{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:31:44Z","timestamp":1753889504639,"version":"3.41.2"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"14","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,7,16]]},"abstract":"<jats:sec id=\"jah39876-sec-0001\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Tracheostomy procedures inhibit swallowing, although details of subsequent recovery of oral intake remain unknown. This retrospective cohort study aimed to investigate factors influencing dysphagia improvement in patients with subacute stroke after tracheostomy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec id=\"jah39876-sec-0002\" xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The study included 117 patients who underwent tracheostomy after subacute stroke, cerebral hemorrhage, or endogenous subarachnoid hemorrhage and received care at 2 convalescent rehabilitation wards in urban and suburban Japan between 2015 and 2022. The primary outcome measure was the achievement of complete oral intake. Patient demographics, Functional Independence Measure scores, body mass index, food intake level scale scores, and the presence of severe white matter hyperintensities on imaging were retrospectively collected from medical records. Statistical analysis involved univariate logistic regression to identify potential predictors and multivariate logistic regression to refine the model while accounting for multicollinearity. In total, 47% of patients achieved complete oral intake on discharge. Sex, days from onset to admission, Functional Independence Measure motor and cognitive scores, body mass index, food intake level scale scores, and severe white matter hyperintensities were identified as potential predictors in the univariate analysis. However, multivariate logistic regression identified only food intake level scale scores (odds ratio [OR], 3.687 [95% CI, 1.519\u20138.949];\n              <jats:italic toggle=\"no\">P<\/jats:italic>\n              =0.004) and severe white matter hyperintensities (OR, 0.302 [95% CI, 0.096\u20130.956];\n              <jats:italic toggle=\"no\">P<\/jats:italic>\n              =0.042) as significant predictors of complete oral intake.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec id=\"jah39876-sec-0003\" xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">In patients with subacute stroke undergoing tracheostomy, the level of oral intake on admission and severe white matter hyperintensities on imaging may be better predictors of complete oral intake. However, prospective studies with larger sample sizes and more comprehensive data are warranted to confirm these findings.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.033949","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T11:57:41Z","timestamp":1720526261000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of Complete Oral Intake in Patients With Stroke After Tracheostomy"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7473-6908","authenticated-orcid":false,"given":"Keita","family":"Tsuzuki","sequence":"first","affiliation":[{"name":"Hatsudai Rehabilitation Hospital","place":["Tokyo, Japan"]},{"name":"Keio University School of Medicine","place":["Tokyo, Japan"]},{"name":"Iwate Prefectural Central Hospital","place":["Iwate, Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6564-4486","authenticated-orcid":false,"given":"Naoki","family":"Mori","sequence":"additional","affiliation":[{"name":"Hatsudai Rehabilitation Hospital","place":["Tokyo, Japan"]},{"name":"Fujita Health University","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Hayami","sequence":"additional","affiliation":[{"name":"Hatsudai Rehabilitation Hospital","place":["Tokyo, Japan"]},{"name":"Keio University School of Medicine","place":["Tokyo, Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2689-8181","authenticated-orcid":false,"given":"Osamu","family":"Oshima","sequence":"additional","affiliation":[{"name":"Hatsudai Rehabilitation Hospital","place":["Tokyo, Japan"]},{"name":"Keio University School of Medicine","place":["Tokyo, Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidekazu","family":"Sugawara","sequence":"additional","affiliation":[{"name":"Hatsudai Rehabilitation Hospital","place":["Tokyo, Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4728-9409","authenticated-orcid":false,"given":"Tetsuya","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Keio University School of Medicine","place":["Tokyo, Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9695-9"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1747493016639057"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11910-020-01081-z"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2012.09.005"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-022-10443-3"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2115"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13953"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1545968311402696"},{"volume-title":"Data Management Service of the Uniform Data System for Medical Rehabilitation and the Center for Functional Assessment Research: Guide for Use of the Uniform Data Set for Medical Rehabilitation Version 3.0","year":"1990","key":"e_1_3_2_10_2","unstructured":"Data Management Service of the Uniform Data System for Medical Rehabilitation and the Center for Functional Assessment Research: Guide for Use of the Uniform Data Set for Medical Rehabilitation Version 3.0. 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