https://scholars.lib.ntu.edu.tw/handle/123456789/519845
標題: | Predictors and associating factors of nasogastric tube removal: Clinical and brain imaging data analysis in post-stroke dysphagia | 作者: | HSUEH-WEN HSUEH Chen Y.-C. Chang C.-F. TYNG-GUEY WANG MING-JANG CHIU |
公開日期: | 2020 | 出版社: | Elsevier B.V. | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: Post-stroke dysphagia is a frequent complication. Although most patients with dysphagia recover after the acute phase, some patients require long-term enteral feeding, either through a nasogastric (NG) or gastrostomy tube; the effectiveness of using either tube is still under debate. This study elucidated the natural course of NG tube installation and removal and examined the predictors and associating factors based on clinical and brain imaging data. Methods: This retrospective cohort study with medical record reviews recruited patients received NG tube installation after their acute stroke events between January 1, 2016, and December 31, 2016. Inclusion criteria were subjects above 20 years of age and with a diagnosis of a newly onset stroke except SAH whose comprehensive clinical and imaging data were available. Survival analysis was performed for the right-censored data because some patients were lost to follow-up after discharge or transferal. Results: In total we recruited 135 patients. Among these patients, the timing of their NG tube removal reached a plateau at 12–16 weeks after stroke. The modified Rankin score on discharge, representing the overall subacute disease status, was the most significant factor. Other clinical variables could be divided into 2 categories: baseline patient characteristics and stroke event severity. Moreover, semi-quantitative brain imaging scores corresponding to the aforementioned 3 categories were correlated significantly. Conclusion: In Taiwan, the NG tube removal rate reached a plateau at around 12–16 weeks after stroke onset. Variables related to long-term NG tube use were divided into baseline characteristics of patient and stroke event severity. ? 2020 |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081986397&doi=10.1016%2fj.jfma.2020.02.015&partnerID=40&md5=1391a369f91e7adae156a1d6abb9cfe3 https://scholars.lib.ntu.edu.tw/handle/123456789/519845 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2020.02.015 | SDG/關鍵字: | aged; aphasia; apparent diffusion coefficient; Article; brain; brain hemorrhage; brain ischemia; capsula interna; cerebellum; cerebrovascular accident; cohort analysis; controlled study; data analysis; demography; diffusion weighted imaging; disease severity; dysarthria; dysphagia; facial nerve paralysis; female; follow up; frontal lobe; heart stroke volume; hospital discharge; human; hyperlipidemia; hypertension; insula; major clinical study; male; medical record review; mesencephalon; National Institutes of Health Stroke Scale; neuroimaging; pons; pseudobulbar palsy; Rankin scale; retrospective study; risk factor; survival analysis; swallowing; Taiwan; thalamus; tube removal; white matter; complication; diagnostic imaging; dysphagia; gastrostomy; neuroimaging; Data Analysis; Deglutition Disorders; Gastrostomy; Humans; Neuroimaging; Retrospective Studies; Stroke; Taiwan |
顯示於: | 醫學系 |
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