Effect of Tracheostomy Tube on Swallowing in Patients with Stroke.
- Author:
Dong Yeon CHA
1
;
Hee Seung YANG
;
Ji Young NOH
;
Seon Young LEE
;
Jae Yung CHOI
;
Sun Nye KIM
;
Young Ok PARK
Author Information
1. Department of Rehabilitation Medicine, Seoul Veterans Hospital, Korea. yang7310@naver.com
- Publication Type:Original Article
- Keywords:
Tracheostomy;
Videofluroscopic swallowing study (VFSS);
Dysphagia;
Stroke
- MeSH:
Brain;
Deglutition;
Deglutition Disorders;
Gastrostomy;
Humans;
Retrospective Studies;
Stroke;
Tracheostomy
- From:Journal of the Korean Academy of Rehabilitation Medicine
2010;34(2):128-133
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To investigate the characteristics and severity of swallowing difficulties among stroke patients with a tracheostomy tube, compared to those without. METHOD: A retrospective study was performed on two groups of 17 stroke patients with a tracheostomy tube (58.8 years) and without a tracheostomy tube (69.8 years) fed by Levine tube or a gastrostomy tube. There were no differences in the FIM (functional independence measure) score and brain lesions between the two groups. We evaluated the functional dysphagia scale (FDS) and aspiration; classified before, during, and after swallowing aspiration and silent aspiration. The swallowing task consisted of 2 ml of fluid and a videofluoroscopic swallowing study. RESULTS: There were no significant differences between the oral preparatory, oral and pharyngeal phase for the two groups in FDS. However, frequency of silent aspiration (p=0.007) and the total frequency of aspiration (p=0.038) were significantly higher in patients with tracheostomy. CONCLUSION: Patients with stroke who underwent tracheostomy showed no meaningful difference in FDS. However, there were significant differences in terms of silent aspiration and the total frequency of aspiration; caused by laryngopharyngeal desensitization and the anterior tethering effect on the tracheostomy tube. We have to pay more attention to the treatment and care of patients with tracheostomy tubes.
