Positioning for Neurogenic Dysphagia in Acute Stroke A FEES -supported, randomized pilot study blinded to outcome measures to compare the immediate effects of conventional and neutral position positioning on the quality of swallowing response.

Verbund Krankenhaus Bernkastel Wittlich0 个研究点目标入组 20 人开始时间: 2023年4月14日最近更新: 2024年8月19日

适应症

试验速览

暂无简介。

•Diagnostic confirmation of stroke with CT and / or MRI
•- Non-apparative dysphagia diagnostics
•- Gugging Swallowing Screen GUSS (Trapl et al. 2007) < 19 by nurses
•- Clinical swallowing examination KSU by speech therapists, including history / foreign history and Bogenhausen Dysphagia Score BODS (Bartolome 2006,2014) score >3
•- Admission to the stroke unit within 24 h after event
•- Performance of FEES within 24 h to 72 h after event,
•- Minimum age 18 years.

•Early deterioration, direct admission to the intensive care unit, documented palliative care, immediate surgery, another serious medical illness or unstable coronary disease, no voice response, systolic blood pressure below 120 mm Hg or above 220 mm Hg, Oxygen saturation below 92% with supplemental oxygen, patients requiring ventilation, tracheostomy, patients with subarachnoid hemorrhage, body temperature above 38.5 degrees Celsius, drop in blood pressure more than 30 Hg after reaching the sitting position in bed.
•Pre-existing conditions: External anamnesis (doctor's letters, transfer of care, transfer reports, relatives' reports) or self-reported pre-existing dysphagia, e.g. neurodegenerative diseases, neuromuscular diseases, ENT tumors or after a previous stroke, contraindications to sitting, e.g. decubitus ulcers on the bedside.e.g. decubitus at the overlying skin layers of the buttocks, acute fracture of the femoral neck bone, against FEES e.g.: acute lesions of the face / facial skull, morphological changes that prevent nasal passage of the endoscope, no consent for participation.

发起方

Verbund Krankenhaus Bernkastel Wittlich