Objective: To construct a prognostic model for unsuccessful removal of nasogastric tube (NGT) was the aim of our study.Methods: This study examined patients with swallowing disorders receiving NGT feeding due to stroke or traumatic brain injury in a regional hospital. Clinical data was collected, such as age, sex, body mass index (BMI), level of activities of daily living (ADLs) dependence. Additionally, gather information regarding the enhancement in Functional Oral Intake Scale (FOIS) levels and the increase in food types according to the International Dysphagia Diet Standardization Initiative (IDDSI) after one month of swallowing training. A stepwise logistic regression analysis model was employed to predict NGT removal failure using these parameters.Results: Out of 203 patients, 53 patients (26.1%) had experienced a failed removal of NGT after six months of follow-up. The strongest predictors for failed removal were age over 60 years, underweight BMI, total dependence in ADLs, and ischemic stroke. The admission prediction model categorized patients into high, moderate, and low-risk groups for removal failure. The failure rate of NGT removal was high not only in the high-risk group but also in the moderate-risk groups when there was no improvement in FOIS levels and IDDSI food types.Conclusion: Our predictive model categorizes patients with brain insults into risk groups for swallowing disorders, enabling advanced interventions such as percutaneous endoscopic gastrostomy for high-risk patients struggling with NGT removal, while follow-up assessments using FOIS and IDDSI aid in guiding rehabilitation decisions for those at moderate risk.
1 December 2016 in Rehabilitation Practice and Science
Purpose: Previous studies conducted on pressure garments have suggested that compression garments may have positive effects on cardiopulmonary function while performing exercises by improving peripheral venous return and reducing muscle oscillation that may cause energy loss. However, most studies have not been able to prove this hypothesis and concluded that compression has no positive effect on cardiopulmonary function while performing exercises. This study was aimed at determining whether compression garments with a pressure gradient can reduce energy loss caused by muscle oscillation and subsequently promote running economy and cardiopulmonary function in sedentary overweight females. Methods: This study was conducted with a repeated measures design, with the same subjects wearing compression tights or sweatpants for exercise testing, after which the effect of different pants was compared. Twelve overweight females (body mass index >24) with a sedentary lifestyle wearing compression tights or conventional running clothing underwent progressive maximal exercise testing and fixed-intensity testing according to the counterbalanced design. We collected and analyzed the exercise parameters, including the heart rate, oxygen uptake, ventilation threshold, respiratory compensation point, and running economy. Results: The maximal oxygen uptake of subjects wearing compression tights did not increase significantly (p = 0.88, ES: 0.12). The average time to reach the ventilation threshold was extended by 5.13% (p = 0.03, ES: 0.22), but exercise economy deteriorated by 2.15% without statistical difference in the fixed-intensity testing. Conclusion: For sedentary and overweight women, wearing compression tights did not improve maximal oxygen uptake, oxygen uptake of anaerobic threshold, oxygen uptake of respiratory compensatory threshold, or running economy, but the time to reach the anaerobic threshold was significantly prolonged that can facilitate the aerobic endurance of runners. Overall, compression tights have no obvious benefits for running economy or cardiopulmonary function.