Department of Health Sciences, Speech-Language Pathology Department, Universidade Federal de Santa Catarina, Florianopolis, Brazil.
Speech-Language Pathology Department, Hospital Governador Celso Ramos, Florianopolis, Brazil.
Logoped Phoniatr Vocol. 2022 Oct;47(3):171-176. doi: 10.1080/14015439.2021.1899279. Epub 2021 Mar 29.
To verify the factors associated with the need of tube feeding (TF) during patients post-ischemic stroke hospitalization.
This is a retrospective study with 70 adult post-ischemic hemispheric stroke adult patients hospitalized in the Neurology department at a tertiary public hospital in Santa Catarina, Brazil. We investigated associations between the need of a feeding tube during hospitalization and the variables age, gender, admission and discharge NIHSS and FOIS, length of hospital stay in days, presence of thrombolytic therapy, extensive stroke, hemisphere affected, prior stroke, pneumonia during hospitalization, presence of signs of laryngeal penetration and laryngotracheal aspiration and dysphagia in the first and last swallowing clinical evaluation.
A total of 33 participants used tube feeding. There was a significant relationship among tube feeding and the following parameters: NIHSS ( value .001), FOIS ( value .001), extensive stroke ( value .034), left hemisphere involvement ( value .035), pneumonia during hospitalization ( value .001), length of hospital stay in days ( value .001), signs of laryngotracheal penetration/aspiration ( value .001) and dysphagia in speech-language assessment ( value .001).
Tube feeding during patients hospitalization after ischemic hemispheric stroke was predicted by the severity of stroke and signs of airway permeation.Key pointsSwallowing difficulty is one of the most common post-stroke consequences.There are few studies on the characterization of post-stroke patients with tube feeding.Tube feeding after ischemic stroke predictors were severity of stroke and signs of airway permeation.
验证与缺血性脑卒中后住院患者需要管饲（TF）相关的因素。
这是一项回顾性研究，共纳入 70 名巴西圣卡塔琳娜州一家三级公立医院神经科住院的成人缺血性半球卒中患者。我们调查了住院期间需要喂养管与年龄、性别、入院和出院 NIHSS 和 FOIS、住院天数、溶栓治疗、大面积卒中、受累半球、既往卒中、住院期间肺炎、存在喉穿透和喉气管抽吸以及吞咽第一和最后一次临床评估中的吞咽困难的关系。
共有 33 名参与者使用了管饲。管饲与以下参数之间存在显著关系：NIHSS（ 值.001）、FOIS（ 值.001）、大面积卒中（ 值.034）、左半球受累（ 值.035）、住院期间肺炎（ 值.001）、住院天数（ 值.001）、喉气管穿透/抽吸迹象（ 值.001）和言语评估中的吞咽困难（ 值.001）。
卒中严重程度和气道渗透迹象预测了缺血性半球性卒中后住院患者管饲。
吞咽困难是脑卒中后最常见的并发症之一。关于需要管饲的脑卒中患者的特征研究较少。缺血性卒中后管饲的预测因素是卒中的严重程度和气道渗透的迹象。
