Abstract：
INTRODUCTION:Since dysphagia may be one of the brain post-stroke consequences, the objective of this study was to analyze the average recovery time of patients with cerebrovascular accident and dysphagia subjected to speech therapy in a hospital bed. MATERIAL AND METHODS:Systematic review performed following the 'Preferred Reporting Items is Systematic Reviews and MetaAnalyses' instructions. The search was performed in different electronic databases, without restriction of time and language. The studies were evaluated regarding their methodological quality. RESULTS:Of 5671 titles, five studies were included. 176 patients with stroke and dysphagia were obtained (aged between 22 and 91 years old - average: 68.95), with no preference regarding gender. Improvement occurred in 84.26% of the subjects and the recovery time was between one and ninety days (average: 22 days). Randomization, blinding, loss to follow-up and withdrawal were not performed with control group in any study. DISCUSSION:The success of rehabilitation of oropharyngeal dysphagia as a post-stroke sequela will depend on the extent, location of the neurological lesion and early intervention in the hospital bed. Despite the recognition of health professionals about the importance of swallowing rehabilitation for these patients, there is a lack of studies that support an evidence-based practice, although the results point to improvements in this regard. CONCLUSION:Speech therapy in hospital bed in post-stroke hospitalized patients with dysphagia seems to bring satisfactory results in the short-term, revealing the importance of diagnosis and early intervention in these cases. :Introdução: Como a disfagia pode ser uma das sequelas pós-acidente cerebrovascular encefálico, o objetivo deste estudo foi analisar o tempo médio de recuperação de doentes com acidente cerebrovascular encefálico e disfagia submetidos à terapia da fala na beira do leito hospitalar. Material e Métodos: Revisão sistemática realizada a partir do Preferred Reporting Items is Systematic Reviews and Meta-Analyses. A busca foi realizada em diferentes bancos de dados, sem restrição de tempo e idioma. Os estudos foram avaliados quanto à sua qualidade metodológica.Resultados: De 5671 registos rastreados, cinco estudos foram elegíveis. Obtiveram-se 176 doentes com acidente cerebrovascular encefálico e disfagia (idades entre 22 e 91 anos - média: 68,95), sem prevalência quanto ao género. A melhora no quadro da disfagia ocorreu em 84,26% dos sujeitos e o tempo de recuperação entre um e noventa dias (média: 22). Em nenhum estudo foi realizada a randomização, o cegamento, o manejo de perdas, desistências e realizado com grupo controlo. Discussão: O sucesso da reabilitação da disfagia orofaríngea como sequela pós-acidente vascular encefálico dependerá da extensão, da localização da lesão neurológica e da intervenção precoce no leito hospitalar. Apesar do reconhecimento dos profissionais da saúde sobre a importância da reabilitação da deglutição para esses doentes, há carência de estudos que suportem uma prática baseada em evidências, embora os resultados apontem melhoras neste sentido. Conclusão: A terapia da fala na beira do leito em doentes disfágicos pós- acidente cerebrovascular encefálico parece trazer resultados satisfatórios em curto período de tempo, revelando a importância do diagnóstico e da intervenção da terapia da fala precoces.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Andrade JS,Souza WWOJ,Paranhos LR,Domenis DR,César CPHARdoi
10.20344/amp.9183subject
Has Abstractpub_date
2017-12-29 00:00:00pages
870-881issue
12eissn
0870-399Xissn
1646-0758journal_volume
30pub_type
杂志文章,评审abstract：:Anaplastic thyroid tumor is a rare tumor and constitutes 5 to 10% of thyroid carcinomas. Is one of the most aggressive solid tumors and the prognosis is always fatal with a mean survival of 3 to 7 months. The current therapeutics are scarce and inefficacious. A retrospective analysis was performed in 12 clinical cases...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
abstract：:The authors join the celebrations of the Centenary of the establishment of the Faculdade de Medicina da Universidade de Lisboa, on the 22(nd) April 2011, through the historical account of one of its main pilasters, the Institute of Anatomy. It is discussed the scope of its creation at the time, the important work done...
journal_title：Acta medica portuguesa
pub_type： 历史文章,杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：BACKGROUND:Renal transplantation is the treatment of choice for children with end stage renal disease with positive impact on survival and quality of life. However, some complications affect morbidity and mortality. This study examines the renal transplantation complications profile in pediatric patients (<18 y). MATE...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-09-01 00:00:00
abstract：INTRODUCTION/OBJECTIVES:The authors make the balance of the first five years of teaching Anatomy to the Licensure in Health Sciences, of Lisbon University. MATERIALS AND METHODS:Were studied 408 students, enrolled in the Curricular Unit of Anatomy (mandatory subject of the 1st semester) and 29 in the Curricular Unit o...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-05-01 00:00:00
abstract：:Cutaneous cytomegalovirus (CMV) infection has been observed in a variety of nonspecific skin lesions. Because of this fact, its diagnosis is rare and frequently accidental. The presence of the virus has also been observed in apparently normal skin, from both a clinical and histological point of view. In this context, ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1997-06-01 00:00:00
abstract：:The authors report a case of seronegative polyarthritis resistant to the anti-inflammatory therapy in a 16-year-old male with intermittent diarrhea. A stool examination showed the presence of cysts of Giardia lamblia and an immunological study detected a partial serum IgA deficiency, including its secretory fraction. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1993-12-01 00:00:00
abstract：:The diagnosis of cerebral cardioembolism requires, apart from evidence of an embolic cardiopathy, a cause-effect relation to be established between the potential cardioembolic source and the occurrence of ischemic stroke. There are several arguments in favour of this reaction, namely the neurologic aspects put forward...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1997-08-01 00:00:00
abstract：:Toscana virus (Phlebovirus genus, Bunyaviridae family) is a neurotropic virus which circulates in the Mediterranean Basin. Although Portugal has been the second country where its presence was reported, the existence of this virus in our country has been referred only sporadically, and there is a lack of knowledge rega...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
abstract：INTRODUCTION:From a perspective that considers the costs borne by the informal caregiver and the care-recipient, this study quantifies and values the use of health and social services, and the time dedicated to caregiving in dementia situations. MATERIAL AND METHODS:Sociodemographic information and use of services was...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11922
更新日期：2020-09-01 00:00:00
abstract：INTRODUCTION:Children who visit emergency departments and leave without being seen represent a multifactorial problem. We aimed to compare the sociodemographic characteristics of children who left and of those who did not leave, as well as to evaluate parental reasoning, subsequent use of medical care and patient outco...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.9962
更新日期：2018-02-28 00:00:00
abstract：:During pregnancy immunological, metabolic, hormonal and vascular changes occur, and can cause specific skin diseases. The specific dermatoses of pregnancy have undergone numerous changes in nomenclature and classification, partly due to advances in the knowledge of the pathogenesis of these skin diseases. Currently th...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2013-09-01 00:00:00
abstract：:Essencial Thrombocytemia is a rare chronic myeloproliferative disease of unknown etiology, characterized by markedly elevated platelet production (> 600,000/ml). It is more frequent among women above 50 years of age and may be associated with hemorrhagic or thrombotic tendencies. The authors report a case of Essencial...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-03-01 00:00:00
abstract：:Differentiated thyroid carcinoma of follicular origin (DTCFO), although not very frequent, has registered a raising incidence in the last decades. In the majority of the cases, DTCFO is a curable disease when treated and monitored by experienced, multidisciplinary teams. These factors contribute to an increasing numbe...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,实务指引,评审
doi：
更新日期：2005-01-01 00:00:00
abstract：:Histology records from 63 nephrectomies were reviewed; 22 patients had unilateral totally dysplastic kidneys and 5 had polar or segmental dysplasia. A clinicopathological study of these cases was undertaken. In the first group, there was a slight male preponderance and 75% of the patients presented were under two year...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：:In spite of all the efforts that has been made in prevention and the success of antiretroviral therapy (ART), AIDS remains a serious public health problem. So, there is a need for development of new antiretrovirals (ARVs) and new therapeutic strategies. New ARVs are currently on advanced stages of clinical evaluati...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2012-05-01 00:00:00
abstract：:A case of acute ischemia of the right inferior limb after anti-tuberculous therapy in a 42-Year old woman is reported. This complication was confirmed by artheriography and the investigation revealed vasculitis and anti-histone antibodies. Drug-induced lupus was then diagnosed. A brief review about this subject is als...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
abstract：:Endometriosis was first described by Russel more than one-hundred years ago and still remains a clinical entity of difficult comprehension, with totally aberrant symptomatology, particularly in extra-genital situations. The present article describes a clinical case of recurring right-sided catamenial pneumothorax in a...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2000-05-01 00:00:00
abstract：:The authors, using the Cancer Registry data of S. Antonio General Hospital in Oporto, selected the cancer cases from 1981 to 1993. Distribution according to age, sex, topography and morphology is presented. Seven point nine percent of the 12,124 cases mentioned in the Registry were skin cancers (n = 883). They were mo...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：:Nowadays, the digestive system, must be considered as an actual endocrinous gland. The authors, after pointing out the pharmacological and immunomodulating actions of endogenous somatostatine, briefly describe a new synthetic octapeptid, somatostatine-analogue, with similar pharmacological effects (octreotide). Finall...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1993-01-01 00:00:00
abstract：:The circumstances preceding the future revision of the medical curriculum are analysed, main internal and external stimuli are described, and sources of resistance to changes in medical training require new educational philosophy, privileging oriented training during undergraduation, as a preliminary phase of medical ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：PURPOSE:To evaluate importance of homocysteinemia as risk factor of thrombotic cerebrovascular disease, in terms of age and homocysteinemia levels. METHODS:A group of patients under 55 years old (n = 35, 21 males) that had suffered a stroke 3 months to 1 year before the study, defined by clinical criteria and the pres...
journal_title：Acta medica portuguesa
pub_type： 临床试验,杂志文章,评审
doi：
更新日期：1996-01-01 00:00:00
abstract：INTRODUCTION:PFAPA syndrome (Periodic Fever, Aphthous stomatitis, Pharyngitis, Adenitis) is a benign sporadic syndrome of unknown cause and an important diagnosis to consider in the child with recurrent fever and tonsillitis. OBJECTIVES:To describe the presentation, age of onset, time until diagnosed, episode duration...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：:The authors discuss the indications for radiotherapy in late breast cancer, retrospectively analysing the experience of the Radiotherapy Department of the Portuguese Institute of Oncology in Lisbon. Treatment results of locally advanced cancer (T4a-b-c) with megavoltage machines (telecobalt therapy) using two differen...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-05-01 00:00:00
abstract：:The oncocytic tumors of the adrenal gland are rare. To date there's only 147 cases published. The authors present a case of a 34 year-old man admitted to the hospital with lumbar pain and fever. At medical examination a mass was found in the left upper quadrant of the abdomen. The hormonal measurements of the adrenal ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-01-01 00:00:00
abstract：:In Portugal the screening for phenylketonuria (PKU) and congenital hypothyroidism (CH) was begun towards the end of 1979, and by 1990 59 cases of PKU and 227 cases of CH had been detected. The early initiation of treatment and the observed mental and motor development, point towards a normal development in these child...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1992-03-01 00:00:00
abstract：INTRODUCTION:Outpatient antimicrobial therapy programs have been in place for more than four decades. They provide safe and effective treatment for a selected group of patients while reducing costs. In Europe in general, and in Portugal in particular, these programs are still a relatively new phenomenon. The aim of thi...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11730
更新日期：2019-09-02 00:00:00
abstract：:Neurocysticercosis (NCC) is the most frequent parasitic disease of the central nervous system. Other Portuguese works showed it to be endemic in the north of our country. The purpose of this paper is to aid the characterization of NCC in the geographic area of our Institution. We retrospectively reviewed the findings ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
abstract：INTRODUCTION:The immediate identification of infectious tuberculosis and implementation of effective isolation measures, are a priority of the national policies for disease control. OBJECTIVES:To identify clinical predictor's factors related with sputum smear-positive, in patients with pulmonary tuberculosis diagnosis...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：:In the medical press there are several data confirming the value of E.R.C.P. and E.E.S., in the therapeutical approach of acute lithiasic pancreatitis (A.L.P.). Nowadays it is a first line endoscopic technic on the therapeutical approach in A.L.P. permitting to clean out the biliary tree of stones, eliminating the eti...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1995-06-01 00:00:00
abstract：INTRODUCTION:Clinically isolated syndrome may be the first manifestation of multiple sclerosis, a chronic demyelinating disease of the central nervous system, and it is defined by a single clinical episode suggestive of demyelination. However, patients with this syndrome, even with long term follow up, may not develop ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：10.20344/amp.7650
更新日期：2016-11-01 00:00:00
