The Use of Enteral Nutrition in the Management of Stroke

Ojo, Omorogieva; Brooke, Joanne

doi:10.3390/nu8120827

Cited by 62 publications

(51 citation statements)

References 24 publications

(48 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, oral care can have a significant effect on swallowing, food intake, and prevention of malnutrition [17]. Malnutrition is a common problem occurring after acute stroke, with an incidence of 8%–34% in the United States [18] and approximately 51% in Taiwan [6]. Therefore, the implementation of an oral care programme is very important for patients with stroke who have indwelling nasogastric tubes.…”

Section: Introductionmentioning

confidence: 99%

Effect of an Oral Health Programme on Oral Health, Oral Intake, and Nutrition in Patients with Stroke and Dysphagia in Taiwan: A Randomised Controlled Trial

Chen

et al. 2019

IJERPH

View full text Add to dashboard Cite

No previous studies have evaluated an oral health programme, before swallowing therapy, in patients with stroke and dysphagia in Taiwan. This randomised controlled trial evaluated the effect of an oral health programme (i.e., sputum assessment, Bass method-based tooth brushing, and tooth coating with fluoride toothpaste) before swallowing therapy. Sixty-six patients with stroke (23 female, 43 male) in our rehabilitation ward, who underwent nasogastric tube insertion, were assigned randomly to an oral care group (n = 33) and a control group (n = 33). Demographic data, oral health assessment, Functional Oral Intake Scale (FOIS) scores, Mini-Nutritional Assessment-Short Form (MNA-SF) scores, and nasogastric tube removal rates were compared between groups. We evaluated outcomes using generalised estimating equation analysis. Three weeks post-implementation, the oral care group had significant oral health improvements relative to the control group (95% CI =−2.69 to −1.25, Wald χ2 = 29.02, p < 0.001). There was no difference in the FOIS (95% CI = −0.16 to 0.89, Wald χ2 = 1.86, p > 0.05), MNA-SF (95% CI = −0.35 to 0.53, Wald χ2 =−0.17, p > 0.05), and nasogastric tube removal (p > 0.05) between groups. The oral care group had a higher, but non-significant FOIS score (3.94 vs 3.52) (p > 0.05). Routine oral health programmes implemented during stroke rehabilitation in patients with dysphagia may promote oral health and maintain oral intake.

show abstract

Section: Introductionmentioning

confidence: 99%

Effect of an Oral Health Programme on Oral Health, Oral Intake, and Nutrition in Patients with Stroke and Dysphagia in Taiwan: A Randomised Controlled Trial

Chen

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…Stroke is a major cause of disability and malnutrition [12] and was a pathology for one-third of our patients with EN due to neurological disease. Dysphagia is one of its most frequent sequelae, resulting in decreased food intake and dehydration, thereby increasing the likelihood of morbidity and mortality [13,14,15].…”

Section: Discussionmentioning

confidence: 99%

Patients Discharged with Home Enteral Nutrition from a Third-Level Hospital in 2018

et al. 2019

View full text Add to dashboard Cite

Patients who, during admission, begin to use enteral nutrition (EN) and do not recover adequate oral intake need proper planning prior to discharge. The present study is a descriptive analysis of patients discharged with EN from our hospital in 2018. In all, the study included 141 patients (50.3% male) with an average age of 76.18 ± 14 years with the most frequent reasons for enteral support being neurological disease (71.3%) and ear, nose, and throat (ENT) and maxillofacial surgery (17.02%) (others accounted for 11.68%). In these two groups, differences were observed in both the average age (77 vs. 70.5 years) and sex of patients-mostly women (58%) in the first group and men (70%) in the second. Overall, the access routes used were nasogastric tube (76.4%), and percutaneous endoscopic gastrostomy (18.4%); 67.1% of the episodes ended by 30 June, 60.6% of patients died (47% of neurological patients), and 39.3% patients recovered function of the oral passage (85% of surgical/head and neck tumor). The duration of support was as follows: 1-3 months, 32%; 6-12 months, 26.9%; more than 12 months, 18.5%. This indicated some frequent and clearly differentiated profiles in the patients studied, which may contribute to better care and support in order to maintain long-term treatment.

show abstract

“…Due to the high prevalence of dysphagia, immobility and complications (e.g., pneumonia, thrombosis, depression) patients with acute stroke are at a high risk for developing malnutrition. The National Institute for Health and Care Excellence (NICE) guideline states the necessity of screening and assessing all acute stroke patients for swallowing problems by appropriately trained staff before being given any oral food, fluid or medication (Ojo and Brooke, 2016 ). In acute stroke, the prevalence of dysphagia has been reported as ranging from 28 to 65%, depending on the method used for assessing dysphagia.…”

Section: Disease-specific Aspects Of Malnutrition In Neurogeriatric Pmentioning

confidence: 99%

Disease Specific Aspects of Malnutrition in Neurogeriatric Patients

Prell

Perner

2018

Front. Aging Neurosci.

View full text Add to dashboard Cite

Malnutrition in elderly patients is a common condition. Nevertheless, there is evidence on specific risk factors and problems of malnutrition in geriatric patients with neurological diseases. In this review, we summarize recent knowledge on malnutrition in different neurological diseases with a focus on elderly patients. This overview also provides strategies for a more specific and profound assessment of neurogeriatric patients to improve identification and treatment of malnutrition. Early and consequent treatment of malnutrition can lead to a decreased progression of the neurological disease and to a better quality of life in geriatric patients.

show abstract

The Use of Enteral Nutrition in the Management of Stroke

Cited by 62 publications

References 24 publications

Effect of an Oral Health Programme on Oral Health, Oral Intake, and Nutrition in Patients with Stroke and Dysphagia in Taiwan: A Randomised Controlled Trial

Effect of an Oral Health Programme on Oral Health, Oral Intake, and Nutrition in Patients with Stroke and Dysphagia in Taiwan: A Randomised Controlled Trial

Patients Discharged with Home Enteral Nutrition from a Third-Level Hospital in 2018

Disease Specific Aspects of Malnutrition in Neurogeriatric Patients

Contact Info

Product

Resources

About