatient neurorehabilitation were randomized. The main outcome was maximum on the Functional Oral Intake Scale.Results: There no difference using F.O.T.T.® FEES. initiated for 42% admission 92% at discharge; 2.5% within 24 hours 37% discharge. likelihood before discharge found depend age, Independence Measure score, length o...

参考文章(49)
S Semans, The Bobath concept in treatment of neurological disorders; a neuro-developmental treatment. American journal of physical medicine. ,vol. 46, pp. 732- 788 ,(1967)
A A Raymond, B B Hamidon, I Nabil, Risk factors and outcome of dysphagia after an acute ischaemic stroke. The Medical journal of Malaysia. ,vol. 61, pp. 553- 557 ,(2006)
M L Splaingard, G Chaudhuri, B Hutchins, L D Sulton, Aspiration in rehabilitation patients: videofluoroscopy vs bedside clinical assessment Archives of Physical Medicine and Rehabilitation. ,vol. 69, pp. 637- 640 ,(1988)
Michael A. Crary, Michael E. Groher, Dysphagia: Clinical Management in Adults and Children ,(2015)
Susan L. Brady, Theresa L.-B. Pape, Meghan Darragh, Nelson G. Escobar, Noel Rao, Feasibility of instrumental swallowing assessments in patients with prolonged disordered consciousness while undergoing inpatient rehabilitation Journal of Head Trauma Rehabilitation. ,vol. 24, pp. 384- 391 ,(2009) , 10.1097/HTR.0B013E3181A8D38E
Stanley Lemeshow, David W. Hosmer, Applied Logistic Regression ,(1989)
Félicie Affolter, Perceptual processes as prerequisites for complex human behaviour. Disability and Rehabilitation. ,vol. 3, pp. 3- 10 ,(1981) , 10.3109/03790798109167107
Debra M. Suiter, Steven B. Leder, Clinical utility of the 3-ounce water swallow test. Dysphagia. ,vol. 23, pp. 244- 250 ,(2008) , 10.1007/S00455-007-9127-Y
Richard P Krieger, Susan Brady, R Jordan Stewart, Andrea Terry, John J Brady, None, Predictors of returning to oral feedings after feeding tube placement for patients poststroke during inpatient rehabilitation. Topics in Stroke Rehabilitation. ,vol. 17, pp. 197- 203 ,(2010) , 10.1310/TSR1703-197
David X Cifu, Brian D Greenwald, Allen W Brown, Thao T Duong, Jeffrey Englander, Jerry Wright, Relationship between strength, balance, and swallowing deficits and outcome after traumatic brain injury: A multicenter analysis Archives of Physical Medicine and Rehabilitation. ,vol. 85, pp. 1291- 1297 ,(2004) , 10.1016/J.APMR.2003.11.032