Delayed Swallowing Reflex is Overlooked in Swallowing Screening Among Acute Stroke Patients.
Delayed Swallowing Reflex is Overlooked in Swallowing Screening Among Acute Stroke Patients.
复制标题
在急性中风患者的吞咽筛查中，延迟吞咽反射被忽视。
DOI：
10.1016/j.jstrokecerebrovasdis.2020.105303
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Tsuga K.
中科院分区：
文献类型：
--
作者：
Takeda C;Yoshida M;Nakamori M;Hosomi N;Nagasaki T;Yoshikawa M;Kayashita J;Masuda S;Maruyama H;Tsuga K.
背景和目的卒中急性期的吞咽困难是导致预后不良的重要因素，并与吸入性肺炎和营养不良的发生有关。因此，在开始口服食物摄入之前，准确评估吞咽是必要的。改良吞水试验（MWST）和重复唾液吞咽试验（RSST）通常用作吞咽功能障碍的床旁筛查方法，但尚不清楚是否有其他因素导致吞咽困难和随后的误吸。本研究的目的是确定的特点，可能会被忽视的筛选tests.MethodsParticipants前瞻性地选择从2016年8月1日和2018年6月30日之间在水生会嘉治川医院中风住院的患者。入选标准为意识清醒和病情稳定，排除诊断为痴呆的患者。一个视频透视（VF）吞咽研究进行了所有患者谁符合纳入/排除标准，谁通过了MWST和RSST.ResultsAspiration观察16 172例（9.3%）时，吞咽3毫升的水。这些吸出的患者表现出显着延迟吞咽反射VF.ConclusionsSwallowing评估使用组合的MWST和RSST是合理有效的。然而，吞咽反射延迟的患者可能会被这种筛查程序所忽略。
Background and PurposeDysphagia in the acute phase of stroke contributes significantly to poor outcomes and is associated with the development of aspiration pneumonia and malnutrition. Therefore, an accurate evaluation of swallowing is necessary before initiating oral food intake. The modified water swallow test (MWST) and the repetitive saliva swallow test (RSST) are commonly used as bedside screening methods for swallowing dysfunction, but it is unclear whether other factors contribute to dysphagia and consequent aspiration. The purpose of this study was to identify characteristics that might be overlooked in screening tests.MethodsParticipants were prospectively selected from patients hospitalized for stroke at the Suiseikai Kajikawa Hospital between August 1, 2016 and June 30, 2018. Inclusion criteria were conscious and stable medical condition, and patients who were diagnosed with dementia were excluded. A videofluoroscopic (VF) swallowing study was carried out on all patients who met the inclusion/exclusion criteria and who passed both the MWST and the RSST.ResultsAspiration was observed in 16 of 172 patients (9.3%) when swallowing 3 ml of water. These aspirated patients showed significantly delayed swallowing reflex on VF.ConclusionsSwallowing evaluation using a combination of the MWST and the RSST is reasonably effective. However, patients who show a delayed swallowing reflex might be overlooked by this screening procedure.
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影响因子：
3.6
作者：
Yoshida, Mitsuyoshi;Endo, Yuumi;Tsuga, Kazuhiro
通讯作者：
Tsuga, Kazuhiro
影响因子：
11
作者：
Power, M. L.;Hamdy, S.;Thompson, D. G.
通讯作者：
Thompson, D. G.
DOI：
10.3988/jcn.2018.14.3.265
发表时间：
2018-07
期刊：
Journal of clinical neurology (Seoul, Korea)
影响因子：
--
作者：
Virvidaki IE;Nasios G;Kosmidou M;Giannopoulos S;Milionis H
通讯作者：
Milionis H
预测老年急性肺炎患者经口摄入预后的筛查试验
影响因子：
2.5
作者：
Shoko Oba;H. Tohara;A. Nakane;M. Tomita;S. Minakuchi;H. Uematsu
通讯作者：
H. Uematsu
影响因子：
8.3
作者：
Daniels, Stephanie K.;Anderson, Jane A.;Willson, Pamela C.
通讯作者：
Willson, Pamela C.