KAROLINE KUSSIK DE ALMEIDA LEITE

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Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina

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Agora exibindo 1 - 6 de 6
  • article 7 Citação(ões) na Scopus
    Clinical swallowing prognostic indicators in patients with acute ischemic stroke
    (2019) LEITE, Karoline Kussik de Almeida; SASSI, Fernando Chiarion; MEDEIROS, Gisele Chagas de; COMERLATTI, Luiz Roberto; ANDRADE, Claudia Regina Furquim de
    A swallowing disorder is present in more than 50% of patients with acute stroke. Objective: To identify clinical prognostic indicators of the swallowing function in a population with acute ischemic stroke and to determine prioritization indicators for swallowing rehabilitation. Methods: Participants were adults admitted to the emergency room who were diagnosed with acute ischemic stroke. Data gathering involved a swallowing assessment to determine the functional level of swallowing (American Speech-Language-Hearing Association National Outcome Measurement System - ASHA NOMS) and the verification of demographic and clinical variables. Results: The study sample included 295 patients. For analysis purposes, patients were grouped as follows: ASHA NOMS levels 1 and 2 - ASHA1 (n = 51); levels 3, 4 and 5 - ASHA2 (n = 96); levels 6 and 7 - ASHA3 (n = 148). Statistical analyses indicated that patients who presented a poorer swallowing function (ASHA1) were older (age >= 70 years); had anterior circulation infarct: had lower scores on the Glasgow Coma Scale (GCS <= 14 points); took longer to initiate swallowing rehabilitation: had longer hospital stays; made more use of alternative feeding methods: needed more sessions of swallowing rehabilitation to remove alternate feeding methods: took longer to return to oral feeding and had poorer outcomes (fewer individuals discharged from swallowing rehabilitation sessions and increased mortality). Conclusion: Patients with acute ischemic stroke, admitted to the emergency room, aged >= 70 years. score on the GCS <= 14, anterior circulation infarct and dementia should be prioritized for swallowing assessment and rehabilitation.
  • article 0 Citação(ões) na Scopus
    Risk factors independently associated with the maintenance of severe restriction of oral intake and alternative feeding method indication at hospital outcome in patients after acute ischemic stroke
    (2023) LEITE, Karoline Kussik de Almeida; SASSI, Fernanda Chiarion; PERISSINOTTI, Iago Navas; COMERLATTI, Luiz Roberto; ANDRADE, Claudia Regina Furquim de
    Background and aims: From a clinical point of view, post-stroke patients present difficulties in swallowing management. The purpose of this research was to identify risk factors that were independently related to the maintenance of a severe restriction of oral intake in patients affected by acute ischemic stroke.Methods: The authors conducted a prospective observational cohort study of patients with dysphagia post-acute ischemic stroke who were admitted to an Emergency Room (ER). Demographic and clinical data were collected at ER admission. Swallowing data was based on The Functional Oral Intake Scale (FOIS) and was collected at two distinct moments: initial swallowing assessment and at the patient outcome. Patients were divided into two groups according to their FOIS level assigned on the last swallowing assessment (at hospital outcome): G1 with severe restriction of oral intake and indication of feeding tube - patients with FOIS levels 1 to 4; G2 without restriction of food consistencies in oral intake - patients with FOIS levels 5 to 7.Results: One hundred and six patients were included in our study. Results of the multivariate logistic regression model for the prediction of maintenance of a severe restriction of oral intake at hospital outcome in patients post acute ischemic stroke indicated that increasing age (p = 0.006), and dysarthria (p = 0.003) were associated with higher chances of presenting severe restriction of oral intake at hospital outcome.Conclusions: Patients with acute ischemic stroke in an Emergency Room may experience non-resolved severe dysphagia, indicating the need to prepare for the care/rehabilitation of these patients.
  • bookPart
    A atuação fonoaudiológica em cuidados paliativos - enfoque na comunicação
    (2022) RODRIGUES, Robson; LEITE, Karoline Kussik de Almeida; STEINER, Giuliana Reckmann; BANDEIRA, Thayna Passarini; ANDRADE, Claudia Regina Furquim de
  • article
    Fatores socioculturais envolvidos no processo de aquisição da linguagem escrita
    (2015) LEITE, Karoline Kussik de Almeida; BITTENCOURT, Zélia Zilda Lourenço de Camargo; SILVA, Ivani Rodrigues
    PURPOSES: verifying the influence of social-familial factors in the children's process of written language acquisition while attending speech therapy, and learning about their families' sociocultural profile. METHODS: this qualitative research has, as subjects, parents or guardians of children enrolled in the reading/writing training of the Speech-Language Pathology course of a public university. For the demographic survey, consultations to the children's records were done, as also semi-structured interviews based on a guide that focused the cultural and family habits related to written language. RESULTS: the study showed that the interviewed families were mostly poor, with poor education, and came from cultural environments with little valorisation and encouragement for reading and writing, and this might have consequences in the academic performance of their children. CONCLUSION: the socioeconomic and cultural deficiency observed in the study can be minimized through the support of social community network and investments in culture and education, since there is interest and expectation of the families in the education of their children.
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