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dc.contributor.authorSchwarz, Maria
dc.contributor.authorCoccetti, Anne
dc.contributor.authorMurdoch, Allison
dc.contributor.authorCardell, Elizabeth
dc.date.accessioned2019-05-29T13:02:07Z
dc.date.available2019-05-29T13:02:07Z
dc.date.issued2018
dc.identifier.issn0962-1067
dc.identifier.doi10.1111/jocn.13922
dc.identifier.urihttp://hdl.handle.net/10072/376410
dc.description.abstractAims and objectives To determine presence of clinical complications related to dysphagia and to explore their operational outcomes. Background: Dysphagia is a common complication of stroke. The management of poststroke dysphagia is multidisciplinary with nurses playing a key role in screening for dysphagia risk, monitoring tolerance of food and fluids and checking for the development of complications such as fever, dehydration and change in medical status. Dysphagia often results in further complications including aspiration pneumonia and the need for nasogastric feeding. Dysphagia‐related complications have been shown to have a significant impact on morbidity and mortality, length of stay and cost of admission. Design: Retrospective cohort study. Methods: A total of 110 patients presenting with an ischaemic stroke were chart‐audited. Results: Aspiration pneumonia poststroke was found to be significantly associated with increased overall length of stay, poorer functional outcomes poststroke as well as being associated with a high risk of mortality. The presence of a nasogastric tube was also associated with reduced functional outcomes poststroke and increased risk of death. Conclusion: High prevalence and cost of complications associated with stroke highlight the complexity of providing nursing and allied health care to this patient population. This provides a snapshot of dysphagia‐related complications experienced by stroke patients. Relevance to clinical practice: This paper highlights that poststroke complications can significantly impact on patient outcomes and operational factors such as cost of admission; therefore, poststroke care requires a multidisciplinary approach to management. Furthermore, preventing and managing complications poststroke is a key element of nursing care and has the potential to significantly reduce incidence of mortality, length of stay and cost of hospital admission.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrome235
dc.relation.ispartofpagetoe241
dc.relation.ispartofissue1-2
dc.relation.ispartofjournalJournal of Clinical Nursing
dc.relation.ispartofvolume27
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode52
dc.titleThe impact of aspiration pneumonia and nasogastric feeding on clinical outcomes in stroke patients: A retrospective cohort study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorCardell, Elizabeth A.


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