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Dysphagia Outcomes in Patients with Brain Tumors Undergoing Inpatient Rehabilitation

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Abstract

The purpose of this retrospective study was to compare functional dysphagia outcomes following inpatient rehabilitation for patients with brain tumors with that of patients following a stroke. Group 1 (n = 24) consisted of consecutive admissions to the brain injury program with the diagnosis of brain tumor and dysphagia. Group 2 (n = 24) consisted of matched, consecutive admissions, with the diagnosis of acute stroke and dysphagia. Group 2 was matched for age, site of lesion, and initial composite cognitive FIM score. The main outcome measures for this study included the American Speech-Language-Hearing Association (ASHA) National Outcome Measurement System (NOMS) swallowing scale, length of stay, hospital charges, and medical complications. Results showed that swallowing gains made by both groups as evaluated by the admission and discharge ASHA NOMS levels were considered to be statistically significant. The differences for length of stay, total hospital charges, and speech charges between the two groups were not considered to be statistically significant. Three patients in the brain tumor group (12.5%) demonstrated dysphagia complications of either dehydration or pneumonia during their treatment course as compared to 0% in the stroke group. This study confirms that functional dysphagia gains can be achieved for patients with brain tumors undergoing inpatient rehabilitation and that they should be afforded the same type and intensity of rehabilitation for their swallowing that is provided to patients following a stroke.

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Acknowledgements

The authors would like to acknowledge Barbara Kremmer, Ph.D., for her statistical support in the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Speech-Language Pathology, Marianjoy Rehabilitation Hospital, Wheaton, Illinois, USA

    Michele Wesling MA, CCC-SLP, Susan Brady MS, CCC-SLP, Mary Jensen MA, CCC-SLP, Melissa Nickell MS, CCC-SLP & Donna Statkus MHS, CCC-SLP

  2. Rehabilitation Medicine Clinic, Marianjoy Rehabilitation Hospital, Wheaton, Illinois, USA

    Nelson Escobar MD

Authors
  1. Michele Wesling MA, CCC-SLP
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  2. Susan Brady MS, CCC-SLP
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  3. Mary Jensen MA, CCC-SLP
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  4. Melissa Nickell MS, CCC-SLP
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  5. Donna Statkus MHS, CCC-SLP
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  6. Nelson Escobar MD
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Corresponding author

Correspondence to Susan Brady MS, CCC-SLP.

Additional information

The Dr. Ralph and Marian Falk Medical Research Foundation supported this work. Work completed at Marianjoy Rehabilitation Hospital, Wheaton, Illinois

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Wesling, M., Brady, S., Jensen, M. et al. Dysphagia Outcomes in Patients with Brain Tumors Undergoing Inpatient Rehabilitation . Dysphagia 18, 203–210 (2003). https://doi.org/10.1007/s00455-002-0098-8

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  • DOI: https://doi.org/10.1007/s00455-002-0098-8

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