Changes in Arterial Oxygen Saturation (SaO2) Before, During, and After Meals in Stroke Patients in a Rehabilitation Setting

被引:5
作者
Chan, Simon Y. P. [1 ]
Lo, Raymond S. K. [1 ]
机构
[1] Shatin Hosp, Dept Med & Geriatr, Shatin, Hong Kong, Peoples R China
关键词
Stroke; Arterial oxygen saturation; Feeding; Pneumonia; Deglutition; Deglutition disorders; PULSE OXIMETRY; DETECT ASPIRATION; SITTING POSITION; ISCHEMIC-STROKE; HYPOXIA; AGE;
D O I
10.1007/s00455-008-9177-9
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The aim of this study was to investigate the changes in arterial oxygen saturation (SaO(2)) of stroke patients during mealtime and whether duration of feeding (time to finish a meal) and mode of feeding (self-feed versus being fed) were associated with such changes. This study also investigated whether the consequence of aspiration pneumonia in the stroke patients was associated with SaO(2) drops during mealtime. The findings of this study showed that stroke patients but not the controls had a small but significant SaO(2) drop during meals (0.91%, IQR = 1.53%, p < 0.05 in being fed; 1.04%, IQR = 1.35%, p = 0.013, in self-feed). Duration of feeding and mode of feeding, however, did not have an association with mealtime SaO(2) changes. The SaO(2) drop during mealtime was not an early indicator of aspiration pneumonia.
引用
收藏
页码:77 / 82
页数:6
相关论文
共 24 条
  • [1] ALEXANDER CM, 1989, ANESTH ANALG, V68, P368
  • [2] Pneumonia and urinary tract infection after acute ischaemic stroke: a tertiary analysis of the GAIN International trial
    Aslanyan, S
    Weir, CJ
    Diener, HC
    Kaste, M
    Lees, KR
    [J]. EUROPEAN JOURNAL OF NEUROLOGY, 2004, 11 (01) : 49 - 53
  • [3] Sleep apnea in acute cerebrovascular diseases: Final report on 128 patients
    Bassetti, C
    Aldrich, MS
    [J]. SLEEP, 1999, 22 (02) : 217 - 223
  • [4] ARTERIAL OXYGEN-TENSION AND SATURATION IN HOSPITAL PATIENTS - EFFECT OF AGE AND ACTIVITY
    BLOM, H
    MULDER, M
    VERWEIJ, W
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 1988, 297 (6650): : 720 - 721
  • [5] Does pulse oximetry reliably detect aspiration in dysphagic stroke patients?
    Collins, MJ
    Bakheit, AMO
    [J]. STROKE, 1997, 28 (09) : 1773 - 1775
  • [6] Effects of age, gender, disease, and multisystem involvement on oxygen saturation levels in dysphagic persons
    Colodny, N
    [J]. DYSPHAGIA, 2001, 16 (01) : 48 - 57
  • [7] Sleep-disordered breathing and poor functional outcome after stroke
    Good, DC
    Henkle, JQ
    Gelber, D
    Welsh, J
    Verhulst, S
    [J]. STROKE, 1996, 27 (02) : 252 - 259
  • [8] GREEN NPO, 1990, BIOL SCI, V2, P527
  • [9] HAAS A, 1967, ARCH PHYS MED REHAB, V48, P631
  • [10] Ischemic core and penumbra in human stroke
    Kaufmann, AM
    Firlik, AD
    Fukui, MB
    Wechsler, LR
    Jungries, CA
    Yonas, H
    [J]. STROKE, 1999, 30 (01) : 93 - 99