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Schluckstörungen bei neurologischen Patienten : eine prospektive Studie zu Diagnostik, Störungsmustern, Therapie u. Outcome

MPG-Autoren

Prosiegel,  M
Max Planck Institute of Psychiatry, Max Planck Society;

Heintze,  M
Max Planck Institute of Psychiatry, Max Planck Society;

Wagner-Sonntag,  E
Max Planck Institute of Psychiatry, Max Planck Society;

Hannig,  C
Max Planck Institute of Psychiatry, Max Planck Society;

Wuttge-Hannig,  A
Max Planck Institute of Psychiatry, Max Planck Society;

Yassouridis,  A
Max Planck Institute of Psychiatry, Max Planck Society;

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Zitation

Prosiegel, M., Heintze, M., Wagner-Sonntag, E., Hannig, C., Wuttge-Hannig, A., & Yassouridis, A. (2002). Schluckstörungen bei neurologischen Patienten: eine prospektive Studie zu Diagnostik, Störungsmustern, Therapie u. Outcome. Nervenarzt, 73(4), 364-370.


Zitierlink: http://hdl.handle.net/11858/00-001M-0000-000E-A227-2
Zusammenfassung
We performed a prospective study on 208 patients with neurogenic dysphagia who were consecutively admitted for swallowing therapy over a 3-year period. The most frequent etiology was stroke (48%). Videofluoroscopic and/or fiber optic endoscopic evaluation of swallowing were performed in 204 patients. Swallowing therapy was comprised of restitution methods, compensation, and adaptation, each of which was applied in more than 80% of the patients. Mean duration of swallowing therapy was 2 months (full oral patients 1 month, patients dependent on tube feeding or tracheostomy 2.5 and 3.5 months, respectively). Fifty-five percent of the patients initially dependent on tube feeding were full oral feeders after swallowing therapy. A target variable reflecting functional feeding status showed significant improvement after swallowing therapy,also in patients with a disease duration of more than half a year, ruling out spontaneous recovery as a sole explanation of amelioration. The following variables were the main contributors to outcome prediction: functional feeding status, Barthel index, duration of disease, and degree of aspiration as shown by endoscop