Department of Communicative Disorders, California State University, Long Beach, California, USA.
Disabil Rehabil. 2009;31(26):2196-203. doi: 10.3109/09638280902956894.
To explore prognostic factors specific to the speech language pathology scope of practice that may be related to the functional outcome of stroke patients with dysphagia.
The prognostic factors analysed for 100 stroke patients with dysphagia included the swallowing portion of the Functional Assessment Measure (SFAM) at discharge as the dependent variable, and age, severity of stroke, cognitive status, length of stay, amount of individual treatment, and the SFAM, Food Texture, and Liquid Consistencies at admission as the independent variables. Correlation analysis, linear regression and descriptive statistics were used to analyse these variables.
Variables that had significant influences on the SFAM discharge levels included the admission ratings of the SFAM, Food Texture, Liquid Consistency, Cognitive FIM levels and length of stay. Amount of individual treatment received was also noted to be significant. Subject age, lesion site and lesion type did not reach significance in correlation or regression analysis.
Prognostic factors may play an important role in predicting outcome. This data provides speech-language pathologists with knowledge to more effectively communicate the potential outcome of treatment and recovery to patients and families. Additionally, this study stresses the importance of the initial assessment ratings and suggests the need for inter-rater reliability of assessment measures within rehabilitation facilities.
探讨可能与吞咽障碍脑卒中患者功能结局相关的、特定于言语病理学实践范畴的预后因素。
本研究分析了 100 例吞咽障碍脑卒中患者的预后因素，以出院时的功能性评估测量（SFAM）吞咽部分为因变量，以年龄、卒中严重程度、认知状态、住院时间、个体治疗量以及入院时的 SFAM、食物质地和液体稠度为自变量。采用相关分析、线性回归和描述性统计对这些变量进行分析。
对 SFAM 出院水平有显著影响的变量包括入院时的 SFAM、食物质地、液体稠度、认知 FIM 水平和住院时间。接受的个体治疗量也很重要。患者年龄、病灶部位和病灶类型在相关性或回归分析中未达到显著水平。
预后因素可能在预测结局中起重要作用。该数据为言语治疗师提供了知识，使他们能够更有效地向患者及其家属传达治疗和康复的潜在结果。此外，本研究强调了初始评估评分的重要性，并表明康复机构需要评估措施的评分者间信度。
