지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 33 - 41 (9page)
이용수
초록· 키워드
오류제보하기
Objective To investigate the clinical factors associated with successful gastrostomy tube weaning in patients with prolonged dysphagia after stroke. Methods This study involved a retrospective medical chart review of patients diagnosed with prolonged dysphagia after stroke who underwent gastrostomy tube insertion between May 2013 and January 2020. Forty-seven patients were enrolled and consequently divided into gastrostomy tube sustaining and weaning groups. The numbers of patients in the sustaining and weaning groups were 31 and 16, respectively. The patients’ demographic data, Korean version of Mini-Mental State Examination (K-MMSE) score, Korean version of the Modified Barthel Index (K-MBI), Functional Dysphagia Scale (FDS) score, and Penetration-Aspiration Scale (PAS) score were compared between the two groups. A videofluoroscopic swallowing study was performed before making the decision of gastrostomy tube weaning. The clinical factors associated with gastrostomy tube weaning were then investigated. Results There were significant differences in age; history of aspiration pneumonia; K-MMSE, FDS, and PAS scores; and K-MBI between the groups. In the multiple logistic regression analysis, the FDS (odds ratio [OR]=0.791; 95% confidence interval [CI], 0.634?0.987) and PAS scores (OR=0.205; 95% CI, 0.059?0.718) were associated with successful gastrostomy tube weaning. In the receiver operating characteristic curve analysis, the FDS and PAS were useful screening tools for successful weaning, with areas under the curve of 0.911 and 0.918, respectively. Conclusion In patients with prolonged dysphagia, the FDS and PAS scores are the only factors associated with successful gastrostomy tube weaning. An evaluation of the swallowing function is necessary before deciding to initiate gastrostomy tube weaning.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Gonzalez-Fernandez M / 2013 / Dysphagia after stroke : an overview / Curr Phys Med Rehabil Rep 1:187~196
Qureshi AZ / 2016 / Percutaneous endoscopic gastrostomy versus nasogastric tube feeding during neurorehabilitation. Ifs, ands, or buts / Neurosciences(Riyadh) 21:69~71
Rahnemai-Azar AA / 2014 / Percutaneous endoscopic gastrostomy: indications, technique, complications and management / World J Gastroenterol 20:7739~7751
Park RH / 1992 / Randomised comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in patients with persisting neurological dysphagia / BMJ 304:1406~1409
Kim CJ / 1997 / Comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in dysphagic stroke / J Korean Acad Rehabil Med 21:1110~1117
Qureshi AZ / 2016 / Percutaneous endoscopic gastrostomy versus nasogastric tube feeding during neurorehabilitation. Ifs, ands, or buts / Neurosciences(Riyadh) 21:69~71
Rahnemai-Azar AA / 2014 / Percutaneous endoscopic gastrostomy: indications, technique, complications and management / World J Gastroenterol 20:7739~7751
Park RH / 1992 / Randomised comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in patients with persisting neurological dysphagia / BMJ 304:1406~1409
Kim CJ / 1997 / Comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in dysphagic stroke / J Korean Acad Rehabil Med 21:1110~1117
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