Neurovascular-Nugget 18_ Unpacking Intermittent Oro-Esophageal Tube Feeding in Stroke Recovery
Notas del episodio
The main points of the article "Effect of Intermittent Oro-Esophageal Tube Feeding in Bulbar Palsy After Ischemic Stroke: A Randomized Controlled Study" are: 1. The study compared the effects of intermittent oro-esophageal tube feeding (IOE) versus nasogastric tube feeding (NG) in patients with bulbar palsy after ischemic stroke who received routine treatment and swallowing rehabilitation training. 2. 148 patients were randomly divided into IOE (n=74) and NG (n=74) groups. 3. The primary outcome was nutritional status (body mass index, serum albumin, prealbumin). Secondary outcomes included swallowing function (Functional Oral Intake Scale, Penetration-Aspiration Scale), pneumonia, depression, and adverse events. 4. After treatment, the IOE group showed significantly better results compared to the NG group in terms of: - Nutritional status (body mass index, albumin, prealbumin) - Swallowing function (Functional Oral Intake Scale, Penetration-Aspiration Scale) - Lower incidence of stroke-associated pneumonia (4.05% vs 35.14%) - Lower incidence of depression (1.35% vs 59.46%) - Fewer adverse events (reflux, fever, throat discomfort) 5. The authors concluded that in patients with dysphagia and bulbar palsy after ischemic stroke receiving routine treatment and swallowing rehabilitation, IOE is safer and more conducive to improving nutritional status, swallowing function, pneumonia, and depression compared to NG. In summary, this randomized controlled study found intermittent oro-esophageal tube feeding to be superior to nasogastric tube feeding across multiple outcomes in stroke patients with bulbar palsy and dysphagia. https://lnkd.in/djPt7Kim