Development and validation of a prognostic model of swallowing recovery and enteral tube feeding after ischemic stroke
JAMA May 20, 2019
Galovic M, et al. - Researchers developed and validated a prognostic model predicting swallowing recovery and the need for enteral tube feeding in this single-center derivation and multicenter validation study of 279 adults with severe dysphagia. The data presented in this work showed a scoring system based on five factors (age, stroke severity on admission, stroke location, initial risk of aspiration, and initial impairment of oral intake) predicted the recovery of functional oral intake 7 (an indication for nasogastric tube feeding) and 30 days (an indication for percutaneous endoscopic gastronomy feeding) following stroke. Available as a smartphone application, the Predictive Swallowing Score is an easily applied prognostic tool that reliably predicts recovery swallowing. It will support decision making after ischemic stroke for nasogastric tube or percutaneous endoscopic gastrostomy insertion and is a step towards customized medicine.
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