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Centre for Policy on Ageing | |
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Dysphagia treatment post stroke a systematic review of randomised controlled trials | Author(s) | Norine Foley, Robert Teasell, Katherine Salter |
Journal title | Age and Ageing, vol 37, no 3, May 2008 |
Pages | pp 258-264 |
Source | http://www.ageing.oupjournals.org |
Keywords | Feeding capacity ; Stroke ; Clinical surveys ; Literature reviews. |
Annotation | Dysphagia (a swallowing disorder) is known to be a common and potentially serious complication of stroke. This article reports a a systematic review of randomised controlled trials (RCTs) updating previous work and evaluating the range of therapeutic interventions intended for use in adults recovering from stroke and dysphagia. 15 RCTs were found that evaluated the benefit of general dysphagia therapy programmes, non-oral feeding, medications, and physical and olfactory stimulation in the treatment of post stroke dysphagia. The risk of death associated with the use of nasogastric and percutaneous endoscopic gastronomy (PEG) tubes is equal. Fewer tube failures and decline in variables associated with nutritional status are associated with the use of PEG tubes. There is emerging evidence that general dysphagia programmes reduce the risk of pneumonia in the acute stage of stroke. Despite the recent addition of several newly published RCTs, few utilise the same treatment and outcomes; thereby comparison across studies continues to be limited. (RH). |
Accession Number | CPA-080618209 A |
Classmark | CA4: CQA: 3G: 64A |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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