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Health comorbidities and cognitive abilities across the lifespan in Down syndrome. ...
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Racial/Ethnic and Sex Differences in Emergency Medical Services Transport Among Hospitalized US Stroke Patients: Analysis of the National Get With The Guidelines-Stroke Registry.
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What Do North American Babies Hear? A large-scale cross-corpus analysis.
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Health comorbidities and cognitive abilities across the lifespan in Down syndrome.
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Predictive Factors of Swallowing Disorders and Bronchopneumonia in Acute Ischemic Stroke.
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In: Journal of stroke and cerebrovascular diseases, vol. 28, no. 8, pp. 2148-2154 (2019)
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Abstract:
In stroke patients, early complications such as swallowing disorders (SD) and bronchopneumonia (BP) are frequent and may worsen outcome. The aim of this study was to evaluate the prevalence of SD in acute ischemic stroke (AIS) and the risk of BP, as well as to identify factors associated with these conditions. We retrospectively studied all AISs over a 12-month period in a single-center registry. We determined the frequency of SD in the first 7 days and of BP over the entire hospital stay. Associations of SD and BP with patient characteristics, stroke features, dental status, and presence of a feeding tube were analyzed in multivariate analyses. In the 340 consecutive patients, the overall frequency of SD and BP was 23.8% and 11.5%, respectively. The multivariate analyses showed significant associations of SD with NIHSS scores >4, involvement of the medulla oblongata and wearing a dental prosthesis (area under the receiver-operator curve (AUC) of 76%). BP was significantly associated with NIHSS scores >4, male sex, bilateral cerebral lesions, the presence of SD, and the use of an enteral feeding tube (AUC 84%). In unadjusted analysis, unfavorable 12-month outcome and mortality were increased in the presence of SD. In AIS, SD and BP are associated with stroke severity and localization and wearing a dental prosthesis increases the risk of SD. Given that patients with SD have an increased risk of poor outcome and mortality, high-risk patients warrant early interventions, including more randomized trials.
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Keyword:
80 and over; acute ischemic stroke; Aged; Brain Ischemia/diagnosis; Brain Ischemia/epidemiology; Brain Ischemia/physiopathology; bronchopneumonia; Bronchopneumonia/diagnosis; Bronchopneumonia/epidemiology; Deglutition; Deglutition Disorders/diagnosis; Deglutition Disorders/epidemiology; Deglutition Disorders/physiopathology; Dental Prosthesis/adverse effects; dysphagia; Enteral Nutrition/adverse effects; Female; Hospitalization; Humans; Male; Middle Aged; predictive factors; Predictive Value of Tests; Prevalence; Prognosis; Registries; Retrospective Studies; Risk Assessment; Risk Factors; Severity of Illness Index; Sex Factors; speech therapy; Stroke/diagnosis; Stroke/epidemiology; Stroke/physiopathology; Swallowing disorders; Time Factors
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URL: https://serval.unil.ch/notice/serval:BIB_9D8C7D3AB926 https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.04.025
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Spatially explicit analysis reveals complex human genetic gradients in the Iberian Peninsula
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Disparities in Diabetes Care Quality by English Language Preference in Community Health Centers.
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In: Health services research, vol 53, iss 1 (2018)
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Communication accommodation in text messages: Exploring liking, power, and sex as predictors of textisms.
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In: The Journal of social psychology, vol 158, iss 4 (2018)
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Use of Vitamin K Antagonists and Brain Morphological Changes in Older Adults: An Exposed/Unexposed Voxel-Based Morphometric Study
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In: ISSN: 1421-9824 ; Dementia and geriatric cognitive disorders ; https://hal.univ-angers.fr/hal-02869144 ; Dementia and geriatric cognitive disorders, 2018, 45, pp.18-26. ⟨10.1159/000485793⟩ ; https://www.karger.com/Article/Abstract/485793 (2018)
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Patient self-reported concerns in inflammatory bowel diseases: A gender-specific subjective quality-of-life indicator.
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In: PloS one, vol. 12, no. 2, pp. e0171864 (2017)
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The influence of sex information into spoken words: a mismatch negativity (MMN) study
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In: Brain Research ; https://hal.univ-lille.fr/hal-01911766 ; Brain Research, 2016, 1650, pp.73--83. ⟨10.1016/j.brainres.2016.08.039⟩ (2016)
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Medical students' creative projects on a third year pediatrics clerkship: a qualitative analysis of patient-centeredness and emotional connection.
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In: BMC medical education, vol 16, iss 1 (2016)
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Comorbidities and recurrence of benign paroxysmal positional vertigo: Personal experience
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Prevalence and determinants of chronic kidney disease in the Swiss population
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In: ISSN: 1424-7860 ; Swiss Medical Weekly, Vol. 146 (2016) P. w14313 (2016)
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Geographical variation in the prevalence of heavy drinking in young Swiss men.
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In: European journal of public health, vol. 26, no. 5, pp. 850-855 (2016)
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Sex differences in past tense overregularization
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In: Developmental Science (2015)
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Sex differences in past tense overregularization
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In: Developmental Science (2015)
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Racial/Ethnic and Sex Differences in Emergency Medical Services Transport Among Hospitalized US Stroke Patients: Analysis of the National Get With The Guidelines-Stroke Registry.
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In: Journal of the American Heart Association, vol 4, iss 8 (2015)
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Eat lunch first or play first? Inconsistent associations with fruit and vegetable consumption in elementary school.
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In: Journal of the Academy of Nutrition and Dietetics, vol 115, iss 4 (2015)
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Detecting Cognitive Impairment and Dementia in Deaf People: The British Sign Language Cognitive Screening Test.
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In: Arch Clin Neuropsychol , 30 (7) pp. 694-711. (2015) (2015)
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