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DYSPHAGIA-RECOVERY AFTER STROKE

Neurology

DYSPHAGIA-RECOVERY AFTER STROKE

1. Few studies available. Wilkinson et al. (2002): 12-month retrospective cohort study of 186 teaching hospital inpatients.

2. Subjects who tolerated grade 1 fluids (or thinner) & modified soft diet (or better) 7 days post-stroke did not require PEG.

3. Subjects who did not tolerate grade 2 fluids 7-14 days post-stroke could not tolerate a normal diet by 28 days post-stroke.

4. 50% of subjects who did not tolerate grade 3 thickened fluids & pureed diet 14 days post-stroke required PEG.

5. Of subjects who tolerated grade 3 fluids at day 7, 36% tolerated normal diet at day 28.

6. Logemann (1991): recovery of swallowing function in most brainstem strokes occurs in the first 3 weeks post-stroke.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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