Outcomes: The Predictive Value of Functional Scores in Feeding Gastrostomy Tube (FGT) Removal Dysphagia after stroke is a common and serious problem, which often leads to pneumonia, dehydration, malnutrition, and decreased functional status (Homer, Massey, & Riski, 1988). Dysphagia is estimated to occur in 25–50% of the stroke population and has been reported in patients who have suffered unilateral or bilateral cortical, ... Article
Article  |   October 01, 2002
Outcomes: The Predictive Value of Functional Scores in Feeding Gastrostomy Tube (FGT) Removal
Author Affiliations & Notes
  • Guntram W. Ickenstein
    Spauding Rehabilitation Hospital, Boston, MA
  • Denise Ambrosi
    Spauding Rehabilitation Hospital, Boston, MA
  • Peter J. Kelly
    Spauding Rehabilitation Hospital, Boston, MA
  • Joel Stein
    Spauding Rehabilitation Hospital, Boston, MA
  • Carmen Vega-BarachowitzColumn Editor
Article Information
Swallowing, Dysphagia & Feeding Disorders / Research Issues, Methods & Evidence-Based Practice / Professional Issues & Training / Outcomes
Article   |   October 01, 2002
Outcomes: The Predictive Value of Functional Scores in Feeding Gastrostomy Tube (FGT) Removal
SIG 11 Perspectives on Administration and Supervision, October 2002, Vol. 12, 7-8. doi:10.1044/aas12.3.7
SIG 11 Perspectives on Administration and Supervision, October 2002, Vol. 12, 7-8. doi:10.1044/aas12.3.7
Dysphagia after stroke is a common and serious problem, which often leads to pneumonia, dehydration, malnutrition, and decreased functional status (Homer, Massey, & Riski, 1988). Dysphagia is estimated to occur in 25–50% of the stroke population and has been reported in patients who have suffered unilateral or bilateral cortical, subcortical, and brainstem strokes (Logemann, 1998). Clinicians are often asked to comment on the timeframe of Feeding Gastrostomy Tube (FGT) use and swallowing recovery, which often go hand-in-hand. There is a paucity of information related to feeding tube removal in stroke patients. The importance of outcomes research has been increasingly recognized in recent years. Outcome measures include indicators for health status, functional status, quality of life, and consumer satisfaction. The development of the Swallowing Functional Communication Measure (FCM) (ASHA, 1998) provided a seven-point rating scale for use by speech language pathologists to describe an individual’s functional swallowing abilities over the course of speech-language pathology treatment. Unlike the eating Functional Independence Measure (FIM; UDS, 1996), which is a standard measure of functional outcomes for eating, the swallowing FCM is sensitive to changes in dietary levels/restrictions, amount of cueing, and use of feeding tubes. The purpose of this study was to identify variables predictive of FGT removal in stroke patients with dysphagia admitted to an acute rehabilitation hospital. Using outcome data, the predictive value of admission eating FIM and admission swallowing FCM scores were analyzed. Signs and symptoms of aspiration, as well as identified aspiration, were also examined.
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