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Related Experiment Videos

Interventions for dysphagia in acute stroke.

P M Bath1, F J Bath, D G Smithard

  • 1Division of Stroke Medicine, University of Nottingham, City Hospital Campus, Hucknall Road, Nottingham, Nottinghamshire, UK, NG5 1PB. philip.bath@nottingham.ac.uk

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary

Percutaneous endoscopic gastrostomy (PEG) feeding may improve outcomes for stroke patients with dysphagia compared to nasogastric tube (NGT) feeding. However, more research is needed on feeding timing and dysphagia therapies.

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Area of Science:

  • Neurology
  • Gastroenterology
  • Clinical Nutrition

Background:

  • Dysphagia management after acute stroke remains unclear.
  • Optimal feeding and treatment strategies require investigation.

Purpose of the Study:

  • To review management strategies for dysphagic stroke patients.
  • To assess feeding methods, nutritional supplementation, and dysphagia treatments.

Main Methods:

  • Systematic review of randomized controlled trials.
  • Searched multiple databases including Cochrane Stroke Group, Medline, Embase, and ISI.
  • Included trials on dysphagic patients with acute/subacute stroke.

Main Results:

  • Percutaneous endoscopic gastrostomy (PEG) feeding showed potential benefits over nasogastric tube (NGT) feeding in reducing case fatality and improving nutritional status.

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  • Formal swallowing therapy and drug therapy (nifedipine) did not show significant benefits for dysphagia.
  • Nutritional and fluid supplementation showed non-significant trends or no significant impact on outcomes.

    • Conclusions:

    • Limited studies and small patient numbers necessitate further research.
    • PEG feeding may be superior to NGT feeding for dysphagic stroke patients.
    • More research is required on feeding timing and dysphagia therapies.