Article

The aim of this study was to determine whether dysphagia present at
initial swallowing evaluation is associated with the type of diet eaten at the
time of discharge and the location to which the patient is transferred after
discharge. DESIGN: : A total of 409 newly diagnosed acute stroke patients were
studied. RESULTS: : After hospital discharge, 140 patients returned home, 250
were transferred to another hospital for rehabilitation, and 7 were admitted to a
nursing home. Twelve patients died. A total of 205 patients were on a regular
diet, 96 were receiving a dysphagia diet, and 96 were on enteral feeding at
discharge. A total of 90.7% (127/140) of patients who were discharged home were
on a regular diet. Most of the patients on a dysphagia diet or enteral feeding
could not return home. The scores of the functional independence measure were
higher in the patients who returned to their homes than in other groups.
CONCLUSIONS: : Although it is necessary to indicate other factors, such as the
physical status to establish better rehabilitation networks, clinical assessment
of swallowing in acute stroke is very important to determine whether the patients
can go home directly.

Langue : ANGLAIS