Dysphagia, Journal Year: 2022, Volume and Issue: 37(5), P. 1279 - 1287
Published: Jan. 3, 2022
Language: Английский
Nutrients, Journal Year: 2021, Volume and Issue: 13(8), P. 2704 - 2704
Published: Aug. 5, 2021
Nutrition and rehabilitation are crucial in post-stroke recovery, especially the elderly. Since stroke is leading cause of long-term disability, there a need to promote special, individually tailored nutrition strategies targeting older patients with low motor ability. Chronic survivors have higher risk developing nutrition-related chronic diseases, such as sarcopenia, anemia, type 2 diabetes mellitus osteoporosis. Moreover, reduced activity, cognitive impairment depression might be aggravated by poor malnutrition status. Accumulated data suggest that nutritional supplements neuroprotective diets can associated better effectiveness well brain recovery. Therefore, this review focuses on preventive improve dietary intake change patterns. We highlight importance diets, problem dysphagia role rehabilitation. This article potential may an impact functional recovery during after new approach neuroplasticity including use agents from marine sources fucoxanthin tramiprosate compounds used neuroprotectants antioxidative anti-inflammatory properties introduced.
Language: Английский
Citations
59
Neurological Research and Practice, Journal Year: 2024, Volume and Issue: 6(1)
Published: May 9, 2024
Abstract Flexible endoscopic evaluation of swallowing (FEES) is one the most important methods for instrumental evaluation. The challenging part examination consists in interpretation various observations encountered during endoscopy and deduction clinical consequences. This review proposes framework an integrated FEES-report that systematically moves from salient findings FEES to more advanced domains such as dysphagia severity, phenotypes impairment pathomechanisms. Validated scales scores are used enhance diagnostic yield. In concluding report, FEES-findings put into perspective context. potential etiology conceivable differential diagnoses considered, further steps proposed, treatment options evaluated, a timeframe re-assessment suggested. designed be adaptable open continuous evolution. Additional items, novel protocols, pathophysiological observations, advancements disease-related knowledge, new options, can easily incorporated. Moreover, there customizing this approach report on structural dysphagia.
Language: Английский
Citations
9
Journal of the American Medical Directors Association, Journal Year: 2021, Volume and Issue: 23(8), P. 1360 - 1366
Published: Oct. 22, 2021
In the evaluation of oropharyngeal dysphagia, instrumental procedures, for example, flexible endoscopic swallowing or videofluoroscopic study, are essential to improve diagnostic accuracy salient findings such as penetration, aspiration, pharyngeal residue. To date, it is unclear which 2 methods represents gold standard. The aim this therefore, was compare videofluoroscopy and endoscopy during a simultaneous examination in large cohort patients with dysphagia.Prospective observational study.In 49 dysphagia (mean age 70.0 ± 10.8 years) were evaluated using videofluoroscopy. Furthermore, effect narrow-band imaging on assessment penetration aspiration investigated subgroup 19 patients.The Penetration-Aspiration Scale Yale Pharyngeal Residue Severity Rating rated independently based both modalities.Both modalities showed high correlation between Causes higher score intradeglutitive events that not visible false-positive because loss lateral dimension A typical reason scale better visualization anatomical structures. Narrow-band resulted liquids semisolids individual cases, although overall there no statistically significant difference scores white light imaging.Videofluoroscopy may equally be considered standard regarding increase sensitivity cases.
Language: Английский
Citations
47
PLoS ONE, Journal Year: 2022, Volume and Issue: 17(6), P. e0270096 - e0270096
Published: June 16, 2022
Background Dysphagia is a common yet serious complication in stroke patients. We aimed to conduct meta-analysis and systematic review evaluate the risk factors of dysphagia patients with ischemic stroke, provide insights clinical treatment nursing care dysphagia. Methods searched PubMed, Embase, Cochrane Library, Web Science, China National Knowledge Infrastructure (CNKI) Wanfang Database, Biomedical Literature Database (CBM) for studies on up January 31, 2022. The quality literature was evaluated using Newcastle-Ottawa scale. Meta-analysis performed RevMan 5.3 software. Results A total 10 involving 4637 were included, 1183(25.51%) had after stroke. synthesized outcomes showed that elder age (SMD = 0.42, 95%CI:0.34–0.50), hypertension (OR 1.96, 95%CI:1.48–2.61), diabetes 1.83, 95%CI:1.47–2.28), brainstem 2.12, 95%CI:1.45–3.09) associated (all P<0.05). There no significant difference gender between 1.07, 95%CI:0.91–1.27, P 0.40). Egger regression tests indicated there publication biases P>0.05). Conclusions Elder age, hypertension, are development Attention should be paid assessment early intervention those improve prognosis
Language: Английский
Citations
37
Journal of Critical Care, Journal Year: 2023, Volume and Issue: 79, P. 154447 - 154447
Published: Nov. 2, 2023
Dysphagia is common in intensive care unit (ICU) patients, yet it remains underrecognized and often unmanaged despite being associated with life-threatening complications, prolonged ICU stays hospitalization. To propose an expert opinion for the diagnosis management of dysphagia developed from evidence-based clinical recommendations practitioner insights. A multinational group critical experts conducted a literature review using modified ACCORD methodology. Based on fusion available evidence panel's experience, best practice was developed. The panel recommends adopting algorithms intended to promote standardized, high-quality that triggers timely systematic screening, assessment, treatment extubated tracheostomized patients ICU. Given lack robust scientific evidence, two are proposed use by multidisciplinary teams improve early detection effective patients. Additionally, emerging therapeutic options such as neurostimulation have potential quality care.
Language: Английский
Citations
21
Healthcare, Journal Year: 2024, Volume and Issue: 12(6), P. 649 - 649
Published: March 13, 2024
Dysphagia commonly affects older adults, making them nutritionally vulnerable. There is significant variation in the reported prevalence of dysphagia aged care. The aim this systematic review and meta-analysis was to determine individuals living residential care facilities using appropriate assessment methods, four subgroups at higher risk: with nervous system diseases, dementia, malnutrition, poor dentition. Scopus, Web Science, Medline, CINAHL Plus were searched, study selection conducted Covidence. Meta-analysis a random effects model used obtain pooled dysphagia. Seven studies eligible for inclusion. ranged from 16 69.6%. 56.11% (95% CI 39.363-72.172,
Language: Английский
Citations
5
International Healthcare Review (online), Journal Year: 2023, Volume and Issue: unknown
Published: Oct. 25, 2023
Background: oropharyngeal dysphagia is the result of a series neuromuscular disorders that can impair swallowing. These alterations compromise adequate nutritional support and often endanger safety person with dysphagia. The prevalence known to increase age, but it still an underdiagnosed problem, which should be concern for nurses. Objective: To identify nurses' knowledge patients' swallowing ability in Portuguese hospital. Methodology: Quantitative, descriptive-correlational, cross-sectional study using non-probabilistic convenience sample 62 online survey includes sociodemographic/ professional indicators, assessment ability, relevant data diagnosis compensatory strategies. Results: nurses were included, mostly female (80.6%), average age 38.50 years, those under 39 (53.2%), degree (71.0%) who had been working profession 14 years or less (54.8%), there was higher percentage men not any training compared women (66.7% vs. 52. 0%). multiple linear regression showed as predictors ability: diagnose dysphagia, strategies inversely exercise (p<0.000). Conclusions: about diagnosing shorter time spent practice, greater results suggest need continuous education more experienced professionals. What main contribution evidence-based practice from this research? article contributes promote better Identification signs case
Language: Английский
Citations
12
Journal of Critical Care, Journal Year: 2024, Volume and Issue: 82, P. 154808 - 154808
Published: April 5, 2024
The aim of our study was to assess if PES before extubation can minimize the failure risk in orally intubated, mechanically ventilated stroke patients at high severe dysphagia. Thirty-two ICU were prospectively enrolled this presenting with a for dysphagia as defined by DEFISS (Determine Extubation Failure In Severe Stroke) score and compared 1:1 retrospective matched patient control group. prospective group received prior extubation. Endpoints need reintubation, swallowing function assessed FEES, pneumonia incidence length stay after Post-extubation, Fiberoptic Endoscopic Dysphagia Severity Score (FEDSS, 4.31 ± 1.53vs.5.03 1.28;p = 0.047) reintubation rate within 72 h (9.4vs.34.4%;p 0.032) significantly lower than historical Pulmonary infections less common PES-treated although difference not significant (37.5vs.59.4%;p 0.133). Time from discharge shorter (14.09 11.58vs.26.59 20.49 days;p 0.003). intubated dysphagia, may improve function, reduce decrease time discharge. Further research is required.
Language: Английский
Citations
4
Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(2), P. 477 - 477
Published: Jan. 13, 2025
Objectives: This study aimed to determine the positive predictive value of our NMD Suspicion Criteria in diagnosis NMDs. Other clinical factors routinely examined voice and swallowing examinations were also investigated see if they had a significant association with Methods: retrospectively medical charts patients who visited Voice Swallowing outpatient clinic between 2013 2022. Patients previously diagnosed NMDs excluded from analysis. Among remaining patients, we included those that referred neurologists for further evaluation due suspicion having an based on Criteria. The then divided into groups according status their within 2 years referral as “diagnosed”, “denied”, or “observed”. These three compared following findings; velopharyngeal insufficiency (VPI), tongue atrophy, impaired movement, dysarthria, vocal fold mobility impairment, dysphagia, involuntary gait disturbances, weight loss, sense fatigue order significantly associated Results: Of 3769 outpatients without confirmed NMDs, 37 suspected 19 (51%) VPI movement diagnostic (p = 0.014, 0.033). during speech 0.045) was more strongly than 0.076). Fatigue related factor other diseases (non-NMDs) causing problems 0.049). Conclusions: In setting, should be raised, particularly when are observed, prompting thorough assessment closure both swallowing.
Language: Английский
Citations
0
Sprache · Stimme · Gehör, Journal Year: 2025, Volume and Issue: unknown
Published: Jan. 24, 2025
Citations
0