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Dysphagia screening

Danielle F Eytan, Amanda L Blackford, David W Eisele, Carole Fakhry
BACKGROUND: The increasing incidence of human papillomavirus (HPV)-related head and neck cancer (HNC) has led to the increasing prevalence of survivors, yet to the best of the authors' knowledge the prevalence of comorbidities during the survivorship period and their effects on survival are relatively unknown. METHODS: In this retrospective cross-sectional study, individuals with a first incident primary diagnosis of HNC from 2004 through 2011 from the Surveillance, Epidemiology, and End Results (SEER)-Medicare-linked databases were included in the analysis and classified as patients with HPV-related or HPV-unrelated HNC...
November 16, 2018: Cancer
Kazuo Sugimoto, Takaki Hiwasa, Kazutomo Shibuya, Shigeki Hirano, Minako Beppu, Sagiri Isose, Kimihito Arai, Masaki Takiguchi, Satoshi Kuwabara, Masahiro Mori
OBJECTIVE: To identify autoantibodies using sera from ALS patients and elucidate their roles in disease pathology. METHODS: An immunological screening was performed with a phage expression library SEREX method using sera from 3 ALS patients to identify ALS-related autoantibodies. Levels of antibodies identified by SEREX were measured in 33 ALS patients and 30 normal controls (NCs) by AlphaLISA using recombinant non-full-length proteins. The results were then validated by ELISA using full-length proteins in 71 ALS patients, 30 NCs and 34 disease controls (DCs)...
December 15, 2018: Journal of Neuroimmunology
Runqi Wangqin, Daniel T Laskowitz, Yongjun Wang, Zixiao Li, Yilong Wang, Liping Liu, Li Liang, Roland A Matsouaka, Jeffrey L Saver, Gregg C Fonarow, Deepak L Bhatt, Eric E Smith, Lee H Schwamm, Janet Prvu Bettger, Adrian F Hernandez, Eric D Peterson, Ying Xian
Background Adherence to evidence-based guidelines is an important quality indicator; yet, there is lack of assessment of adherence to performance measures in acute ischemic stroke for most world regions. Methods and Results We analyzed 19 604 patients with acute ischemic stroke in the China National Stroke Registry and 194 876 patients in the Get With The Guidelines--Stroke registry in the United States from June 2012 to January 2013. Compared with their US counterparts, Chinese patients were younger, had a lower prevalence of comorbidities, and had similar median, lower mean, and less variability in National Institutes of Health Stroke Scale (median 4 [25th percentile-75th percentile, 2-7], mean 5...
October 16, 2018: Journal of the American Heart Association
Sandy Middleton, Patrick McElduff, Peta Drury, Catherine D'Este, Dominique A Cadilhac, Simeon Dale, Jeremy M Grimshaw, Jeanette Ward, Clare Quinn, N Wah Cheung, Chris Levi
BACKGROUND: The Quality in Acute Stroke Care Trial implemented nurse-initiated protocols to manage fever, hyperglycaemia and swallowing (Fever, Sugar, Swallow clinical protocols) achieving a 16% absolute improvement in death and dependency 90-day post-stroke. OBJECTIVE: To examine associations between 90-day death and dependency, and monitoring and treatment processes of in-hospital nursing stroke care targeted in the trial. DESIGN: Secondary data analysis from a single-blind cluster randomised control trial...
September 27, 2018: International Journal of Nursing Studies
Youngsuk Lim, Chorong Kim, Haeryun Park, Sooyoun Kwon, Oksun Kim, Heeyoung Kim, Youngmi Lee
BACKGROUND/OBJECTIVES: The objective of this study was to determine dysphagia risk among community-dwelling elderly people living at home. We also examined the impact of socio-demographic variables on dysphagia risk as well as the relationship between dysphagia risk and dietary characteristics. SUBJECTS/METHODS: The study sample included 568 community-dwelling individuals, aged 65 years and above, who were living independently in their own home in Seoul, Gyeonggi, or Gwangju in South Korea...
October 2018: Nutrition Research and Practice
Berta Barbosa, Bruno Santos, Isabel Mesquita, Mário Marcos, Carlos Nogueira, Jorge Santos
Colon interposition in oesophageal replacement after oesophagectomy for benign strictures is associated with significant perioperative complications that carry high morbidity and mortality. Long-term sequelae such as further strictures and colonic redundancy are frequent. Adenocarcinoma in the colonic graft is rare. A 70-year-old female presented to our clinic with symptoms of dysphagia. When she was 51 years, she underwent left colonic oesophageal interposition for an oesophageal stricture caused by caustic ingestion...
October 2018: Journal of Surgical Case Reports
M Lopes, E Freitas, M Oliveira, E Dantas, N Azevedo, P Rodrigues, J Pinho, C Ferreira
BACKGROUND AND PURPOSE: Post-stroke dysphagia occurs in up to three quarters of patients with acute stroke and is associated with a higher risk of respiratory infections and poor outcome. Systematic screening of dysphagia in the acute stroke unit is essential to identify patients at risk of aspiration and to provide dietary recommendations. Our study aimed to assess the impact of the systematic application of the Gugging Swallowing Screen (GUSS) in patients with acute ischaemic stroke...
October 9, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
W-T Zhao, M Yang, H-M Wu, L Yang, X-M Zhang, Y Huang
OBJECTIVES: Sarcopenia, an age-related decrease in muscle mass and function, is associated with several potential adverse health outcomes. Its association with another age-related syndrome, dysphagia remains unclear. This systematic review and meta-analysis aims to explore the association between sarcopenia and dysphagia. METHODS: PubMed, Embase, Scopus and CINAHL were searched for cross-sectional, case-control and cohort studies that investigated the association between sarcopenia and dysphagia...
2018: Journal of Nutrition, Health & Aging
Celina Borges Migliavaca, Cinara Stein, Verônica Colpani, Sandro René Pinto de Sousa Miguel, Luciane Nascimento Cruz, Roberto Oliveira Dantas, Maicon Falavigna
BACKGROUND: Chagas disease is a neglected tropical disease. About 6 to 8 million people are chronically infected and 10% to 15% develop irreversible gastrointestinal disorders, including megaesophagus. Treatment focuses on improving symptoms, and isosorbide and nifedipine may be used for this purpose. METHODOLOGY: We conducted a systematic review to evaluate the effectiveness of pharmacological treatment for Chagas' megaesophagus. We searched MEDLINE, Embase and LILACS databases up to January 2018...
September 2018: PLoS Neglected Tropical Diseases
Hana M Abu-Snieneh, Mohammad Y N Saleh
Background: An increased number of elderly people in the world may lead to an increase in the incidence of stroke, which creates a burden on the country's healthcare system. Dysphagia is the most common post stroke. Screening of dysphagia in stroke patients is serious to prevent complication linked to aspiration and inadequate hydration/nutrition. Objective: This literature review aimed to discuss registered nurses' competency to screen dysphagia among stroke patients...
2018: Open Nursing Journal
Bendix Labeit, Hannah Mueller, Paul Muhle, Inga Claus, Tobias Warnecke, Rainer Dziewas, Sonja Suntrup-Krueger
BACKGROUND: For the early detection of post-stroke dysphagia (PSD), valid screening parameters are crucial as part of a step-wise diagnostic procedure. This study examines the role of the National Institute of Health Stroke Scale (NIH-SS) as a potential low-threshold screening parameter. METHODS: During a ten-year period, 687 newly admitted patients at University Hospital Muenster were included in a retrospective analysis, if they had ischemic or haemorrhagic stroke confirmed by neuroimaging and had received NIH-SS scoring and endoscopic swallowing evaluation upon admission...
September 25, 2018: Cerebrovascular Diseases
Ayodele Sasegbon, Laura O'Shea, Shaheen Hamdy
Introduction: Elderly people are recognised to be at increased risk of oropharyngeal dysphagia (OPD), the causes of which are multifactorial. Our aim was to identify if sepsis is associated with OPD in the elderly during hospitalisation in the absence of known other risk factors for OPD. Methods: A hospital electronic database was searched for elderly patients (≥65 years) referred for assessment for suspected dysphagia between March 2013 and 2014. Exclusion criteria were age <65 years, pre-existing OPD or acute OPD secondary to acute intracranial event, space-occupying lesion or trauma...
October 2018: Frontline Gastroenterology
Amy R Best, Stacey L Halum, Noah P Parker
INTRODUCTION: The aim of this study was to evaluate the current indications for and clinical factors influencing the use of transnasal esophagoscopy (TNE). METHODS: An online survey was sent to American Broncho-Esophagological Association members, including questions on demographics, indications, and factors influencing the use of TNE. RESULTS: Sixty of 251 members (24%) completed the survey. Ninety-three percent of respondents reported academic practices, while 98% practice in medium to large urban settings...
December 2018: Annals of Otology, Rhinology, and Laryngology
Marie Jardine, Anna Miles, Jacqui E Allen
PURPOSE OF REVIEW: To present current literature regarding swallowing function in advanced age, including healthy ageing, dysphagia and trends in multidisciplinary team service delivery. RECENT FINDINGS: Normative studies support swallowing efficiency but greater variability in healthy advanced age, through to 100 years old. Deviations from normative data and symptoms of dysphagia leading to aspiration or nutritional risk, imply swallowing disorder, rather than simply the ageing process...
December 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
Monica Kaho Herkules Bando, O Lynne Nelson, Natalie Webster, Joshua D Ramsay, Heather Jane Bacon, Rance Sellon
Across China and Southeast Asia, over 17,000 bears are currently farmed for bile, predominantly for traditional Chinese medicines. Bears on farms in China are cage confined and undergo repeated daily bile extraction facilitated by surgically implanted catheters or gallbladder fistulas. Numerous health problems have been reported in bile-farmed bears including peritonitis, abdominal hernias, and extraction site abscessation. Between 2009 and 2014, five Asiatic black bears ( Ursus thibetanus) and one Asiatic black/Eurasian brown bear ( Ursus arctos arctos) hybrid, rescued from the bear bile industry in China, died from ruptured and/or dissecting aortic aneurysm...
September 2018: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
Sabrina A Eltringham, Karen Kilner, Melanie Gee, Karen Sage, Benjamin D Bray, Sue Pownall, Craig J Smith
BACKGROUND: Patients with dysphagia are at an increased risk of stroke-associated pneumonia. There is wide variation in the way patients are screened and assessed during the acute phase. The aim of this review was to identify the methods of assessment and management in acute stroke that influence the risk of stroke-associated pneumonia. Studies of stroke patients that reported dysphagia screening, assessment or management and occurrence of pneumonia during acute phase stroke were screened for inclusion after electronic searches of multiple databases from inception to November 2016...
September 10, 2018: Cerebrovascular Diseases
Robert W Regenhardt, Maijo R Biseko, Agness F Shayo, Theoflo N Mmbando, Sara J Grundy, Ai Xu, Altaf Saadi, Leah Wibecan, G Abbas Kharal, Robert Parker, Joshua P Klein, Farrah J Mateen, Kigocha Okeng'o
Objective: Given the high post-stroke mortality and disability and paucity of data on the quality of stroke care in Sub-Saharan Africa, we sought to characterize the implementation of stroke-focused treatments and 90-day outcomes of neuroimaging-confirmed stroke patients at the largest referral hospital in Tanzania. Design: Prospective cohort study. Setting: Muhimbili National Hospital (MNH) in Dar es Salaam, July 2016-March 2017. Participants: Adults with new-onset stroke (<14 days), confirmed by head CT, admitted to MNH...
August 28, 2018: International Journal for Quality in Health Care
Zixiao Li, Jeyaraj Pandian, P N Sylaja, Yilong Wang, Xingquan Zhao, Liping Liu, Chunjuan Wang, Dheeraj Khurana, M V Padma Srivastava, Subhash Kaul, Deepti Arora, Lee H Schwamm, Yongjun Wang, Aneesh B Singhal
OBJECTIVE: To understand stroke risk factors, status of stroke care, and opportunities for improvement as China and India develop national strategies to address their disproportionate and growing burden of stroke. METHODS: We compared stroke risk factors, acute management, adherence to quality performance measures, and clinical outcomes among hospitalized ischemic stroke patients using data from the Indo-US Collaborative Stroke Project (IUCSP) and China National Stroke Registry-II (CNSR-II)...
October 2, 2018: Neurology
Mehrzad Hajialilo, Amir Ghorbanihaghjo, Alireza Khabbazi, Sousan Kolahi, Mohammad Reza Jafari Nakhjavani, Ali Asghar Ebrahimi, Hamid Zareh, Aida Malek Mahdavi
AIM: This study aimed to follow up patients with polymyositis (PM) and/or dermatomyositis (DM) to determine survival rate, pattern of disease, response to treatment, malignancy incidence and poor prognostic factors (PPFs). METHOD: A total of 76 patients with PM (n = 47) and/or DM (n = 29) based on Bohan and Peter diagnostic criteria referred to the Imam-Reza Hospital were followed up from 2004 to 2016. The follow-up period was considered from diagnosis to patient's death or last visit...
August 2018: International Journal of Rheumatic Diseases
Nicola A Clayton, Caroline M Nicholls, Karen Blazquez, Cheryl Brownlow, Peter K Maitz, Oliver M Fisher, Andrea C Issler-Fisher
BACKGROUND: Management of burns in older persons is complex with evidence indicating advanced age is associated with elevated risk for morbidity and mortality. Dysphagia and its sequelae may further increase this risk. AIMS: (1) Determine the prevalence, and (2) identify risk factors for dysphagia in patients admitted with severe burn injury over 75 years. METHODS: All patients >75 years admitted to Concord Repatriation General Hospital with severe burn injury over a 4-year period (2013-2017) were assessed for dysphagia on presentation and continually monitored throughout their admission...
August 11, 2018: Burns: Journal of the International Society for Burn Injuries
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