Ann Rehabil Med.  2017 Oct;41(5):769-775. 10.5535/arm.2017.41.5.769.

Clinical Predictors of Oro-esophageal Tube Feeding Success in Brain Injury Patients With Dysphagia

• Chun YM
• Chun MH
• Do KH
• Choi SJ

• KMID: 2440803
• DOI: http://doi.org/10.5535/arm.2017.41.5.769

Abstract

OBJECTIVE
To identify possible clinical predictors of intermittent oro-esophageal (OE) tube feeding success, and evaluate the clinical factors associated with OE tube treatment.
METHODS
A total of 135 dysphagic patients were reviewed, who received OE tube treatment and were hospitalized in the department of rehabilitation medicine between January 2005 and December 2014. The 76 eligible cases enrolled were divided into two groups, based on the OE tube training success. Clinical factors assessed included age, cause of brain lesion, gag reflex, cognitive function and reasons for OE tube training failure.
RESULTS
Of the 76 cases enrolled, 56 study patients were assigned to the success group, with the remaining 20 in the failure group. There were significant differences between these two groups in terms of age, gag reflex, ability to follow commands, and the score of Korean version of Mini-Mental Status Examination (K-MMSE). Location of the brain lesion showed a borderline significance. Multivariable analysis using logistic regression revealed that age, cause of brain lesion, gag reflex, and K-MMSE were the main predictors of OE tube training success.
CONCLUSION
A younger age, impaired gag reflex and higher cognitive function (specifically a K-MMSE score ≥19.5) are associated with an increased probability of OE tube training success in dysphagic patients.

Keyword

Brain injuries; Dysphagia; Oro-esophageal tube; Clinical predictor; Multivariate analysis

MeSH Terms

Brain Injuries*
Brain*
Cognition
Deglutition Disorders*
Enteral Nutrition*
Humans
Logistic Models
Multivariate Analysis
Reflex
Rehabilitation

Figure

• 

  Fig. 1 The area under the ROC curve (AUC) analysis for the score of Korean version of the Mini-Mental Status Examination (K-MMSE) and age.

• 

  Fig. 2 Success rate, according to gag reflex characteristics.

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