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Feasibility of swallowing interventions for tracheostomized individuals with severely disordered consciousness following traumatic brain injury
O'NEIL PIROZZI TM; MOMOSE KJ; MELLO J
BRAIN INJ , 2003, vol. 17, n° 5, p. 389-399 Doc n°: 108855 Localisation : Documentation IRR Descripteurs : AF3 - TRAUMATISME CRANIEN, AD35 - DYSPHAGIE, AD7 - CONSCIENCE - Primary objective: To report the ability of 12 tracheostomized acute rehabilitation hospital inpatients with severely disordered consciousness post-traumatic brain injury (TBI) to participate in an objective swallowing assessment. Research design: Post hoc analysis of data from a larger, prospective blinded comparison study. Methods and procedures: Subjects completed a modified barium swallow (MBS) study. Food/drink and tracheostomy tube management recommendations were made. Main outcomes and results: All subjects participated successfully during an MBS. Post-MBS, 10 subjects began receiving small amounts of food and/or drink. Prior to hospital discharge, all subjects received some food and/or drink and were extubated. Subjects were deemed representative of this patient population and, from a swallowing perspective, other tracheostomized patient populations at the same facility. Conclusions: Clinicians should routinely consider tracheostomized, acute rehabilitation hospital inpatients with severely disordered consciousness post-TBI potential MBS candidates. Implications and continued research needs are discussed. Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2003226951 |
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