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Survival Estimates for Patients with Abnormal Swallowing Studies

dc.contributor.authorCowen, Mark E.en_US
dc.contributor.authorSimpson, Sherry L.en_US
dc.contributor.authorMsn,en_US
dc.contributor.authorVettese, Theresa E.en_US
dc.date.accessioned2010-06-01T21:23:50Z
dc.date.available2010-06-01T21:23:50Z
dc.date.issued1997-02en_US
dc.identifier.citationCowen, Mark E.; Simpson, Sherry L.; Msn, ; Vettese, Theresa E. (1997). "Survival Estimates for Patients with Abnormal Swallowing Studies." Journal of General Internal Medicine 12(2): 88-94. <http://hdl.handle.net/2027.42/74459>en_US
dc.identifier.issn0884-8734en_US
dc.identifier.issn1525-1497en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/74459
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=9051557&dopt=citationen_US
dc.description.abstractTo better understand the life expectancy of patients who have an abnormal videofluoroscopic swallowing study. DESIGN: Retrospective cohort study. The common starting point was the time of the severely abnormal swallowing study. Hospital charts were reviewed for clinical variables of potential prognostic significance by reviewers blinded to the outcome of interest, survival time. SETTING: A university-affiliated, community teaching hospital. PATIENTS: One hundred forty-nine hospitalized patients who were deemed nonoral feeders based on their swallowing study. Patients excluded were those with head, neck, or esophageal cancer, or those undergoing a thoracotomy procedure. MEASUREMENTS AND MAIN Results: Clinical and demographic variables and time until death or censoring were measured. Overall 1-year mortality was 62%. Multivariable Cox proportional hazards analyses identified four variables that independently predicted death: advanced age, reduced serum albumin concentration, disorientation to person, and higher Charlson comorbidity score. Eighty patients (54%) subsequently underwent placement of a percutaneous endoscopic gastrostomy (PEG) tube after their swallowing study. CONCLUSIONS: Mortality is high in patients with severely abnormal swallowing studies. Common clinical variables can be used to identify groups of patients with particularly poor prognoses. This information may help guide discussions regarding possible PEG placement.en_US
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dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
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dc.publisherBlackwell Science Incen_US
dc.rights1997 by the Society of General Internal Medicineen_US
dc.subject.otherVideofluoroscopic Swallowing Studyen_US
dc.subject.otherPercutaneous Endoscopic Gastrostomy (PEG)en_US
dc.subject.otherNonoral Feedingen_US
dc.subject.otherSurvivalen_US
dc.titleSurvival Estimates for Patients with Abnormal Swallowing Studiesen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelInternal Medicine and Specialtiesen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDepartment of Medicine, University of Michigan Medical School, Ann Arboren_US
dc.contributor.affiliationotherSt. Joseph Mercy Hospital, Ann Arbor, Mich.,en_US
dc.identifier.pmid9051557en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/74459/1/j.1525-1497.1997.00012.x.pdf
dc.identifier.doi10.1046/j.1525-1497.1997.00012.xen_US
dc.identifier.sourceJournal of General Internal Medicineen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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