Feasibility study for identification of patients at potential risk of silent aspiration in an acute stroke setting: a comparison of clinical swallow examination and cough reflex testing

ewcastle upon Tyne Hospitals NHS Foundation Trust0 个研究点目标入组 30 人开始时间: 2023年10月13日最近更新: 2023年10月23日

适应症

试验速览

2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37158000/ (added 18/08/2023)

•1. Are admitted to the Royal Victoria Infirmary Hyper-Acute Stroke Unit (HASU) with a suspected or confirmed diagnosis of a new stroke
•2. Are sufficiently alert to tolerate clinical swallow examination or cough reflex testing (i.e. able to maintain alertness for at least 20 minutes)
•3. Have adequate head control and are able to tolerate being positioned upright for the duration of the assessment
•4. Due to service restrictions, patients are required to have their swallowing assessment during working hours of Speech and Language Therapists carrying out cough reflex testing
•5. Patients who are known to have high intracranial pressure will be discussed with the treating consultant prior to assessment as this is a potential contraindication for performing the test as per the protocol described by Miles and colleagues (2013)
•6. Participants must have English as their primary language
•7. Consent will be obtained prior to the assessment or the assessment will be completed in the participant's best interests if they are unable to consent (informed consent obtained)

•1. Are under 18 years of age
•2. Are medically deteriorating or being treated palliatively
•3. Are too agitated to engage in assessment
•4. Have a history of previous silent aspiration identified on instrumental swallow assessment
•5. Are unable to provide informed consent to participate in the study and do not have an appropriate spokesperson to provide consent on their behalf
•6. Have a structural anomaly that could interfere with swallowing
•7. Are more than 3 days post-stroke
•8. COVID-19 suspected or confirmed

发起方

ewcastle upon Tyne Hospitals NHS Foundation Trust