Frequency of videofluoroscopic modified barium swallow studies and pneumonia in stroke rehabilitation patients: A comparative study
Frequency of videofluoroscopic modified barium swallow studies and pneumonia in stroke rehabilitation patients: A comparative study
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DOI：
10.1016/s0003-9993(99)90140-5
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发表时间：
1999-03-01
影响因子：
4.3
通讯作者：
Finestone, H
中科院分区：
文献类型：
--
作者：
Teasell, RW;McRae, M;Finestone, H
目的：目的：研究影像透视下改良吞钡检查（VMBS）的频率与卒中康复患者肺炎发生率之间的关系。设计：回顾性比较研究。在安大略的伦敦的一家医院康复中心连续收治了563名中风患者，加拿大与同一城市另一家医院康复部门收治的461名连续卒中患者进行了比较，干预措施：初始和总VMBS研究的数量以及从中风发作到初始VMBS研究的时间。主要结果测量：肺炎的发生率。结果：在第一家医院，146名患者（25.9%）进行了232项VMBS研究，而在第二家医院，57名患者（12.4%）进行了73项研究（p <0.001）。在前15天，进行的初始VMBS研究数量无显著差异（8.2% vs 9.2%）。15天后进行的初始VMBS研究的数量有显著差异（17.2% vs 2.0%，p <0.0001）。在脑干卒中患者中，医院间VMBS研究数量的差异无统计学意义，但对于半球卒中患者，差异有统计学意义。肺炎在第一医院（2.1%）和10例患者在第二医院（2.2%），差异不显着。结论：更频繁地使用VMBS超过15天后中风是不相关的半球中风康复患者之间的肺炎发病率的变化，假设这两个单位是相似的。(C)1999年由美国康复医学大会和美国物理医学和康复学会。
Objective: To study the association between the frequency of videofluoroscopic modified barium swallow (VMBS) studies and the incidence of pneumonia in stroke rehabilitation patients.Design: Retrospective comparative study.Subjects and Setting: Five hundred sixty-three consecutive stroke patients admitted to one hospital rehabilitation unit in London, Ontario, Canada were compared with 461 consecutive stroke patients admitted to another hospital rehabilitation unit in the same city,Interventions: The number of initial and total VMBS studies and the timing from stroke onset to initial VMBS studies.Main Outcome Measure: Incidence of pneumonia.Results: At the first hospital, 146 patients (25.9%) had 232 total VMBS studies performed, whereas at the second hospital 57 patients (12.4%) had 73 total studies (p < .001). For the first 15 days there was no significant difference in the number of initial VMBS studies performed (8.2% vs 9.2%). There was a marked difference in the number of initial VMBS studies performed after 15 days (17.2% vs 2.0%, p < .0001). The difference between the hospitals in the number of VMBS studies in patients with brain stem strokes was not statistically significant, but for patients with hemispheric stroke, the difference was statistically significant. Pneumonia developed in 12 patients at the first hospital (2.1%) and 10 patients at the second hospital (2.2%), a difference that was not significant.Conclusions: The more frequent use of VMBS beyond 15 days after stroke was not associated with a change in the incidence of pneumonia among hemispheric stroke rehabilitation patients, assuming the two units were otherwise similar. (C) 1999 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.