dc.contributor.author |
Miles, Anna |
en |
dc.contributor.author |
Zeng, Irene SL |
en |
dc.contributor.author |
McLauchlan, Helen |
en |
dc.contributor.author |
Huckabee, Maggie-Lee |
en |
dc.date.accessioned |
2018-10-15T02:14:02Z |
en |
dc.date.issued |
2013-06 |
en |
dc.identifier.issn |
1918-3003 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/41537 |
en |
dc.description.abstract |
BACKGROUND: Significant health issues and service delivery costs are associated with post-stroke pneumonia related to dysphagia. Silent aspiration is known to increase pneumonia and mortality in this population. The utility of cough reflex testing (CRT) for reducing pneumonia in acute stroke patients was the subject of this randomised, controlled trial. METHODS: Patients referred for swallowing evaluation (N = 311) were assigned to either 1) a control group receiving standard evaluation or 2) an experimental group receiving standard evaluation with CRT. Participants in the experimental group were administered nebulised citric acid with test results contributing to clinical decisions. Outcomes for both groups were measured by pneumonia rates at 3 months post evaluation and other clinical indices of swallowing management. RESULTS: Analysis of the data identified no significant differences between groups in pneumonia rate (P = 0.38) or mortality (P = 0.15). Results of CRT were shown to influence diet recommendations (P < 0.0001) and referrals for instrumental assessment (P < 0.0001). CONCLUSIONS: Despite differences in clinical management between groups, the end goal of reducing pneumonia in post stroke dysphagia was not achieved. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Journal of clinical medicine research |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
en |
dc.title |
Cough reflex testing in Dysphagia following stroke: a randomized controlled trial. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.4021/jocmr1340w |
en |
pubs.issue |
3 |
en |
pubs.begin-page |
222 |
en |
pubs.volume |
5 |
en |
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
23671548 |
en |
pubs.end-page |
233 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
430726 |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Psychology |
en |
dc.identifier.eissn |
1918-3011 |
en |
pubs.record-created-at-source-date |
2013-05-14 |
en |
pubs.dimensions-id |
23671548 |
en |