The Experts below are selected from a list of 297 Experts worldwide ranked by ideXlab platform
Randall J Smout - One of the best experts on this subject based on the ideXlab platform.
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Nutrition support (Tube Feeding) as a rehabilitation intervention.
Archives of physical medicine and rehabilitation, 2005Co-Authors: Roberta James, Deon Gines, Angela Menlove, Susan D Horn, Julie Gassaway, Randall J SmoutAbstract:James R, Gines D, Menlove A, Horn SD, Gassaway J, Smout RJ. Nutrition support (Tube Feeding) as a rehabilitation intervention. To describe site variation in use of enteral Feeding and its association with stroke rehabilitation outcomes, controlling for a variety of confounding variables. Prospective observational cohort study. Six inpatient rehabilitation facilities in the United States. Patients (N=919) from the Post-Stroke Rehabilitation Outcomes Project database with moderate or severe stroke who were discharged to home, community, or skilled nursing facility. Not applicable. Change in total, motor, and cognitive FIM instrument scores and change in severity of illness. Monitoring of nutritional status and the frequency of Tube-Feeding interventions for patients with moderate and severe stroke varied significantly among sites. Patients with Tube Feeding had higher severity of illness and lower functioning on admission compared with patients who did not receive Tube Feeding. However, when we controlled for severity of illness, admission FIM score, and other important covariates, we found that patients with severe strokes who were Tube fed for more than 25% of their stay had greater increases in total, motor, and cognitive FIM scores and greater improvement in severity of illness by discharge. Nutrition support (Tube Feeding) is an effective therapy in rehabilitation service for patients with severe strokes and is associated with greater motor and cognitive improvements, even in patients with the most severe strokes.
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Nutrition support (Tube Feeding) as a rehabilitation intervention.
Archives of Physical Medicine and Rehabilitation, 2005Co-Authors: Roberta James, Deon Gines, Angela Menlove, Susan D Horn, Julie Gassaway, Randall J SmoutAbstract:Abstract James R, Gines D, Menlove A, Horn SD, Gassaway J, Smout RJ. Nutrition support (Tube Feeding) as a rehabilitation intervention. Objective To describe site variation in use of enteral Feeding and its association with stroke rehabilitation outcomes, controlling for a variety of confounding variables. Design Prospective observational cohort study. Setting Six inpatient rehabilitation facilities in the United States. Participants Patients (N=919) from the Post-Stroke Rehabilitation Outcomes Project database with moderate or severe stroke who were discharged to home, community, or skilled nursing facility. Interventions Not applicable. Main Outcome Measures Change in total, motor, and cognitive FIM instrument scores and change in severity of illness. Results Monitoring of nutritional status and the frequency of Tube-Feeding interventions for patients with moderate and severe stroke varied significantly among sites. Patients with Tube Feeding had higher severity of illness and lower functioning on admission compared with patients who did not receive Tube Feeding. However, when we controlled for severity of illness, admission FIM score, and other important covariates, we found that patients with severe strokes who were Tube fed for more than 25% of their stay had greater increases in total, motor, and cognitive FIM scores and greater improvement in severity of illness by discharge. Conclusions Nutrition support (Tube Feeding) is an effective therapy in rehabilitation service for patients with severe strokes and is associated with greater motor and cognitive improvements, even in patients with the most severe strokes.
N. Ogata - One of the best experts on this subject based on the ideXlab platform.
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Nasogastric Tube Feeding Versus Total Parenteral Nutrition in Older Dysphagic Patients with Pneumonia: Retrospective Cohort Study
The journal of nutrition health & aging, 2020Co-Authors: Y. Honda, Ryo Momosaki, N. OgataAbstract:Objectives Many older patients with pneumonia cannot intake orally after admission and may need nutritional care such as nasogastric Tube Feeding or total parenteral nutrition. This study sought to compare in-hospital outcomes between patients receiving nasogastric Tube Feeding and total parenteral nutrition. Design This is a retrospective cohort study. Setting A hospital-based database constructed by the Diagnosis Procedure Combination survey data comprising more than 100 acute-care hospitals. Participants The study included consecutive older inpatients aged >65 years admitted to participating hospitals with a diagnosis of pneumonia from 2014 through 2017. Measurements We compared patients who received total parenteral nutrition and those who received nasogastric Tube Feeding in terms of characteristics and outcomes. Results Among the included inpatients, a total of 336 (73.2%) patients received total parenteral nutrition and 123 (26.8%) patients received nasogastric Tube Feeding. Patients with nasogastric Tube Feeding had less in-hospital mortality (13.8% vs 27.1%, p = 0.003) and a smaller number of complications (mean; 0.71 vs 1.44, p
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nasogastric Tube Feeding versus total parenteral nutrition in older dysphagic patients with pneumonia retrospective cohort study
Journal of Nutrition Health & Aging, 2020Co-Authors: Y. Honda, Ryo Momosaki, N. OgataAbstract:Many older patients with pneumonia cannot intake orally after admission and may need nutritional care such as nasogastric Tube Feeding or total parenteral nutrition. This study sought to compare in-hospital outcomes between patients receiving nasogastric Tube Feeding and total parenteral nutrition. This is a retrospective cohort study. A hospital-based database constructed by the Diagnosis Procedure Combination survey data comprising more than 100 acute-care hospitals. The study included consecutive older inpatients aged >65 years admitted to participating hospitals with a diagnosis of pneumonia from 2014 through 2017. We compared patients who received total parenteral nutrition and those who received nasogastric Tube Feeding in terms of characteristics and outcomes. Among the included inpatients, a total of 336 (73.2%) patients received total parenteral nutrition and 123 (26.8%) patients received nasogastric Tube Feeding. Patients with nasogastric Tube Feeding had less in-hospital mortality (13.8% vs 27.1%, p = 0.003) and a smaller number of complications (mean; 0.71 vs 1.44, p <0.001), shorter length of hospital stay (mean; 27.6 vs 48.9, p <0.001), more discharges home (72.4% vs 35.1%, p <0.001), and more discharges without oral intake (65.9% vs 45.8%, p <0.001) than patients with total parenteral nutrition. The same results were obtained in propensity score analysis. Older patients with pneumonia treated with total parenteral nutrition were significantly more likely to have higher in-hospital mortality than those receiving nasogastric Tube Feeding.
Roberta James - One of the best experts on this subject based on the ideXlab platform.
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Nutrition support (Tube Feeding) as a rehabilitation intervention.
Archives of physical medicine and rehabilitation, 2005Co-Authors: Roberta James, Deon Gines, Angela Menlove, Susan D Horn, Julie Gassaway, Randall J SmoutAbstract:James R, Gines D, Menlove A, Horn SD, Gassaway J, Smout RJ. Nutrition support (Tube Feeding) as a rehabilitation intervention. To describe site variation in use of enteral Feeding and its association with stroke rehabilitation outcomes, controlling for a variety of confounding variables. Prospective observational cohort study. Six inpatient rehabilitation facilities in the United States. Patients (N=919) from the Post-Stroke Rehabilitation Outcomes Project database with moderate or severe stroke who were discharged to home, community, or skilled nursing facility. Not applicable. Change in total, motor, and cognitive FIM instrument scores and change in severity of illness. Monitoring of nutritional status and the frequency of Tube-Feeding interventions for patients with moderate and severe stroke varied significantly among sites. Patients with Tube Feeding had higher severity of illness and lower functioning on admission compared with patients who did not receive Tube Feeding. However, when we controlled for severity of illness, admission FIM score, and other important covariates, we found that patients with severe strokes who were Tube fed for more than 25% of their stay had greater increases in total, motor, and cognitive FIM scores and greater improvement in severity of illness by discharge. Nutrition support (Tube Feeding) is an effective therapy in rehabilitation service for patients with severe strokes and is associated with greater motor and cognitive improvements, even in patients with the most severe strokes.
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Nutrition support (Tube Feeding) as a rehabilitation intervention.
Archives of Physical Medicine and Rehabilitation, 2005Co-Authors: Roberta James, Deon Gines, Angela Menlove, Susan D Horn, Julie Gassaway, Randall J SmoutAbstract:Abstract James R, Gines D, Menlove A, Horn SD, Gassaway J, Smout RJ. Nutrition support (Tube Feeding) as a rehabilitation intervention. Objective To describe site variation in use of enteral Feeding and its association with stroke rehabilitation outcomes, controlling for a variety of confounding variables. Design Prospective observational cohort study. Setting Six inpatient rehabilitation facilities in the United States. Participants Patients (N=919) from the Post-Stroke Rehabilitation Outcomes Project database with moderate or severe stroke who were discharged to home, community, or skilled nursing facility. Interventions Not applicable. Main Outcome Measures Change in total, motor, and cognitive FIM instrument scores and change in severity of illness. Results Monitoring of nutritional status and the frequency of Tube-Feeding interventions for patients with moderate and severe stroke varied significantly among sites. Patients with Tube Feeding had higher severity of illness and lower functioning on admission compared with patients who did not receive Tube Feeding. However, when we controlled for severity of illness, admission FIM score, and other important covariates, we found that patients with severe strokes who were Tube fed for more than 25% of their stay had greater increases in total, motor, and cognitive FIM scores and greater improvement in severity of illness by discharge. Conclusions Nutrition support (Tube Feeding) is an effective therapy in rehabilitation service for patients with severe strokes and is associated with greater motor and cognitive improvements, even in patients with the most severe strokes.
Y. Honda - One of the best experts on this subject based on the ideXlab platform.
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Nasogastric Tube Feeding Versus Total Parenteral Nutrition in Older Dysphagic Patients with Pneumonia: Retrospective Cohort Study
The journal of nutrition health & aging, 2020Co-Authors: Y. Honda, Ryo Momosaki, N. OgataAbstract:Objectives Many older patients with pneumonia cannot intake orally after admission and may need nutritional care such as nasogastric Tube Feeding or total parenteral nutrition. This study sought to compare in-hospital outcomes between patients receiving nasogastric Tube Feeding and total parenteral nutrition. Design This is a retrospective cohort study. Setting A hospital-based database constructed by the Diagnosis Procedure Combination survey data comprising more than 100 acute-care hospitals. Participants The study included consecutive older inpatients aged >65 years admitted to participating hospitals with a diagnosis of pneumonia from 2014 through 2017. Measurements We compared patients who received total parenteral nutrition and those who received nasogastric Tube Feeding in terms of characteristics and outcomes. Results Among the included inpatients, a total of 336 (73.2%) patients received total parenteral nutrition and 123 (26.8%) patients received nasogastric Tube Feeding. Patients with nasogastric Tube Feeding had less in-hospital mortality (13.8% vs 27.1%, p = 0.003) and a smaller number of complications (mean; 0.71 vs 1.44, p
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nasogastric Tube Feeding versus total parenteral nutrition in older dysphagic patients with pneumonia retrospective cohort study
Journal of Nutrition Health & Aging, 2020Co-Authors: Y. Honda, Ryo Momosaki, N. OgataAbstract:Many older patients with pneumonia cannot intake orally after admission and may need nutritional care such as nasogastric Tube Feeding or total parenteral nutrition. This study sought to compare in-hospital outcomes between patients receiving nasogastric Tube Feeding and total parenteral nutrition. This is a retrospective cohort study. A hospital-based database constructed by the Diagnosis Procedure Combination survey data comprising more than 100 acute-care hospitals. The study included consecutive older inpatients aged >65 years admitted to participating hospitals with a diagnosis of pneumonia from 2014 through 2017. We compared patients who received total parenteral nutrition and those who received nasogastric Tube Feeding in terms of characteristics and outcomes. Among the included inpatients, a total of 336 (73.2%) patients received total parenteral nutrition and 123 (26.8%) patients received nasogastric Tube Feeding. Patients with nasogastric Tube Feeding had less in-hospital mortality (13.8% vs 27.1%, p = 0.003) and a smaller number of complications (mean; 0.71 vs 1.44, p <0.001), shorter length of hospital stay (mean; 27.6 vs 48.9, p <0.001), more discharges home (72.4% vs 35.1%, p <0.001), and more discharges without oral intake (65.9% vs 45.8%, p <0.001) than patients with total parenteral nutrition. The same results were obtained in propensity score analysis. Older patients with pneumonia treated with total parenteral nutrition were significantly more likely to have higher in-hospital mortality than those receiving nasogastric Tube Feeding.
Elaine M. Pardoe - One of the best experts on this subject based on the ideXlab platform.
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Tube Feeding Syndrome Revisited
Nutrition in Clinical Practice, 2001Co-Authors: Elaine M. PardoeAbstract:Tube Feeding syndrome is a potentially fatal condition caused by a Tube Feeding regimen that provides too little water for the excretion of its solute load. It has received little attention in the literature for the past 30 years. A recent case is described in which the patient improved with reduced Tube Feeding and an adequate water prescription. Observing generally accepted methods of estimating calorie, protein, and fluid needs, and monitoring patients' hydration status both initially and long term can help prevent Tube Feeding syndrome and can be lifesaving.
