Observational studyJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2019
Factors Influencing Oral Intake Improvement and Feeding Tube Dependency in Patients with Poststroke Dysphagia.
Observational study in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Acupuncture combined with balloon dilation for post-stroke cricopharyngeal achalasia: A meta-analysis of randomized controlled trials.Frontiers in neuroscience · 2022Pooled it
- Post-Stroke Dysphagia: Moving Toward Evidence-Based, Recovery-Oriented Systems of Care.Current neurology and neuroscience reports · 2026Review
- Prediction of Total Oral Intake by Videoendoscopic Evaluation in Patients With Acute Stroke.Cureus · 2026Article
- Predictors of recovery from dysphagia after stroke: A systematic review and meta-analysis.International journal of nursing sciences · 2025Review
- Post-stroke dysphagia: identifying the evidence missing.Frontiers in medicine · 2025Review
- Predicting Early Dysphagia in Acute Ischemic Stroke Using an Explainable Machine Learning Model.International journal of general medicine · 2025Article
- Early acupuncture intervention strongly associates with improved swallowing recovery in post-stroke dysphagia: a multicenter real-world cohort study.Frontiers in neurology · 2025Article
- Factors associated with oropharyngeal dysphagia and unsuccessful nasogastric tube removal after endovascular thrombectomy for anterior circulation stroke.European geriatric medicine · 2024Article
- Prediction of Oral Intake at Discharge with Early Assessment of Swallowing Function within 24 h after Admission: A Retrospective Cohort Study.Dysphagia · 2024Article
- Predictive Factors for Oral Intake Recovery After Acute Stroke: Analysis of a Japanese Nationwide Inpatient Database.Dysphagia · 2022Article
- Relationship between Aspiration Pneumonia and Feeding Care among Home Care Patients with an In-Dwelling Nasogastric Tube in Taiwan: A Preliminary Study.International journal of environmental research and public health · 2022Article
- Hemodynamic signal changes and swallowing improvement of repetitive transcranial magnetic stimulation on stroke patients with dysphagia: A randomized controlled study.Frontiers in neurology · 2022Article
- Can non-swallowing function assessment predict nasogastric tube removal in patients with poststroke dysphagia? A clinical study.Frontiers in neurology · 2022Article
- Analysis of influencing factors of rehabilitation treatment effect in patients with first-episode stroke.American journal of translational research · 2021Article
- Structural and Functional Deficits in Patients with Poststroke Dementia: A Multimodal MRI Study.Neural plasticity · 2021Article
- Post-stroke Dysphagia: Recent Insights and Unanswered Questions.Current neurology and neuroscience reports · 2020Review
- Association Between Active Gait Training for Severely Disabled Patients with Nasogastric Tube Feeding or Gastrostoma and Recovery of Oral Feeding: A Retrospective Cohort Study.Clinical interventions in aging · 2020Article
- REhabilitation of Dysphagia with ACupuncture and auricular Therapy after severe acquired brain injury (REDACT study): a double-blind randomized controlled trial protocol.Frontiers in neurologyArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo assess ischemic stroke patients regarding the relationship between lesion locations, swallowing impairment, medical and demographic factors and (1) oral intake improvement and (2) feeding tube dependency at discharge from their acute hospital stay.
methodsWe conducted an exploratory, retrospective observational longitudinal cohort study of acute, first-ever, ischemic stroke patients. Patients who had an initial nonoral feeding recommendation from a speech and language pathologist and who underwent a modified barium swallow study within their hospital stay were included. Oral intake status was measured with the Functional Oral Intake Scale (FOIS) as the change in FOIS during the hospital stay and as feeding tube dependency at hospital discharge. Associations were assessed with multiple linear regression modeling controlling for age, comorbidities, and hospital length of stay.
resultsWe included 44 stroke patients. At hospital discharge, 93% of patients had oral intake restrictions and 30% were feeding tube dependent. Following multiple linear regression modeling, age, damage to the left superior frontal gyrus, dorsal anterior cingulate gyrus, hypothalamus, and nucleus accumbens were significant predictors for FOIS change. Feeding tube dependency showed no significant associations with any prognostic variables when controlling for confounders.
conclusionsThe vast majority of patients with an initial nonoral feeding recommendation are discharged with oral intake restrictions indicating a continued need for swallowing assessments and treatment after discharge. Lesion locations associated with motivation, reward, and drive to consume food as well as swallowing impairment, higher age, and more comorbidities were related to less oral intake improvement.
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