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Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study
BACKGROUND: Dysphagia is common after stroke. Patients with dysphagia have a higher risk of stroke-associated pneumonia (SAP) and poor outcomes. Early detection of dysphagia is necessary to identify and manage patients at high risk of aspiration. The aim of the study was to assess the impact of the...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183112/ https://www.ncbi.nlm.nih.gov/pubmed/32334559 http://dx.doi.org/10.1186/s12883-020-01733-0 |
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author | Liu, Zhu-Yun Zhang, Xiao-Pei Mo, Miao-Miao Ye, Ri-Chun Hu, Cai-Xia Jiang, Min-Qing Lin, Man-Qiu |
author_facet | Liu, Zhu-Yun Zhang, Xiao-Pei Mo, Miao-Miao Ye, Ri-Chun Hu, Cai-Xia Jiang, Min-Qing Lin, Man-Qiu |
author_sort | Liu, Zhu-Yun |
collection | PubMed |
description | BACKGROUND: Dysphagia is common after stroke. Patients with dysphagia have a higher risk of stroke-associated pneumonia (SAP) and poor outcomes. Early detection of dysphagia is necessary to identify and manage patients at high risk of aspiration. The aim of the study was to assess the impact of the systematic administration of the volume-viscosity swallow test (V-VST) in patients with acute ischaemic stroke. METHODS: This was a retrospective observational study that enrolled patients with acute ischaemic stroke in two consecutive time periods: pre-V-VST, when the 30-mL water-swallowing test (WST) was systematically administered, and V-VST, when all patients underwent the WST and the V-VST test was systematically administered if the patient failed the WST. RESULTS: Two hundred and 42 patients were enrolled. The mean age of the participants was 68.8 ± 10.88 years, 61.2% were male, and the median National Institutes of Health Stroke Scale score was 3 (IQR, 1–6). A total of 147 patients were enrolled during the pre-V-VST period and 95 were enrolled during the V-VST period. There was a significant difference in the occurrence of SAP (21.8% vs. 10.5%, p = 0.024) and the rate of nasogastric tube feeding (25.9% vs. 14.7%, p = 0.040) between the two groups, and no differences were found in the length of hospital stay (p = 0.277) or the total cost of hospitalization (p = 0.846). CONCLUSIONS: The V-VST was a better clinical screening tool, and it can also provide detailed suggestions regarding dietary modifications to prevent aspiration and SAP. |
format | Online Article Text |
id | pubmed-7183112 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71831122020-04-28 Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study Liu, Zhu-Yun Zhang, Xiao-Pei Mo, Miao-Miao Ye, Ri-Chun Hu, Cai-Xia Jiang, Min-Qing Lin, Man-Qiu BMC Neurol Research Article BACKGROUND: Dysphagia is common after stroke. Patients with dysphagia have a higher risk of stroke-associated pneumonia (SAP) and poor outcomes. Early detection of dysphagia is necessary to identify and manage patients at high risk of aspiration. The aim of the study was to assess the impact of the systematic administration of the volume-viscosity swallow test (V-VST) in patients with acute ischaemic stroke. METHODS: This was a retrospective observational study that enrolled patients with acute ischaemic stroke in two consecutive time periods: pre-V-VST, when the 30-mL water-swallowing test (WST) was systematically administered, and V-VST, when all patients underwent the WST and the V-VST test was systematically administered if the patient failed the WST. RESULTS: Two hundred and 42 patients were enrolled. The mean age of the participants was 68.8 ± 10.88 years, 61.2% were male, and the median National Institutes of Health Stroke Scale score was 3 (IQR, 1–6). A total of 147 patients were enrolled during the pre-V-VST period and 95 were enrolled during the V-VST period. There was a significant difference in the occurrence of SAP (21.8% vs. 10.5%, p = 0.024) and the rate of nasogastric tube feeding (25.9% vs. 14.7%, p = 0.040) between the two groups, and no differences were found in the length of hospital stay (p = 0.277) or the total cost of hospitalization (p = 0.846). CONCLUSIONS: The V-VST was a better clinical screening tool, and it can also provide detailed suggestions regarding dietary modifications to prevent aspiration and SAP. BioMed Central 2020-04-25 /pmc/articles/PMC7183112/ /pubmed/32334559 http://dx.doi.org/10.1186/s12883-020-01733-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Liu, Zhu-Yun Zhang, Xiao-Pei Mo, Miao-Miao Ye, Ri-Chun Hu, Cai-Xia Jiang, Min-Qing Lin, Man-Qiu Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
title | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
title_full | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
title_fullStr | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
title_full_unstemmed | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
title_short | Impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
title_sort | impact of the systematic use of the volume-viscosity swallow test in patients with acute ischaemic stroke: a retrospective study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183112/ https://www.ncbi.nlm.nih.gov/pubmed/32334559 http://dx.doi.org/10.1186/s12883-020-01733-0 |
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