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  • Title: [Reduction in frequency of pneumonia after stroke, following programmed swallowing evaluation].
    Author: Gottlieb D, Brill S, Khvoles S, Kipnis S, Manevitch D.
    Journal: Harefuah; 1995 Jul; 129(1-2):33-5, 78. PubMed ID: 7557706.
    Abstract:
    Aspiration pneumonia is a frequent complication of cerebrovascular accidents (CVA). It occurs mainly in those with post-CVA swallowing disorders, which can be diagnosed by bedside swallowing evaluation. Evaluation is based on observation of components of the oral and pharyngeal stages of swallowing a drink of 50 ml of clear liquid. Changing the consistency of the diet and the mode of swallowing, following its evaluation, can reduce significantly the frequency of post-CVA aspiration pneumonia. In 180 patients admitted for stroke rehabilitation, aspiration pneumonia occurred in 10% and swallowing disorders were found in 28%. Planned swallowing evaluation followed by the above regimen was associated with a gradual reduction of pneumonia from 16% in the first group of 60 patients to 3% in the second group of 60; and of patients with dysphagia, from 27% in the first group to none in the second.
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