Journal article
Predictors of Recovery of Functional Swallow After Gastrostomy Tube Placement for Dysphagia in Stroke Patients After Inpatient Rehabilitation: A Pilot Study
Annals of rehabilitation medicine, Vol.38(4), pp.467-475
08/01/2014
DOI: 10.5535/arm.2014.38.4.467
PMCID: PMC4163586
PMID: 25229025
Abstract
Objective To determine predictors of early recovery of functional swallow in patients who had gastrostomy (percutaneous endoscopic gastrostomy [PEG]) placement for dysphagia and were discharged to inpatient rehabilitation (IPR) after stroke.
Methods A retrospective study of prospectively identified patients with acute ischemic and hemorrhagic stroke from July 2008 to August 2012 was conducted. Patients who had PEG during stroke admission and were discharged to IPR, were studied. We compared demographics, stroke characteristics, severity of dysphagia, stroke admission events and medications in patients who remained PEG-dependent after IPR with those who recovered functional swallow.
Results Patients who remained PEG dependent were significantly older (73 vs. 54 years, p=0.009). Recovery of swallow was more frequent for hemorrhagic stroke patients (80% vs. 47%, p=0.079). Age, adjusting for side of stroke (odds ratio [OR], 0.89; 95% confidence interval [CI], 0.82-0.98; p=0.016) and left-sided strokes, adjusting for age (OR, 15.15; 95% CI, 1.32-173.34; p=0.028) were significant predictors of swallow recovery. Patients who recovered swallowing by discharge from IPR were more likely to be discharged home compared to those who remained PEG-dependent (90% vs. 42%, p=0.009).
Conclusion Younger age and left-sided stroke may be predictive factors of early recovery of functional swallow in patients who received PEG. Prospective validation is important as avoidance of unnecessary procedures could reduce morbidity and healthcare costs.
Details
- Title: Subtitle
- Predictors of Recovery of Functional Swallow After Gastrostomy Tube Placement for Dysphagia in Stroke Patients After Inpatient Rehabilitation: A Pilot Study
- Creators
- Diana Crisan - Tulane UniversityAmir Shaban - Tulane UniversityAmelia Boehme - University of Alabama at BirminghamPerry Dubin - Tulane UniversityJenifer Juengling - Tulane UniversityLaurie A. Schluter - Tulane UniversityKaren C. Albright - University of Alabama at BirminghamT. Mark Beasley - University of Alabama at BirminghamSheryl Martin-Schild - Tulane University
- Resource Type
- Journal article
- Publication Details
- Annals of rehabilitation medicine, Vol.38(4), pp.467-475
- DOI
- 10.5535/arm.2014.38.4.467
- PMID
- 25229025
- PMCID
- PMC4163586
- NLM abbreviation
- Ann Rehabil Med
- ISSN
- 2234-0645
- eISSN
- 2234-0653
- Publisher
- Korean Acad Rehabilitation Medicine
- Number of pages
- 9
- Grant note
- 5-T32-HS013852-10 / Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality Doris Duke Charitable Foundation; Doris Duke Charitable Foundation (DDCF) P60MD000502 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) T32HS013852 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality 3-P60-MD000502-08S1 / National Institute on Minority Health and Health Disparities, National Institutes of Health
- Language
- English
- Date published
- 08/01/2014
- Academic Unit
- Neurology
- Record Identifier
- 9984302206302771
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