Effect and Complication of Two Types of Nasogastric Tube Feeding for Elderly Dysphagia Patient After Stroke

• Conditions: Deglutition Disorders
• Interventions: Device: Feeding pump and glycerin syringe

• Registration Number: NCT03844139
• Lead Sponsor: Second Affiliated Hospital, School of Medicine, Zhejiang University

Brief Summary

Dysphagia is a common problem after stroke.Patients after stroke with swallow problem will have a nasogastric tube to be feeded. In this study , investigators have including and excluding criteria. Continous feeding group and intermittent feeding group had been widely used in enteral nutrition feeding in investigators' institution. Investigators will observe participants' nutrition condition and tube-feeding related complications. In continous group patients, participants usually are given prescribed enteral nutrient solution using nutrition pump in 24 hours; while in intermittent feeding group, participants will be given prescribed enteral nutrient solution in 4-5 times by special syringe. During the whole process, investigators will observe all participants' nutrition condition (body mass index, plasma albumin and calf girth) and tube-feeding related complications( regurgitation, aspiration,gastric retention, diarrhea,constipation). With all those data, the investigators will assess which feeding type is better.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-02-01
• Study Start: 2019-02-13
• Study First Submitted QC: 2019-02-13
• Study First Posted: 2019-02-18
• Status Verified: 2020-02
• Last Update Submitted: 2020-02-11
• Last Update Posted: 2020-02-13
• Primary Completion: 2020-06-30
• Study Completion: 2020-12-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Older than 65 years old
• Clinical diagnosis of stroke( ischemic and hemorrhage)
• With moderate and/or sever swallow problem(water swallow test IV-V degree)
• With nasogastric feeding tube more than 4 weeks
• Do rehabilitation in our hospital or designated hospitals

Exclusion Criteria

• Without nasogastric feeding tube
• Patients with fever and other infection
• Chronic or acute anoxia
• Poor obedience
• Quit treatment or go back home to take rehabilitation
• Critically ill or died

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Glycerin syringe group(intermittent)	Feeding pump and glycerin syringe	Using the glycerin syringe to give patients prescribed enteral nutrient solution through nasogastric tube in 4-5 times
Feeding pump group(continous)	Feeding pump and glycerin syringe	Using the feeding pump to give patients prescribed enteral nutrient solution through nasogastric tube in 24 hours

Primary Outcome Measures

Name	Time	Method
plasma albumin	4-6 weeks	plasma albumin every week
tube-feeding related complications( regurgitation, aspiration,gastric retention, diarrhea,constipation)	4-6 weeks	incidence of each complication
weight	4-6 weeks	weight in kilogram every week

Secondary Outcome Measures

Name	Time	Method
calf girth	4-6 weeks	length of calf girth

Trial Locations

Locations (1)

Zhangy Yuejiao; 🇨🇳 Hangzhou, Zhejiang, China