Ikegami Toshiyuki, Kobayashi Mika, Matsumoto Shuji
Department of Rehabilitation, Kikuno Hospital, Minamikyuusyuu City, Kagoshima, Japan.
Department of Rehabilitation Medicine, The University of Tokyo, Tokyo, Japan.
J Rehabil Med Clin Commun. 2021 Dec 20;4:2657. doi: 10.2340/20030711-1000078. eCollection 2021.
To investigate the factors predicting oral feeding ability following acute stroke.
This retrospective study compared patients admitted to a stroke care unit in 2 groups: an oral intake group and a tube feeding group. The groups were evaluated for 28 items and initial blood investigation tests, and the results compared. Logistic regression analysis was used to identify the clinical variables significantly associated with oral feeding ability.
A total of 255 stroke patients (162 in the oral intake group and 93 in the tube feeding group) were admitted to the stroke care unit. Significant differences were observed between the 2 groups for 20 items. Logistic analysis found that the following variables were significant in the prediction model: age, date of initiation of oral feeding, stroke recurrence/patient deterioration during hospitalization, and date of initiation of occupational therapy.
Factors associated with achieving oral intake among stroke care unit patients were: young age at time of admission; starting oral intake early; no stroke recurrence/patient deterioration during hospitalization; and achieving rehabilitation of daily activities early during the physical function recovery stage.
探讨急性卒中后经口进食能力的预测因素。
本回顾性研究比较了入住卒中护理单元的两组患者：经口摄入组和管饲组。对两组患者进行28项评估及初始血液检查，并比较结果。采用逻辑回归分析确定与经口进食能力显著相关的临床变量。
共有255例卒中患者（经口摄入组162例，管饲组93例）入住卒中护理单元。两组在20项指标上存在显著差异。逻辑分析发现，以下变量在预测模型中具有显著性：年龄、开始经口进食的日期、住院期间卒中复发/患者病情恶化情况以及开始职业治疗的日期。
卒中护理单元患者实现经口摄入的相关因素为：入院时年龄较小；早期开始经口摄入；住院期间无卒中复发/患者病情恶化；以及在身体功能恢复阶段早期实现日常活动康复。
