title: Findings of videofluoroscopic swallowing studies are associated with tube feeding dependency at discharge in stroke patients with dysphagia.
abstract: The factors associated with tube feeding dependency in stroke patients with dysphagia have received little attention. This study aimed to identify factors independently associated with tube feeding dependency at discharge in stroke patients with dysphagia using videofluoroscopic swallowing studies (VSS) and clinical findings. One hundred eighty-one consecutive tube-fed inpatients with stroke-related dysphagia referred for VSS were enrolled in the study. Of them, 47 patients continued to require tube feeding at discharge. In the final logistic regression analysis model, advanced age, recurrent stroke, confinement to a wheelchair at discharge, long duration from stroke onset to VSS, and stasis in valleculae or pyriform sinuses and aspiration on VSS were independently associated with tube feeding dependency at discharge. This study confirms the association between findings of VSS and tube feeding dependency at discharge in stroke patients with dysphagia. Based on the final regression model, a preliminary equation was proposed to help clinicians better predict the tube feeding dependency at discharge in stroke patients with dysphagia.
authors.affiliation: Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Yi-Nien
authors.initials: YN
authors.lastname: Lin
authors.forename: Ssu-Yuan
authors.initials: SY
authors.lastname: Chen
authors.forename: Tyng-Guey
authors.initials: TG
authors.lastname: Wang
authors.forename: Yeun-Chung
authors.initials: YC
authors.lastname: Chang
authors.forename: Wei-Chu
authors.initials: WC
authors.lastname: Chie
authors.forename: I-Nan
authors.initials: IN
authors.lastname: Lien
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003679:Deglutition / Q000502:physiology*; D003680:Deglutition Disorders / Q000209:etiology / Q000503:physiopathology*; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D010779:Photofluorography; D011446:Prospective Studies; D012307:Risk Factors; D020521:Stroke / Q000150:complications*