Browsing by Subject "HEALTH-CARE PROFESSIONALS"

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    Investigation of Sleep Breathing Disorders in Young Patients (Under 55 years) with Mild Stroke
    (ELSEVIER) Kisabay, AKA; Saritas, AS; Batum, M; Göktalay, T; Horasan, GD; Selcuki, D; Yilmaz, H
    Introduction: Many patients with stroke also have sleep breathing disorders (SBD), most of which is obstructive sleep apnea (OSA). Methods: Sixty patients with a history of stroke aged under 55 years were included in our study. The demographic characteristics (age at stroke, sex, body mass index) of the patients and etiology of stroke was evaluated according to the Trial of Org 10712 in Acute Stroke (TOAST) classification. The National Institute of Health Stroke Scale (NIHSS) and Modified Rankin Scale (MRS) were used to evaluate functionality. All patients underwent polysomnography (PSG) investigations. Findings: Based on PSG investigations, seven patients were normal, 10 had primary snoring, and 14 had mild, 11 had moderate, and 18 had severe OSA. The demographic characteristics did not differ significantly between the groups. No significant correlation was found between disease severity and NIHSS, MRS or TOAST classifications. Large artery atherosclerosis in the etiology, facial paralysis and dysarthria in the neurological examination, and brain stem involvement in the stroke location were observed to accumulate in the severe OSA group. When the anterior system, posterior system, and association of both were compared for vessel location, no significant difference was found regarding circulatory systems. Conclusions: It is considered that SBD has also a role in the etiology of stroke in patients aged under 55 years, and it should be taken into consideration as much as other risk factors. This is the first study to emphasize the importance of this topic in the literature.
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    Best Practice Recommendations for Stroke Patients with Dysphagia: A Delphi-Based Consensus Study of Experts in Turkey-Part II: Rehabilitation
    (SPRINGER) Umay, E; Eyigor, S; Ertekin, C; Unlu, Z; Selcuk, B; Bahat, G; Karahan, AY; Secil, Y; Gurcay, E; Kiylioglu, N; Keles, BY; Giray, E; Tikiz, C; Gezer, IA; Yaliman, A; Sen, EI; Vural, M; Saylam, G; Akaltun, MS; Sari, A; Alicura, S; Karaahmet, F; Inanir, M; Demirhan, A; Aydeniz, B; Bilgilisoy, M; Yuksel, A; Ozcete, ZA; Calik, Y; Alemdaroglu, E; Keskin, D; Sahin, S; Oztekin, MF; Sezgin, B; Karaahmet, O
    Dysphagia is one of the most common and important complications of stroke. It is an independent marker of poor outcome following acute stroke and it continues to be effective for many years. This consensus-based guideline is not only a good address to clinical questions in practice for the clinical management of dysphagia including management, diagnosis, follow-up, and rehabilitation methods, but also includes detailed algorithms for these topics. The recommendation paper has been written by a multidisciplinary team and offers 117 recommendations for stroke patients with dysphagia. While focusing on management principles, diagnosis, and follow-up in the 1st part (45 items), rehabilitation details were evaluated in the 2nd part (72 items).
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    Best Practice Recommendations for Stroke Patients with Dysphagia: A Delphi-Based Consensus Study of Experts in Turkey-Part I: Management, Diagnosis, and Follow-up
    (SPRINGER) Umay, E; Eyigor, S; Ertekin, C; Unlu, Z; Selcuk, B; Bahat, G; Karahan, AY; Secil, Y; Gurcay, E; Kiylioglu, N; Keles, BY; Giray, E; Tikiz, C; Gezer, IA; Yaliman, A; Sen, EI; Vural, M; Saylam, G; Akaltun, MS; Sari, A; Alicura, S; Karaahmet, F; Inanir, M; Demirhan, A; Aydeniz, B; Bilgilisoy, M; Yuksel, A; Ozcete, ZA; Calik, Y; Alemdaroglu, E; Keskin, D; Sahin, S; Oztekin, MF; Sezgin, B; Karaahmet, O; Bengisu, S; Gokler, TY; Mercimekci, S
    Dysphagia is one of the most common and important complications of stroke. It is an independent marker of poor outcome after acute stroke and may become chronic after the acute period and continues to affect all aspects of the patient's life. Patients with stroke may encounter any of the medical branches in the emergency room or outpatient clinic, and as in our country, there may not be specialists specific for dysphagia, such as speech-language pathologists (SLP), in every hospital. This study aimed to raise awareness and create a common opinion of medical specialists for stroke patients with dysphagia. This recommendation paper has been written by a multidisciplinary team and offers 45 recommendations for stroke patients with dysphagia. It was created using the eight-step Delphi round via e-mail. This study is mostly specific to Turkey. However, since it contains detailed recommendations from the perspective of various disciplines associated with stroke, this consensus-based recommendation paper is not only a useful guide to address clinical questions in practice for the clinical management of dysphagia in terms of management, diagnosis, and follow-up, but also includes detailed comments for these topics.