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Predictors of nasogastric tube removal in patients with stroke and dysphagia
Dysphagia is present in 25–50% of patients with stroke. Therefore, studying the probability of nasogastric tube removal in such patients before discharge from the rehabilitation ward is crucial. In this study, we developed a model to predict the outcome of dysphagia in patients with stroke. A retros...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8340950/ https://www.ncbi.nlm.nih.gov/pubmed/33927175 http://dx.doi.org/10.1097/MRR.0000000000000471 |
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author | Lee, Kun-Chang Liu, Chien-Ting Tzeng, I-Shiang Chie, Wei-Chu |
author_facet | Lee, Kun-Chang Liu, Chien-Ting Tzeng, I-Shiang Chie, Wei-Chu |
author_sort | Lee, Kun-Chang |
collection | PubMed |
description | Dysphagia is present in 25–50% of patients with stroke. Therefore, studying the probability of nasogastric tube removal in such patients before discharge from the rehabilitation ward is crucial. In this study, we developed a model to predict the outcome of dysphagia in patients with stroke. A retrospective study was performed from May 2015 to December 2018. We reviewed the medical charts of all patients with a diagnosis of stroke receiving nasogastric tube feeding. Patients were divided into weaned and nonweaned groups to compare baseline characteristics and functional status. The weaned and nonweaned groups comprised 55 and 65 patients, respectively. In the final logistic regression analysis model, the Barthel index at admission, lip closing status, ability to answer simple questions and functional independence before stroke were used to develop a predictive model (Logit = 0.8942 × functional independence before this stroke + 1.1279 × ability to answer simple question + 0.5345 × lip-close status + 0.0546 × Barthel index at admission − 2.2805). The optimal cutoff point based on Youden’s index was more than −0.8403 with a sensitivity and specificity of 85.45 and 73.85%, respectively. The positive predicted value was 73.44%. In patients with stroke and dysphagia, a high Barthel index, intact lip closing status, ability to answer simple questions and better functional status before stroke appeared to affect nasogastric tube removal before discharge from the rehabilitation ward. Based on the final regression model, the proposed equation will help physicians and speech pathologists in planning patient care. |
format | Online Article Text |
id | pubmed-8340950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-83409502021-08-10 Predictors of nasogastric tube removal in patients with stroke and dysphagia Lee, Kun-Chang Liu, Chien-Ting Tzeng, I-Shiang Chie, Wei-Chu Int J Rehabil Res Original Articles Dysphagia is present in 25–50% of patients with stroke. Therefore, studying the probability of nasogastric tube removal in such patients before discharge from the rehabilitation ward is crucial. In this study, we developed a model to predict the outcome of dysphagia in patients with stroke. A retrospective study was performed from May 2015 to December 2018. We reviewed the medical charts of all patients with a diagnosis of stroke receiving nasogastric tube feeding. Patients were divided into weaned and nonweaned groups to compare baseline characteristics and functional status. The weaned and nonweaned groups comprised 55 and 65 patients, respectively. In the final logistic regression analysis model, the Barthel index at admission, lip closing status, ability to answer simple questions and functional independence before stroke were used to develop a predictive model (Logit = 0.8942 × functional independence before this stroke + 1.1279 × ability to answer simple question + 0.5345 × lip-close status + 0.0546 × Barthel index at admission − 2.2805). The optimal cutoff point based on Youden’s index was more than −0.8403 with a sensitivity and specificity of 85.45 and 73.85%, respectively. The positive predicted value was 73.44%. In patients with stroke and dysphagia, a high Barthel index, intact lip closing status, ability to answer simple questions and better functional status before stroke appeared to affect nasogastric tube removal before discharge from the rehabilitation ward. Based on the final regression model, the proposed equation will help physicians and speech pathologists in planning patient care. Lippincott Williams & Wilkins 2021-04-27 2021-09 /pmc/articles/PMC8340950/ /pubmed/33927175 http://dx.doi.org/10.1097/MRR.0000000000000471 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Original Articles Lee, Kun-Chang Liu, Chien-Ting Tzeng, I-Shiang Chie, Wei-Chu Predictors of nasogastric tube removal in patients with stroke and dysphagia |
title | Predictors of nasogastric tube removal in patients with stroke and dysphagia |
title_full | Predictors of nasogastric tube removal in patients with stroke and dysphagia |
title_fullStr | Predictors of nasogastric tube removal in patients with stroke and dysphagia |
title_full_unstemmed | Predictors of nasogastric tube removal in patients with stroke and dysphagia |
title_short | Predictors of nasogastric tube removal in patients with stroke and dysphagia |
title_sort | predictors of nasogastric tube removal in patients with stroke and dysphagia |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8340950/ https://www.ncbi.nlm.nih.gov/pubmed/33927175 http://dx.doi.org/10.1097/MRR.0000000000000471 |
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