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http://hdl.handle.net/1843/79142| Type: | Artigo de Periódico |
| Title: | Clinical evolution of dysphagic patients after malignant infarction and decompressive craniectomy: a case series |
| Authors: | Caroline Matavelli Castelarduarte Naiany Nascimento da Silva Figueiredo Romeu Vale Sant´anna Tatiana Simões Chaves Aline Mansueto Mourão |
| Abstract: | This study aimed to characterize clinical-neurological factors and the functional swallowing capacity of patients with malignant infarction submitted to decompressive craniectomy during the hospital stay. This retrospective, descriptive, observational study was conducted between January 2020 and December 2021. The following data regarding up to eight stages were extracted for descriptive analysis: age, location of the lesion, level of awareness according to the Glasgow Coma Scale, neurological impairment according to the National Institutes of Health Stroke Scale, and the functional swallowing capacity according to the Functional Oral Intake Scale. Data on 昀椀ve patients were collected, with a mean of 0.2 days for the 昀椀rst neurological assessment. Decompressive craniectomy was performed in a mean of 2 days after admission. The speech-language-hearing assessment occurred in a mean of 8.2 days, and the speech-language-hearing discharge took a mean of 35.4 days. The neurological impairment score remained the same as in the 昀椀rst neurological assessment after decompressive craniectomy, with a mean score of 16.6. The functional swallowing capacity was the same in the first assessment after decompressive craniectomy, on FOIS level 1, improving considerably by the discharge, with amean level of 4.8. It is concluded that clinical-neurological factors can interfere with the functional swallowing capacity, although they did not hinder either speech-language-hearing treatment or their evolution to a full oral diet during the hospital stay. |
| Subject: | Decompressive Craniectomy Deglutition Disorders Speech, Language and Hearing Sciences Deglutition Ischemic Stroke Neurology |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE FONOAUDIOLOGIA |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | 10.1590/1982-0216/20232529722 |
| URI: | http://hdl.handle.net/1843/79142 |
| Issue Date: | 2023 |
| metadata.dc.url.externa: | https://doi.org/10.1590/1982-0216/20232529722 |
| metadata.dc.relation.ispartof: | Revista CEFAC |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Clinical evolution of dysphagic pdfa.pdf | 170.74 kB | Adobe PDF | View/Open |
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