LUIZ ROBERTO COMERLATTI
Índice h a partir de 2011
3
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
3 resultados
Resultados de Busca
Agora exibindo 1 - 3 de 3
- 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 deA 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.
- 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 deBackground 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.
- Malignant cerebral venous thrombosis in a transgender patient: intraoperative aspect of vein of Trolard thrombosis(2021) LOPES, Cesar Castello Branco; SILVA, Vinicius Trindade Gomes da; LUCIO, Jose Erasmo Dal Col; YAMASHITA, Renata Harumi Gobbato; COMERLATTI, Luiz Roberto; LUCATO, Leandro Tavares; FREUA, Fernando