Functional oral intake and time to reach unrestricted dieting for patients with traumatic brain injury

  • Hansen T
  • Engberg A
  • Larsen K
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Abstract

Objectives: To investigate the status of functional oral intake for patients with severe traumatic brain injury (TBI) and time to return to unrestricted dieting; and to investigate whether severity of brain injury is a predictor for unrestricted dieting. Design: Observational retrospective cohort study. Setting: Subacute rehabilitation department, university hospital. Participants: Patients age 16 to 65 years (N=173) with severe TBI (posttraumatic amnesia from 7d to >6mo) admitted over a 5-year period. Patients are transferred to the brain injury unit as soon as they ventilate spontaneously. Intervention: Facial oral tract therapy. Main Outcome Measure: Unrestricted dieting assessed by the Functional Oral Intake Scale (FOIS). Results: We found that 93% of all patients had problems with functional oral intake at admission. Within 126 days of rehabilitation, 64% recovered to unrestricted dieting before discharge. The chance of returning to total oral diet depends on the severity of the brain injury and can be predicted by Glasgow Coma Scale (GCS; measured the day after cessation of sedation; Wald χ2=42.78, P

Author-supplied keywords

  • Brain injuries
  • Deglutition disorders
  • Rehabilitation

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Authors

  • Trine S. Hansen

  • Aase W. Engberg

  • Klaus Larsen

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