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Changes in swallowing and cough functions among stroke patients before and after tracheostomy decannulation

Dysphagia Jun 21, 2018

Park MK, et al. - Among stroke patients who had undergone a tracheostomy, researchers examined the functional changes in swallowing and voluntary coughing before and after tracheostomy decannulation and compared these functions between stroke patients who did and didn’t undergo tracheostomy tube removal within 6 months of stroke. They involved 77 stroke patients who had undergone a tracheostomy. Results of this study suggested that stroke patients with better functional improvement in swallowing and coughing were more likely to be potential candidates for tracheostomy decannulation. Data reported that stroke patients who recovered from neurogenic dysphagia were no longer affected by the mechanical effect of the tracheostomy tube on swallowing function. A multidisciplinary approach to tracheostomy decannulation would be required to achieve better rehabilitation outcomes if patients show improvement in swallowing and coughing after their stroke.

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