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Rehabil Nurs. 2012 Sep-Oct;37(5):252-7. doi: 10.1002/rnj.23. Epub 2012 Jun 18.

Adequate oral fluid intake in hospitalized stroke patients: does viscosity matter?

Author information

1
Miami Valley Hospital, Dayton, OH, USA. armcgrail@mvh.org

Abstract

PURPOSE:

Sufficient intake of oral fluids to meet hydration needs is a critical recovery issue for patients hospitalized post stroke. Concerns for adequate oral fluid intake are generally focused on dysphagic patients restricted to thickened liquids; however, fluid intake patterns in stroke patients receiving thin liquids are unknown.

METHOD:

This study examines the oral fluid intake patterns of three groups over 72 hours: community dwelling individuals, patients hospitalized post stroke receiving thin liquids and patients hospitalized post stroke receiving thickened liquids.

RESULTS:

Mean oral fluid intake differed significantly between the two hospitalized groups (p = .04), with individuals receiving thickened liquids consuming less. Less than 1% of patients hospitalized post stroke met a minimum standard of 1500 mL/day, regardless of liquid viscosity. Conversely, community dwelling participants consumed significantly more fluids on average than their hospitalized counterparts.

CONCLUSION:

Compliance with beverage preference, frequency of beverage offering, and inaccurate preparation of thickened beverages were identified as factors potentially influencing fluid intake.

PMID:
22949278
DOI:
10.1002/rnj.23
[Indexed for MEDLINE]
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