Development of Dysphagia Protocol in Ankara City Hospital Stroke Patients

Not Applicable

• Conditions: Stroke, Acute
• Interventions: Other: Exercises for dysphagia rehabilitation

• Registration Number: NCT04739514
• Lead Sponsor: Nazife Kapan

Brief Summary

Stroke, also called cerebrovascular disease, is a sudden-onset neurological disorder that causes a regional or general dysfunction in the brain due to vascular causes. Dysphagia, one of the common complications of stroke, is associated with increased morbidity and mortality.The aim of this study is to evaluate the clinical evaluation of swallowing in stroke patients and to determine the factors affecting the severity and prognosis of dysphagia in patients with dysphagia.Fifty-five patients with acute stroke and dysphagia who were admitted to Ankara City Hospital Neurology Clinic and diagnosed with stroke by neurology and who did not meet the exclusion criteria will be included in this study. When the patients are admitted to the neurology clinic and will be discharged, they will be evaluated three times, in the first month after discharge.

Detailed Description

Stroke, also called cerebrovascular disease, is a sudden-onset neurological disorder that causes a regional or general dysfunction in the brain due to vascular causes. Dysphagia, one of the common complications of stroke, is associated with increased morbidity and mortality.The aim of this study is to evaluate the clinical evaluation of swallowing in stroke patients and to determine the factors affecting the severity and prognosis of dysphagia in patients with dysphagia.Fifty-five patients with acute stroke and dysphagia who were admitted to Ankara City Hospital Neurology Clinic and diagnosed with stroke by neurology and who did not meet the exclusion criteria will be included in this study. When the patients are admitted to the neurology clinic and will be discharged, they will be evaluated three times, in the first month after discharge. Clinical evaluations will be made by the responsible investigator in the examination room. Patients will be evaluated with a bedside swallowing screening test. Patients will be divided into 3 groups as mild, moderate and severe dysphagia according to the test. The patients will be evaluated while they are in the neurology clinic and 1 month after the treatment is given.

Study Timeline

• Status Verified: 2021-02
• Study Start: 2021-02-01
• Study First Submitted: 2021-02-01
• Study First Submitted QC: 2021-02-03
• Last Update Submitted: 2021-02-03
• Study First Posted: 2021-02-04
• Last Update Posted: 2021-02-04
• Primary Completion: 2021-05-30
• Study Completion: 2021-06-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 55

Inclusion Criteria

• Diagnosed with acute stroke by neurology
• Having trouble swallowing
• 18-85 years old, volunteers

Exclusion Criteria

• Unconscious
• Uncooperative
• Those with oropharyngeal structural damage
• Patients with malignancies involving the head and neck region

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Mild dysphagia	Exercises for dysphagia rehabilitation	-
Severe dysphagia	Exercises for dysphagia rehabilitation	-
Moderate dysphagia	Exercises for dysphagia rehabilitation	-

Primary Outcome Measures

Name	Time	Method
Gugging swallowing screening test	Change from Baseline Gugging swallowing screening test at 1 months	The gugging test is a validated test in the assessment of bedside swallowing. This test was defined as 20 points (no dysphagia), 15-19 (mild dysphagia), 10-14 (moderate dysphagia) and 9 points or less (severe dysphagia).
Eating assessment tool-10	Change from Baseline Gugging swallowing screening test at 1 months	The eating assessment tool-10 is a test that evaluates dysphagia symptoms and severity without any food intake. This test is a test consisting of 10 questions in total and scoring the questions between "no problem" and "serious problem". As the score increases, the severity of dysphagia increases.

Trial Locations

Locations (1)

Ankara Şehir Hastanesi; 🇹🇷 Ankara, Turkey