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https://www.readbyqxmd.com/read/27845945/early-rehabilitation-after-stroke
#1
Julie Bernhardt, Erin Godecke, Liam Johnson, Peter Langhorne
PURPOSE OF REVIEW: Early rehabilitation is recommended in many guidelines, with limited evidence to guide practice. Brain neurobiology suggests that early training, at the right dose, will aid recovery. In this review, we highlight recent trials of early mobilization, aphasia, dysphagia and upper limb treatment in which intervention is commenced within 7 days of stroke and discuss future research directions. RECENT FINDINGS: Trials in this early time window are few...
November 10, 2016: Current Opinion in Neurology
https://www.readbyqxmd.com/read/27733188/nurse-performed-screening-for-postextubation-dysphagia-a-retrospective-cohort-study-in-critically-ill-medical-patients
#2
Kay Choong See, Si Yu Peng, Jason Phua, Chew Lai Sum, Johncy Concepcion
BACKGROUND: Swallowing difficulties are common, and dysphagia occurs frequently in intensive care unit (ICU) patients after extubation. Yet, no guidelines on postextubation swallowing assessment exist. We aimed to investigate the safety and effectiveness of nurse-performed screening (NPS) for postextubation dysphagia in the medical ICU. METHODS: We conducted a retrospective cohort study of mechanically ventilated patients who were extubated in a 20-bed medical ICU...
October 12, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27554074/prediction-of-ischemic-stroke-associated-pneumonia-a-comparison-between-3-scores
#3
Tamer Abdallah Helmy, Mohamed Abd-Elalim Abd-Elhady, Mohammed Abdou
BACKGROUND: Stroke is a leading cause of death and disability worldwide. Among all poststroke complications, pneumonia constitutes a major complication with a strong impact on morbidity and mortality. To identify patients at high risk of stroke-associated pneumonia (SAP) and to tailor a prophylactic approach, a reliable scoring model for prediction may be useful in daily stroke care. OBJECTIVES: This study aimed to compare the performance of the Age, Atrial fibrillation, Dysphagia, Sex, Stroke Severity (A(2)DS(2)) score, the acute ischemic stroke-associated pneumonia score (AIS-APS), and the Preventive ANtibacterial THERapy in acute Ischemic Stroke (PANTHERIS) score in predicting SAP...
August 20, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27538983/exploring-factors-that-influence-the-spread-and-sustainability-of-a-dysphagia-innovation-an-instrumental-case-study
#4
Irene Ilott, Kate Gerrish, Sabrina A Eltringham, Carolyn Taylor, Sue Pownall
BACKGROUND: Swallowing difficulties challenge patient safety due to the increased risk of malnutrition, dehydration and aspiration pneumonia. A theoretically driven study was undertaken to examine the spread and sustainability of a locally developed innovation that involved using the Inter-Professional Dysphagia Framework to structure education for the workforce. A conceptual framework with 3 spread strategies (hierarchical control, participatory adaptation and facilitated evolution) was blended with a processual approach to sustaining organisational change...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27387670/pseudoachalasia-presenting-20%C3%A2-years-after-nissen-fundoplication-a-case-report
#5
Chuong N Lai, Kumar Krishnan, Min P Kim, Brian J Dunkin, Puja Gaur
BACKGROUND: Pseudoachalasia is a rare diagnosis manifested by clinical and physiologic symptoms of achalasia, with alternative etiology for outflow obstruction. While malignancy is a frequent cause of pseudoachalasia, prior surgical intervention especially surgery involving the esophagogastric junction, may result in a misdiagnosis of achalasia. CASE PRESENTATION: We present a case of a 70 year-old male with dysphagia and weight loss after undergoing a Billroth I and Nissen fundoplication several decades ago...
2016: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27184278/risk-factors-for-malnutrition-in-older-adults-a-systematic-review-of-the-literature-based-on-longitudinal-data
#6
REVIEW
Nádia Cristina Fávaro Moreira, Stefanie Krausch-Hofmann, Christophe Matthys, Carine Vereecken, Erika Vanhauwaert, Anja Declercq, Geertruida Elsiena Bekkering, Joke Duyck
The present systematic review critically examines the available scientific literature on risk factors for malnutrition in the older population (aged ≥65 y). A systematic search was conducted in MEDLINE, reviewing reference lists from 2000 until March 2015. The 2499 papers identified were subjected to inclusion criteria that evaluated the study quality according to items from validated guidelines. Only papers that provided information on a variable's effect on the development of malnutrition, which requires longitudinal data, were included...
May 2016: Advances in Nutrition
https://www.readbyqxmd.com/read/27132060/a-telehealth-approach-to-conducting-clinical-swallowing-evaluations-in-children-with-cerebral-palsy
#7
Cagla Kantarcigil, Justine Joan Sheppard, Andrew M Gordon, Kathleen M Friel, Georgia A Malandraki
BACKGROUND: Accurate and timely evaluation of dysphagia in children with cerebral palsy (CP) is critical. For children with limited access to quality healthcare, telehealth is an option; however, its reliability needs to be investigated. AIM: To test the reliability of an asynchronous telehealth model for evaluating dysphagia in children with CP using a standardized clinical assessment. METHODS AND PROCEDURES: Nineteen children (age range 6...
August 2016: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/27115679/postextubation-dysphagia-in-critical-patients-a-first-report-from-the-largest-step-down-intensive-care-unit-in-greece
#8
Georgia A Malandraki, Vasiliki Markaki, Voula C Georgopoulos, Loukia Psychogios, Serafim Nanas
PURPOSE: This study provided preliminary data on the occurrence and impact of postextubation dysphagia in the largest Greek step-down intensive care unit (ICU) over 2 years. METHOD: A retrospective observational cohort study of patients referred for swallowing assessment postextubation was conducted from November, 2011, to August, 2013. RESULTS: Of the 357 patients admitted to the unit during this period, 87, aged 55.8 ± 18.1 years (61 male, 26 female), were referred and evaluated...
May 1, 2016: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/26862075/diagnostic-accuracy-of-the-clinical-feeding-evaluation-in-detecting-aspiration-in-children-a-systematic-review
#9
REVIEW
Irene Calvo, Aifric Conway, Filipa Henriques, Margaret Walshe
The aim of this systematic review is to determine the diagnostic accuracy of clinical feeding evaluation (CFE) compared to instrumental assessments in detecting oropharyngeal aspiration (OPA) in children. This is important to support clinical decision-making and to provide safe, cost-effective, higher quality care. All published and unpublished studies in all languages assessing the diagnostic accuracy of CFE compared to videofluoroscopic swallowing study (VFSS) and/or fibre-optic endoscopic examination of swallowing (FEES) in detecting OPA in paediatric populations were sought...
June 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/26709436/use-of-a-modified-frazier-water-protocol-in-critical-illness-survivors-with-pulmonary-compromise-and-dysphagia-a-pilot-study
#10
Shari Bernard, Vicki Loeslie, Jeffrey Rabatin
Limited information is available regarding use of the Frazier free water protocol (FWP) with hospitalized patients who have dysphagia and have survived a critical illness with compromised pulmonary status. This pilot study used a two-group nonequivalent comparison group design to evaluate the FWP in 15 adults admitted to a respiratory care unit (RCU) with dysphagia concerns. Inclusion criteria included recommendation for a modified diet with thickened liquids by a dysphagia therapist and ability to follow the specific free water guidelines...
January 2016: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/26605174/associations-between-prolonged-intubation-and-developing-post-extubation-dysphagia-and-aspiration-pneumonia-in-non-neurologic-critically-ill-patients
#11
Min Jung Kim, Yun Hee Park, Young Sook Park, You Hong Song
OBJECTIVE: To identify the associations between the duration of endotracheal intubation and developing post-extubational supraglottic and infraglottic aspiration (PEA) and subsequent aspiration pneumonia. METHODS: This was a retrospective observational study from January 2009 to November 2014 of all adult patients who had non-neurologic critical illness, required endotracheal intubation and were referred for videofluoroscopic swallowing study. Demographic information, intensive care unit (ICU) admission diagnosis, severity of critical illness, duration of endotracheal intubation, length of stay in ICU, presence of PEA and severity of dysphagia were reviewed...
October 2015: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/26564018/treatment-for-dysphagia-swallowing-difficulties-in-hereditary-ataxia
#12
REVIEW
Adam P Vogel, Megan J Keage, Kerstin Johansson, Ellika Schalling
BACKGROUND: Hereditary ataxias are a heterogeneous group of disorders resulting in progressive inco-ordination. Swallowing impairment, also known as dysphagia, is a common and potentially life threatening sequel of disease progression. The incidence and nature of dysphagia in these conditions is largely unknown. The loss of an effective and safe swallow can dramatically affect the health and well-being of an individual. Remediation of difficulties of eating and drinking is an important goal in the clinical care of people with hereditary ataxia...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26515028/three-measures-of-physical-rehabilitation-effectiveness-in-elderly-patients-a-prospective-longitudinal-comparative-analysis
#13
Dolores Sánchez-Rodríguez, Ramon Miralles, Josep M Muniesa, Sergio Mojal, Anna Abadía-Escartín, Olga Vázquez-Ibar
BACKGROUND: Rehabilitation success is measured by instruments that assess performance of activities of daily living. Guidelines on the use and choice of these instruments are lacking. The present study aimed to analyse prognostic indicators of physical rehabilitation effectiveness in elderly patients according to three rehabilitation impact indices. METHODS: Prospective, longitudinal study in a post-acute care unit. The study included rehabilitation-eligible deconditioned elderly in-patients prospectively admitted to post-acute care (n = 685, aged 83...
2015: BMC Geriatrics
https://www.readbyqxmd.com/read/26215724/endoscopic-assessment-of-swallowing-after-prolonged-intubation-in-the-icu-setting
#14
Rebecca Scheel, Jessica M Pisegna, Edel McNally, Jacob Pieter Noordzij, Susan E Langmore
OBJECTIVES: The purpose of this study was to identify the frequency of swallowing dysfunction after extubation in a sample of patients with no preexisting dysphagia. METHODS: Mechanically ventilated patients in the ICU with no prior history of dysphagia received a flexible endoscopic evaluation of swallowing (FEES) exam within 72 hours after extubation. The FEES was then analyzed for variables related to swallowing patterns and laryngeal pathology. Univariate analyses were performed to identify relationships between variables...
January 2016: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/26093767/critical-appraisal-of-salvage-banding-for-weight-loss-failure-after-gastric-bypass
#15
Ali Aminian, Ricard Corcelles, Christopher R Daigle, Bipan Chand, Stacy A Brethauer, Philip R Schauer
BACKGROUND: Placement of an adjustable gastric band (AGB) over the gastric pouch after RYGB failure has had varied results. The aim of this study was to evaluate safety and outcomes of AGB after RYGB failure. METHODS: Twenty-eight patients who underwent laparoscopic placement of an AGB around the gastric pouch as a revisional procedure for inadequate weight loss or recidivism after RYGB between 2008-2011 were identified. RESULTS: Twenty-four (86%) patients had a dilated gastric pouch and/or stoma...
May 2015: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/25599480/dysphagia-diagnosed-by-fiberoptic-endoscopy-is-common-and-transient-in-critical-illness-polyneuropathy-are-there-any-clinical-implications
#16
EDITORIAL
Andrea Kleindienst, Francisco Marin, Frank Dodoo-Schittko
No abstract text is available yet for this article.
February 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/25415518/acute-respiratory-failure-onset-in-a-patient-with-guillain-barr%C3%A3-syndrome-after-legionella-associated-pneumonia-a-case-report
#17
Simone Vigneri, Savino Spadaro, Ilaria Farinelli, Riccardo Ragazzi, Carlo A Volta, Jay G Capone, Elisabetta Sette, Valeria Tugnoli
A 69-year-old white man was admitted because of a clinical history of persistent cough and fever. Chest x-rays showed bilateral lung infiltrates with air bronchograms, whereas the urine antigen test resulted positive for Legionella pneumophila. The next day, he was transferred to the intensive care unit and intubated because of severe renal and respiratory distress. Neurological examination revealed distal weakness and loss of deep tendon reflexes in lower extremities. Nerve conduction studies displayed severe demyelinating sensorimotor polyneuropathy, and plasmapheresis was therefore applied with mild improvement...
December 2014: Journal of Clinical Neuromuscular Disease
https://www.readbyqxmd.com/read/25386030/critical-factors-in-the-oral-control-needed-for-chewing-and-swallowing
#18
Jerilyn A Logemann
Normal oropharyngeal swallowing is a complex set of neuromotor behaviors containing three phases: 1) Oral preparation to break food down to a swallowable consistency; 2) Oral phase which propels food from the mouth; 3) Pharyngeal phase creates pressure to push food into the esophagus, and includes valve functions which prevent food from entering the nose or airway and allow food into the esophagus. Systematic changes in normal oropharyngeal swallow are based on volume, viscosity, and taste of the food swallowed as well as age...
June 1, 2014: Journal of Texture Studies
https://www.readbyqxmd.com/read/25377021/dysphagia-a-common-transient-symptom-in-critical-illness-polyneuropathy-a-fiberoptic-endoscopic-evaluation-of-swallowing-study
#19
Matthias Ponfick, Rainer Linden, Dennis A Nowak
OBJECTIVES: Critical illness polyneuropathy is a common disorder in the neurological ICU. Dysphagia is well known to deteriorate outcome in the ICU. The prevalence of dysphagia in critical illness polyneuropathy is not known. The aim of this study was to evaluate the prevalence of dysphagia in critical illness polyneuropathy using fiberoptic endoscopic evaluation of swallowing. DESIGN: Prospective, cohort study. SETTING: Neurological rehabilitation ICU...
February 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/25342891/the-role-of-gastrostomy-tube-placement-in-advanced-dementia-with-dysphagia-a-critical-review
#20
REVIEW
Leanne S Goldberg, Kenneth W Altman
PURPOSE: Over 4.5 million people in North America had a diagnosis of dementia in the year 2000, and more than half had advanced disease with potential aspiration risk. There is much controversy regarding the use and timing of enteral feeding support in these patients with dysphagia. The management of dysphagia is far more complex when considering quality of life, "comfort care" hand feeding, the use of percutaneous endoscopic gastrostomy tube (PEG), and associated mortality rates. This study seeks to critically review the literature that evaluates PEG placement in this population...
2014: Clinical Interventions in Aging
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